Integration of postpartum care into child health and immunization services in Burkina Faso: findings from a cross-sectional study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-12

AUTHORS

Danielle Yugbaré Belemsaga, Anne Goujon, Aristide Bado, Seni Kouanda, Els Duysburgh, Marleen Temmerman, Olivier Degomme

ABSTRACT

BACKGROUND: The Missed Opportunities for Maternal and Infant Health (MOMI) project, which aimed at upgrading maternal and infant postpartum care (PPC), implemented a package of interventions including the integration of maternal PPC in infant immunization services in 12 health facilities in Kaya Health district in Burkina Faso from 2013 to 2015. This paper assesses the coverage and the quality of combined mother-infant PPC in reproductive, maternal, newborn and child health services (RMNCH). METHODS: We conducted a mixed methods study with cross-sectional surveys before and after the intervention in the Kaya health and demographic surveillance system. On the quantitative side, two household surveys were performed in 2012 (N = 757) and in 2014 (N = 754) among mothers within one year postpartum. The analysis examines the result of the intervention by the date of delivery at three key time points in the PPC schedule: the first 48 h, days 6-10 and during weeks 6-8 and beyond. On the qualitative side, in depth interviews, focus group discussions and observations were conducted in four health facilities in 2012 and 2015. They involved mothers in the postpartum period, facility and community health workers, and other stakeholders. We performed a descriptive analysis and a two-sample test of proportions of the quantitative data. The qualitative data were recorded, transcribed and analysed along the themes relevant for the intervention. RESULTS: The findings show that the WHO guidelines, in terms of content and improvement of maternal PPC, were followed for physical examinations and consultations. They also show a significant increase in the coverage of maternal PPC services from 50% (372/752) before the intervention to 81% (544/672) one year after the start of the intervention. However, more women were assessed at days 6-10 than at later visits. Integration of maternal PPC was low, with little improvements in history taking and physical examination of mothers in immunization services. While health workers are polyvalent, difficulties in restructuring and organizing services hindered the integration. CONCLUSION: Unless a comprehensive strategy of integration within RMNCH services is implemented to address the primary health care challenges within the health system, integration will not yield the desired results. More... »

PAGES

171

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12978-018-0602-8

DOI

http://dx.doi.org/10.1186/s12978-018-0602-8

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1107535427

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30305123


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1117", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Public Health and Health Services", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Vienna University of Economics and Business", 
          "id": "https://www.grid.ac/institutes/grid.15788.33", 
          "name": [
            "D\u00e9partement Biom\u00e9dical et sant\u00e9 publique, Institut de Recherche en Sciences de la Sant\u00e9 (IRSS), 03 B.P 7192, Ouagadougou 03, Burkina Faso", 
            "Wittgenstein Centre for Demography and Global Human Capital (IIASA, VID/OAW, WU), Vienna, Austria"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Yugbar\u00e9 Belemsaga", 
        "givenName": "Danielle", 
        "id": "sg:person.01155174313.18", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01155174313.18"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Vienna University of Economics and Business", 
          "id": "https://www.grid.ac/institutes/grid.15788.33", 
          "name": [
            "Wittgenstein Centre for Demography and Global Human Capital (IIASA, VID/OAW, WU), Vienna, Austria"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Goujon", 
        "givenName": "Anne", 
        "id": "sg:person.014260531134.06", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014260531134.06"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Institut de Recherche en Sciences de la Sant\u00e9", 
          "id": "https://www.grid.ac/institutes/grid.457337.1", 
          "name": [
            "D\u00e9partement Biom\u00e9dical et sant\u00e9 publique, Institut de Recherche en Sciences de la Sant\u00e9 (IRSS), 03 B.P 7192, Ouagadougou 03, Burkina Faso"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Bado", 
        "givenName": "Aristide", 
        "id": "sg:person.0657165556.30", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0657165556.30"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Institut de Recherche en Sciences de la Sant\u00e9", 
          "id": "https://www.grid.ac/institutes/grid.457337.1", 
          "name": [
            "D\u00e9partement Biom\u00e9dical et sant\u00e9 publique, Institut de Recherche en Sciences de la Sant\u00e9 (IRSS), 03 B.P 7192, Ouagadougou 03, Burkina Faso", 
            "African Institute of Public Health, Ouagadougou, Burkina Faso"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Kouanda", 
        "givenName": "Seni", 
        "id": "sg:person.0627776244.41", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0627776244.41"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Ghent University", 
          "id": "https://www.grid.ac/institutes/grid.5342.0", 
          "name": [
            "International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Department of Uro-Gynaecology, Ghent University, Ghent, Belgium"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Duysburgh", 
        "givenName": "Els", 
        "id": "sg:person.01334105564.09", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01334105564.09"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Aga Khan University", 
          "id": "https://www.grid.ac/institutes/grid.470490.e", 
          "name": [
            "International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Department of Uro-Gynaecology, Ghent University, Ghent, Belgium", 
            "Centre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Temmerman", 
        "givenName": "Marleen", 
        "id": "sg:person.0702775732.31", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0702775732.31"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Ghent University", 
          "id": "https://www.grid.ac/institutes/grid.5342.0", 
          "name": [
            "International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Department of Uro-Gynaecology, Ghent University, Ghent, Belgium"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Degomme", 
        "givenName": "Olivier", 
        "id": "sg:person.01127001461.76", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01127001461.76"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1186/1472-6963-13-207", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1001665067", 
          "https://doi.org/10.1186/1472-6963-13-207"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.vaccine.2008.02.032", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004650462"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12875-015-0278-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008061953", 
          "https://doi.org/10.1186/s12875-015-0278-x"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12875-015-0278-x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008061953", 
          "https://doi.org/10.1186/s12875-015-0278-x"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/heapol/czs124", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010577232"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/1471-0528.13898", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018426352"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(16)31395-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1018617046"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.5334/ijic.886", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1020128372"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(16)31525-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021316339"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(16)31472-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1022416978"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1741-7015-12-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1022435265", 
          "https://doi.org/10.1186/1741-7015-12-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/aphw.12000", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1022838464"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/heapol/czp053", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1026110172"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(10)60518-1", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027772951"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12884-015-0562-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030719575", 
          "https://doi.org/10.1186/s12884-015-0562-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12884-015-0562-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030719575", 
          "https://doi.org/10.1186/s12884-015-0562-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s2214-109x(16)30092-4", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036110573"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1526-9523(99)00003-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1038782163"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1093/ije/dyt076", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1039334583"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/1471-2458-11-780", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042109114", 
          "https://doi.org/10.1186/1471-2458-11-780"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.9745/ghsp-d-13-00156", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1043732765"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1728-4465.2015.00041.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045671032"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmj.h4414", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050237575"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1523-536x.1999.00255.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050310621"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.ijgo.2016.08.005", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050578049"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12913-016-1546-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051084181", 
          "https://doi.org/10.1186/s12913-016-1546-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12913-016-1546-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051084181", 
          "https://doi.org/10.1186/s12913-016-1546-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1558689815607096", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064062943"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1177/1558689815607096", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1064062943"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1136/bmjgh-2017-000408", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1093012126"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.21825/af.v28i2.4866", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1100908370"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12913-018-3098-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1103605396", 
          "https://doi.org/10.1186/s12913-018-3098-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12913-018-3098-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1103605396", 
          "https://doi.org/10.1186/s12913-018-3098-6"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-12", 
    "datePublishedReg": "2018-12-01", 
    "description": "BACKGROUND: The Missed Opportunities for Maternal and Infant Health (MOMI) project, which aimed at upgrading maternal and infant postpartum care (PPC), implemented a package of interventions including the integration of maternal PPC in infant immunization services in 12 health facilities in Kaya Health district in Burkina Faso from 2013 to 2015. This paper assesses the coverage and the quality of combined mother-infant PPC in reproductive, maternal, newborn and child health services (RMNCH).\nMETHODS: We conducted a mixed methods study with cross-sectional surveys before and after the intervention in the Kaya health and demographic surveillance system. On the quantitative side, two household surveys were performed in 2012 (N\u2009=\u2009757) and in 2014 (N\u2009=\u2009754) among mothers within one year postpartum. The analysis examines the result of the intervention by the date of delivery at three key time points in the PPC schedule: the first 48\u00a0h, days 6-10 and during weeks 6-8 and beyond. On the qualitative side, in depth interviews, focus group discussions and observations were conducted in four health facilities in 2012 and 2015. They involved mothers in the postpartum period, facility and community health workers, and other stakeholders. We performed a descriptive analysis and a two-sample test of proportions of the quantitative data. The qualitative data were recorded, transcribed and analysed along the themes relevant for the intervention.\nRESULTS: The findings show that the WHO guidelines, in terms of content and improvement of maternal PPC, were followed for physical examinations and consultations. They also show a significant increase in the coverage of maternal PPC services from 50% (372/752) before the intervention to 81% (544/672) one year after the start of the intervention. However, more women were assessed at days 6-10 than at later visits. Integration of maternal PPC was low, with little improvements in history taking and physical examination of mothers in immunization services. While health workers are polyvalent, difficulties in restructuring and organizing services hindered the integration.\nCONCLUSION: Unless a comprehensive strategy of integration within RMNCH services is implemented to address the primary health care challenges within the health system, integration will not yield the desired results.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1186/s12978-018-0602-8", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isFundedItemOf": [
      {
        "id": "sg:grant.3785929", 
        "type": "MonetaryGrant"
      }
    ], 
    "isPartOf": [
      {
        "id": "sg:journal.1034053", 
        "issn": [
          "1742-4755"
        ], 
        "name": "Reproductive Health", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "1", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "15"
      }
    ], 
    "name": "Integration of postpartum care into child health and immunization services in Burkina Faso: findings from a cross-sectional study", 
    "pagination": "171", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "b4c21dcbbae8b5728b81d337700602a170d1912eec3583da1197ce3007eea66e"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30305123"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "101224380"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1186/s12978-018-0602-8"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1107535427"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1186/s12978-018-0602-8", 
      "https://app.dimensions.ai/details/publication/pub.1107535427"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T01:16", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8697_00000566.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1186%2Fs12978-018-0602-8"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12978-018-0602-8'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12978-018-0602-8'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12978-018-0602-8'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12978-018-0602-8'


 

This table displays all metadata directly associated to this object as RDF triples.

215 TRIPLES      21 PREDICATES      57 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1186/s12978-018-0602-8 schema:about anzsrc-for:11
2 anzsrc-for:1117
3 schema:author Ndb5d18318b294ce58a6d11b7626afc02
4 schema:citation sg:pub.10.1186/1471-2458-11-780
5 sg:pub.10.1186/1472-6963-13-207
6 sg:pub.10.1186/1741-7015-12-6
7 sg:pub.10.1186/s12875-015-0278-x
8 sg:pub.10.1186/s12884-015-0562-8
9 sg:pub.10.1186/s12913-016-1546-8
10 sg:pub.10.1186/s12913-018-3098-6
11 https://doi.org/10.1016/j.ijgo.2016.08.005
12 https://doi.org/10.1016/j.vaccine.2008.02.032
13 https://doi.org/10.1016/s0140-6736(10)60518-1
14 https://doi.org/10.1016/s0140-6736(16)31395-2
15 https://doi.org/10.1016/s0140-6736(16)31472-6
16 https://doi.org/10.1016/s0140-6736(16)31525-2
17 https://doi.org/10.1016/s1526-9523(99)00003-3
18 https://doi.org/10.1016/s2214-109x(16)30092-4
19 https://doi.org/10.1046/j.1523-536x.1999.00255.x
20 https://doi.org/10.1093/heapol/czp053
21 https://doi.org/10.1093/heapol/czs124
22 https://doi.org/10.1093/ije/dyt076
23 https://doi.org/10.1111/1471-0528.13898
24 https://doi.org/10.1111/aphw.12000
25 https://doi.org/10.1111/j.1728-4465.2015.00041.x
26 https://doi.org/10.1136/bmj.h4414
27 https://doi.org/10.1136/bmjgh-2017-000408
28 https://doi.org/10.1177/1558689815607096
29 https://doi.org/10.21825/af.v28i2.4866
30 https://doi.org/10.5334/ijic.886
31 https://doi.org/10.9745/ghsp-d-13-00156
32 schema:datePublished 2018-12
33 schema:datePublishedReg 2018-12-01
34 schema:description BACKGROUND: The Missed Opportunities for Maternal and Infant Health (MOMI) project, which aimed at upgrading maternal and infant postpartum care (PPC), implemented a package of interventions including the integration of maternal PPC in infant immunization services in 12 health facilities in Kaya Health district in Burkina Faso from 2013 to 2015. This paper assesses the coverage and the quality of combined mother-infant PPC in reproductive, maternal, newborn and child health services (RMNCH). METHODS: We conducted a mixed methods study with cross-sectional surveys before and after the intervention in the Kaya health and demographic surveillance system. On the quantitative side, two household surveys were performed in 2012 (N = 757) and in 2014 (N = 754) among mothers within one year postpartum. The analysis examines the result of the intervention by the date of delivery at three key time points in the PPC schedule: the first 48 h, days 6-10 and during weeks 6-8 and beyond. On the qualitative side, in depth interviews, focus group discussions and observations were conducted in four health facilities in 2012 and 2015. They involved mothers in the postpartum period, facility and community health workers, and other stakeholders. We performed a descriptive analysis and a two-sample test of proportions of the quantitative data. The qualitative data were recorded, transcribed and analysed along the themes relevant for the intervention. RESULTS: The findings show that the WHO guidelines, in terms of content and improvement of maternal PPC, were followed for physical examinations and consultations. They also show a significant increase in the coverage of maternal PPC services from 50% (372/752) before the intervention to 81% (544/672) one year after the start of the intervention. However, more women were assessed at days 6-10 than at later visits. Integration of maternal PPC was low, with little improvements in history taking and physical examination of mothers in immunization services. While health workers are polyvalent, difficulties in restructuring and organizing services hindered the integration. CONCLUSION: Unless a comprehensive strategy of integration within RMNCH services is implemented to address the primary health care challenges within the health system, integration will not yield the desired results.
35 schema:genre research_article
36 schema:inLanguage en
37 schema:isAccessibleForFree true
38 schema:isPartOf N22808bf5fece46e28601e8db4d097461
39 N4de0114058b24cd5b1a442b029f858c4
40 sg:journal.1034053
41 schema:name Integration of postpartum care into child health and immunization services in Burkina Faso: findings from a cross-sectional study
42 schema:pagination 171
43 schema:productId N452ed7a0130e413b9d086c00f954cab4
44 Na0fbb37d0c5245fca976b1fc915aa02c
45 Ne4a288b1d8ac4a6fa60be638b2f0e392
46 Ne88e72e183bd4ebfbfda4006573fd074
47 Neb3313fd492a47a7be90882d333cb969
48 schema:sameAs https://app.dimensions.ai/details/publication/pub.1107535427
49 https://doi.org/10.1186/s12978-018-0602-8
50 schema:sdDatePublished 2019-04-11T01:16
51 schema:sdLicense https://scigraph.springernature.com/explorer/license/
52 schema:sdPublisher Na26816c1611541928275babeacb81681
53 schema:url https://link.springer.com/10.1186%2Fs12978-018-0602-8
54 sgo:license sg:explorer/license/
55 sgo:sdDataset articles
56 rdf:type schema:ScholarlyArticle
57 N02053b2a8db948d8b9571d53153f046e rdf:first sg:person.0702775732.31
58 rdf:rest N8dcc8416bbf4406fafcfc4d037d897c5
59 N03f908699b09433486d25969d0e05a72 rdf:first sg:person.0657165556.30
60 rdf:rest N2fe5e9dacbb543df982348edf828a418
61 N044663a539ee4970b590366520dee240 rdf:first sg:person.014260531134.06
62 rdf:rest N03f908699b09433486d25969d0e05a72
63 N22808bf5fece46e28601e8db4d097461 schema:volumeNumber 15
64 rdf:type schema:PublicationVolume
65 N2fe5e9dacbb543df982348edf828a418 rdf:first sg:person.0627776244.41
66 rdf:rest N74269ab50a9b4acd893fca50a982702d
67 N452ed7a0130e413b9d086c00f954cab4 schema:name readcube_id
68 schema:value b4c21dcbbae8b5728b81d337700602a170d1912eec3583da1197ce3007eea66e
69 rdf:type schema:PropertyValue
70 N4de0114058b24cd5b1a442b029f858c4 schema:issueNumber 1
71 rdf:type schema:PublicationIssue
72 N74269ab50a9b4acd893fca50a982702d rdf:first sg:person.01334105564.09
73 rdf:rest N02053b2a8db948d8b9571d53153f046e
74 N8dcc8416bbf4406fafcfc4d037d897c5 rdf:first sg:person.01127001461.76
75 rdf:rest rdf:nil
76 Na0fbb37d0c5245fca976b1fc915aa02c schema:name doi
77 schema:value 10.1186/s12978-018-0602-8
78 rdf:type schema:PropertyValue
79 Na26816c1611541928275babeacb81681 schema:name Springer Nature - SN SciGraph project
80 rdf:type schema:Organization
81 Ndb5d18318b294ce58a6d11b7626afc02 rdf:first sg:person.01155174313.18
82 rdf:rest N044663a539ee4970b590366520dee240
83 Ne4a288b1d8ac4a6fa60be638b2f0e392 schema:name pubmed_id
84 schema:value 30305123
85 rdf:type schema:PropertyValue
86 Ne88e72e183bd4ebfbfda4006573fd074 schema:name nlm_unique_id
87 schema:value 101224380
88 rdf:type schema:PropertyValue
89 Neb3313fd492a47a7be90882d333cb969 schema:name dimensions_id
90 schema:value pub.1107535427
91 rdf:type schema:PropertyValue
92 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
93 schema:name Medical and Health Sciences
94 rdf:type schema:DefinedTerm
95 anzsrc-for:1117 schema:inDefinedTermSet anzsrc-for:
96 schema:name Public Health and Health Services
97 rdf:type schema:DefinedTerm
98 sg:grant.3785929 http://pending.schema.org/fundedItem sg:pub.10.1186/s12978-018-0602-8
99 rdf:type schema:MonetaryGrant
100 sg:journal.1034053 schema:issn 1742-4755
101 schema:name Reproductive Health
102 rdf:type schema:Periodical
103 sg:person.01127001461.76 schema:affiliation https://www.grid.ac/institutes/grid.5342.0
104 schema:familyName Degomme
105 schema:givenName Olivier
106 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01127001461.76
107 rdf:type schema:Person
108 sg:person.01155174313.18 schema:affiliation https://www.grid.ac/institutes/grid.15788.33
109 schema:familyName Yugbaré Belemsaga
110 schema:givenName Danielle
111 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01155174313.18
112 rdf:type schema:Person
113 sg:person.01334105564.09 schema:affiliation https://www.grid.ac/institutes/grid.5342.0
114 schema:familyName Duysburgh
115 schema:givenName Els
116 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01334105564.09
117 rdf:type schema:Person
118 sg:person.014260531134.06 schema:affiliation https://www.grid.ac/institutes/grid.15788.33
119 schema:familyName Goujon
120 schema:givenName Anne
121 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.014260531134.06
122 rdf:type schema:Person
123 sg:person.0627776244.41 schema:affiliation https://www.grid.ac/institutes/grid.457337.1
124 schema:familyName Kouanda
125 schema:givenName Seni
126 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0627776244.41
127 rdf:type schema:Person
128 sg:person.0657165556.30 schema:affiliation https://www.grid.ac/institutes/grid.457337.1
129 schema:familyName Bado
130 schema:givenName Aristide
131 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0657165556.30
132 rdf:type schema:Person
133 sg:person.0702775732.31 schema:affiliation https://www.grid.ac/institutes/grid.470490.e
134 schema:familyName Temmerman
135 schema:givenName Marleen
136 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0702775732.31
137 rdf:type schema:Person
138 sg:pub.10.1186/1471-2458-11-780 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042109114
139 https://doi.org/10.1186/1471-2458-11-780
140 rdf:type schema:CreativeWork
141 sg:pub.10.1186/1472-6963-13-207 schema:sameAs https://app.dimensions.ai/details/publication/pub.1001665067
142 https://doi.org/10.1186/1472-6963-13-207
143 rdf:type schema:CreativeWork
144 sg:pub.10.1186/1741-7015-12-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1022435265
145 https://doi.org/10.1186/1741-7015-12-6
146 rdf:type schema:CreativeWork
147 sg:pub.10.1186/s12875-015-0278-x schema:sameAs https://app.dimensions.ai/details/publication/pub.1008061953
148 https://doi.org/10.1186/s12875-015-0278-x
149 rdf:type schema:CreativeWork
150 sg:pub.10.1186/s12884-015-0562-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030719575
151 https://doi.org/10.1186/s12884-015-0562-8
152 rdf:type schema:CreativeWork
153 sg:pub.10.1186/s12913-016-1546-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051084181
154 https://doi.org/10.1186/s12913-016-1546-8
155 rdf:type schema:CreativeWork
156 sg:pub.10.1186/s12913-018-3098-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1103605396
157 https://doi.org/10.1186/s12913-018-3098-6
158 rdf:type schema:CreativeWork
159 https://doi.org/10.1016/j.ijgo.2016.08.005 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050578049
160 rdf:type schema:CreativeWork
161 https://doi.org/10.1016/j.vaccine.2008.02.032 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004650462
162 rdf:type schema:CreativeWork
163 https://doi.org/10.1016/s0140-6736(10)60518-1 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027772951
164 rdf:type schema:CreativeWork
165 https://doi.org/10.1016/s0140-6736(16)31395-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018617046
166 rdf:type schema:CreativeWork
167 https://doi.org/10.1016/s0140-6736(16)31472-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1022416978
168 rdf:type schema:CreativeWork
169 https://doi.org/10.1016/s0140-6736(16)31525-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021316339
170 rdf:type schema:CreativeWork
171 https://doi.org/10.1016/s1526-9523(99)00003-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1038782163
172 rdf:type schema:CreativeWork
173 https://doi.org/10.1016/s2214-109x(16)30092-4 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036110573
174 rdf:type schema:CreativeWork
175 https://doi.org/10.1046/j.1523-536x.1999.00255.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1050310621
176 rdf:type schema:CreativeWork
177 https://doi.org/10.1093/heapol/czp053 schema:sameAs https://app.dimensions.ai/details/publication/pub.1026110172
178 rdf:type schema:CreativeWork
179 https://doi.org/10.1093/heapol/czs124 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010577232
180 rdf:type schema:CreativeWork
181 https://doi.org/10.1093/ije/dyt076 schema:sameAs https://app.dimensions.ai/details/publication/pub.1039334583
182 rdf:type schema:CreativeWork
183 https://doi.org/10.1111/1471-0528.13898 schema:sameAs https://app.dimensions.ai/details/publication/pub.1018426352
184 rdf:type schema:CreativeWork
185 https://doi.org/10.1111/aphw.12000 schema:sameAs https://app.dimensions.ai/details/publication/pub.1022838464
186 rdf:type schema:CreativeWork
187 https://doi.org/10.1111/j.1728-4465.2015.00041.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1045671032
188 rdf:type schema:CreativeWork
189 https://doi.org/10.1136/bmj.h4414 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050237575
190 rdf:type schema:CreativeWork
191 https://doi.org/10.1136/bmjgh-2017-000408 schema:sameAs https://app.dimensions.ai/details/publication/pub.1093012126
192 rdf:type schema:CreativeWork
193 https://doi.org/10.1177/1558689815607096 schema:sameAs https://app.dimensions.ai/details/publication/pub.1064062943
194 rdf:type schema:CreativeWork
195 https://doi.org/10.21825/af.v28i2.4866 schema:sameAs https://app.dimensions.ai/details/publication/pub.1100908370
196 rdf:type schema:CreativeWork
197 https://doi.org/10.5334/ijic.886 schema:sameAs https://app.dimensions.ai/details/publication/pub.1020128372
198 rdf:type schema:CreativeWork
199 https://doi.org/10.9745/ghsp-d-13-00156 schema:sameAs https://app.dimensions.ai/details/publication/pub.1043732765
200 rdf:type schema:CreativeWork
201 https://www.grid.ac/institutes/grid.15788.33 schema:alternateName Vienna University of Economics and Business
202 schema:name Département Biomédical et santé publique, Institut de Recherche en Sciences de la Santé (IRSS), 03 B.P 7192, Ouagadougou 03, Burkina Faso
203 Wittgenstein Centre for Demography and Global Human Capital (IIASA, VID/OAW, WU), Vienna, Austria
204 rdf:type schema:Organization
205 https://www.grid.ac/institutes/grid.457337.1 schema:alternateName Institut de Recherche en Sciences de la Santé
206 schema:name African Institute of Public Health, Ouagadougou, Burkina Faso
207 Département Biomédical et santé publique, Institut de Recherche en Sciences de la Santé (IRSS), 03 B.P 7192, Ouagadougou 03, Burkina Faso
208 rdf:type schema:Organization
209 https://www.grid.ac/institutes/grid.470490.e schema:alternateName Aga Khan University
210 schema:name Centre of Excellence in Women and Child Health, Aga Khan University, Nairobi, Kenya
211 International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Department of Uro-Gynaecology, Ghent University, Ghent, Belgium
212 rdf:type schema:Organization
213 https://www.grid.ac/institutes/grid.5342.0 schema:alternateName Ghent University
214 schema:name International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Department of Uro-Gynaecology, Ghent University, Ghent, Belgium
215 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...