A cross-sectional mixed study of the opportunity to improve maternal postpartum care in reproductive, maternal, newborn, and child health services in the Kaya health district of Burkina Faso.

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Abstract
Objective:
To propose a rationale to improve maternal postpartum care in reproductive, maternal, newborn, and child health (RMNCH) services.
Methods:
We conducted a cross-sectional mixed study in the Kaya health district in Burkina Faso based on two data collection exercises conducted between December 2012 and May 2013. A household survey of 757 mothers in their first year after delivery was processed. It was complemented with a qualitative analysis using in-depth interviews with key informants, focus group discussions with mothers, and participant observation.
Results:
Postpartum services showed serious weaknesses. Overall, 52% (n=384) of mothers did not receive any maternal postpartum care; however among them, 47% (n= 349) received infant postpartum care.
Conclusion:
We suggest the integration of maternal postpartum care in RMNCH services as a key step to improving postpartum care. The intervention would require the overcoming of challenges related to the quality and cost of services, and to reaching the poor populations with low education and a high parity.

Keywords: Burkina Faso; Infant health; Integration of services; Maternal health; Postpartum care; Reproductive health

Authors & affiliation: 
Yugbaré Belemsaga D1, Bado A2, Goujon A3, Duysburgh E4, Degomme O4, Kouanda S5, Temmerman M6. Author information 1Biomedical and Public Health Department, Research Institute of Health Sciences, Ouagadougou, Burkina Faso; Wittgenstein Centre for Demography and Global Human Capital (IIASA, VID/ÖAW, WU), Vienna, Austria. Electronic address: belemsagadanielle@yahoo.fr. 2Biomedical and Public Health Department, Research Institute of Health Sciences, Ouagadougou, Burkina Faso. 3Wittgenstein Centre for Demography and Global Human Capital (IIASA, VID/ÖAW, WU), Vienna, Austria. 4International Centre for Reproductive Health, Faculty of Medicine and Health Sciences Department of Uro-Gynaecology, Ghent University, Ghent, Belgium. 5Biomedical and Public Health Department, Research Institute of Health Sciences, Ouagadougou, Burkina Faso; African Institute of Public Health, Ouagadougou, Burkina Faso. 6International 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.
Ranking: 
Published In: 
Int J Gynaecol Obstet. 2016 Nov;135 Suppl 1:S20-S26. doi: 10.1016/j.ijgo.2016.08.005.
Publication date: 
Monday, February 6, 2017