Effect of reproductive health services restructuring on antenatal care at Marcory General Hospital, Ivory Coast

Improvement of the work environment and staff training are health promotion strategies that can contribute to improving the supply of health care. This study evaluated the effects of reorganization of health services on antenatal care (ANC) activities. A cross-sectional study was conducted over a pe...

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Veröffentlicht in:Santé publique (Vandoeuvre-lès-Nancy, France) France), 2015-09, Vol.27 (5), p.713-721
Hauptverfasser: Benie Bi, Joseph Vroh, Tiembre, Issaka, Ahoussou, Éric Martial, Tchiny, Koutoua, Dagnan, N Cho Simplice, Tagliante-Saracino, Janine
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container_end_page 721
container_issue 5
container_start_page 713
container_title Santé publique (Vandoeuvre-lès-Nancy, France)
container_volume 27
creator Benie Bi, Joseph Vroh
Tiembre, Issaka
Ahoussou, Éric Martial
Tchiny, Koutoua
Dagnan, N Cho Simplice
Tagliante-Saracino, Janine
description Improvement of the work environment and staff training are health promotion strategies that can contribute to improving the supply of health care. This study evaluated the effects of reorganization of health services on antenatal care (ANC) activities. A cross-sectional study was conducted over a period of 4 months in the ANC unit of Marcory General Hospital in Abidjan. The study population was health workers in charge of ANC and pregnant women attending the health facility. Self-administered questionnaires and observation sheets were used to collect data that were analysed with Epi Info 3.5.1 software. results: After reorganization, health workers said they were satisfied with the work environment and the care provided in 91% and 96.9% of cases, respectively. These results were confirmed by all pregnant respondents (100%) attending the centre, who said they were satisfied with the quality of care received. This could explain the ANC 4 coverage rate, which increased from 39.4% in 2010 to 56.7% in 2012 and tetanus vaccination coverage which increased from 59.4% to 87.5%, although the waiting time was still too long. This study showed an increase of ANC activity indicators, such as ANC 4 and tetanus vaccination coverage rate, after reorganization of health care services. This strategy could be an opportunity to strengthen ANC services.
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subjects Cote d'Ivoire
Cross-Sectional Studies
Female
Health Personnel - organization & administration
Hospitals, General - organization & administration
Hospitals, General - standards
Humans
Patient Satisfaction
Pregnancy
Prenatal Care - organization & administration
Prenatal Care - standards
Quality of Health Care
Reproductive Health Services - organization & administration
Reproductive Health Services - standards
Surveys and Questionnaires
Waiting Lists
title Effect of reproductive health services restructuring on antenatal care at Marcory General Hospital, Ivory Coast
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