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Effects of an intervention initiated by a national society to improve postabortion care in rural facilities in Burkina Faso
Author(s) -
Kiemtoré Sibraogo,
Zamané Hyacinthe,
Kaïn Danlotoma P.,
Sawadogo Yobi A.,
Ouédraogo Issa,
Ouédraogo Ali,
Lankoandé Jean
Publication year - 2017
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12031
Subject(s) - misoprostol , medicine , abortion , intervention (counseling) , incomplete abortion , rural area , capacity building , health care , family medicine , environmental health , nursing , obstetrics , pregnancy , economic growth , genetics , pathology , economics , biology
Objective To evaluate the results of an intervention by the Societé de Gynécologues et Obstétriciens du Burkina ( SOGOB ) to improve postabortion care ( PAC ) in rural areas of Burkina Faso. Methods From June 1, 2012, to May 31, 2013, SOGOB increased capacity for PAC by providing training in health care and equipment to 45 rural health facilities. Performance in PAC in the year before intervention (June 1, 2011, to May 31, 2012) was compared with that in the year following intervention (June 1, 2013, to May 31, 2014). Results The number of cases of incomplete abortion managed within a year increased from 1812 before the intervention to 2738 afterwards. Before capacity building, none of the health facilities was using misoprostol for management of incomplete abortion. After capacity building, misoprostol was used in 805 (29.4%) cases. The use of inappropriate methods to empty the uterus decreased (27.5% [498/1812] vs 1.4% [38/2738]; P< 0.001). The frequencies of uterine perforation and pelvic infection also decreased ( P≤ 0.01 for both). In the year after implementation, 2035 (78.3%) of 2600 women had taken up a family planning method before leaving the facility. Conclusion SOGOB 's intervention has improved the quality of PAC in rural health facilities in Burkina Faso.