Community health workers' involvement in mother–child care during the 1st year after birth, in Kaya health district, Burkina Faso: A contribution analysis

IntroductionMaternal and infant morbidity and mortality remain high in sub-Saharan Africa. However, actions to strengthen postpartum care are still weak and mainly limited to health facilities (HFs). In Kaya health district, Burkina Faso, community health workers (CHWs) were involved in mother and c...

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Main Authors: Halima Tougri, Rachidatou Compaoré, Adja Mariam Ouédraogo, Blandine Bila, Marleen Temmerman, Séni Kouanda
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2022.938967/full
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author Halima Tougri
Rachidatou Compaoré
Adja Mariam Ouédraogo
Blandine Bila
Marleen Temmerman
Marleen Temmerman
Séni Kouanda
Séni Kouanda
author_facet Halima Tougri
Rachidatou Compaoré
Adja Mariam Ouédraogo
Blandine Bila
Marleen Temmerman
Marleen Temmerman
Séni Kouanda
Séni Kouanda
author_sort Halima Tougri
collection DOAJ
description IntroductionMaternal and infant morbidity and mortality remain high in sub-Saharan Africa. However, actions to strengthen postpartum care are still weak and mainly limited to health facilities (HFs). In Kaya health district, Burkina Faso, community health workers (CHWs) were involved in mother and child care during the 1st year postpartum through home visits, outreach sessions and accompanying mothers to health facilities. The aim of this study was to assess the contribution of CHWs to postpartum women's attendance at the health facilities.MethodsWe conducted an effect assessment using Mayne and Lemire's contribution analysis framework. Qualitative and quantitative data were collected through project documents review and individual semi-structured interviews with key-informants.ResultsAll the participants interviewed acknowledged that the number of women, who came to postpartum care, had increased since the implementation of the project activities. Postpartum consultation rates within the 1st week postpartum increased from 29% in 2011 to 80% in 2015 and from 19 to 50% within 6 weeks. Others interventions such as Performance based financing, Save The Children nutritional project and the health services component of Missed Opportunities in Mother and Infant Health (MOMI) were the alternative explanations.ConclusionsCHWs involvement in women care contributed to improve their adherence to postpartum consultations in Kaya health district.
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spelling doaj.art-9527c7a81cb44c93b171d8a38ff433d52023-01-11T05:49:44ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-01-011010.3389/fpubh.2022.938967938967Community health workers' involvement in mother–child care during the 1st year after birth, in Kaya health district, Burkina Faso: A contribution analysisHalima Tougri0Rachidatou Compaoré1Adja Mariam Ouédraogo2Blandine Bila3Marleen Temmerman4Marleen Temmerman5Séni Kouanda6Séni Kouanda7Département Biomedical/Santé Publique, Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina FasoDépartement Biomedical/Santé Publique, Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina FasoDépartement Biomedical/Santé Publique, Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina FasoDépartement Biomedical/Santé Publique, Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina FasoInternational Centre for Reproductive Health (ICRH) Ghent University, Ghent, BelgiumAga Khan University, Nairobi, KenyaDépartement Biomedical/Santé Publique, Institut de Recherche en Sciences de la Santé (IRSS), Ouagadougou, Burkina FasoDépartement d'Épidémiologie, Institut Africain de Santé Publique (IASP), Ouagadougou, Burkina FasoIntroductionMaternal and infant morbidity and mortality remain high in sub-Saharan Africa. However, actions to strengthen postpartum care are still weak and mainly limited to health facilities (HFs). In Kaya health district, Burkina Faso, community health workers (CHWs) were involved in mother and child care during the 1st year postpartum through home visits, outreach sessions and accompanying mothers to health facilities. The aim of this study was to assess the contribution of CHWs to postpartum women's attendance at the health facilities.MethodsWe conducted an effect assessment using Mayne and Lemire's contribution analysis framework. Qualitative and quantitative data were collected through project documents review and individual semi-structured interviews with key-informants.ResultsAll the participants interviewed acknowledged that the number of women, who came to postpartum care, had increased since the implementation of the project activities. Postpartum consultation rates within the 1st week postpartum increased from 29% in 2011 to 80% in 2015 and from 19 to 50% within 6 weeks. Others interventions such as Performance based financing, Save The Children nutritional project and the health services component of Missed Opportunities in Mother and Infant Health (MOMI) were the alternative explanations.ConclusionsCHWs involvement in women care contributed to improve their adherence to postpartum consultations in Kaya health district.https://www.frontiersin.org/articles/10.3389/fpubh.2022.938967/fullmother-child carecontribution analysiscommunity involvementpostpartum carecommunity health worker (CHW)
spellingShingle Halima Tougri
Rachidatou Compaoré
Adja Mariam Ouédraogo
Blandine Bila
Marleen Temmerman
Marleen Temmerman
Séni Kouanda
Séni Kouanda
Community health workers' involvement in mother–child care during the 1st year after birth, in Kaya health district, Burkina Faso: A contribution analysis
Frontiers in Public Health
mother-child care
contribution analysis
community involvement
postpartum care
community health worker (CHW)
title Community health workers' involvement in mother–child care during the 1st year after birth, in Kaya health district, Burkina Faso: A contribution analysis
title_full Community health workers' involvement in mother–child care during the 1st year after birth, in Kaya health district, Burkina Faso: A contribution analysis
title_fullStr Community health workers' involvement in mother–child care during the 1st year after birth, in Kaya health district, Burkina Faso: A contribution analysis
title_full_unstemmed Community health workers' involvement in mother–child care during the 1st year after birth, in Kaya health district, Burkina Faso: A contribution analysis
title_short Community health workers' involvement in mother–child care during the 1st year after birth, in Kaya health district, Burkina Faso: A contribution analysis
title_sort community health workers involvement in mother child care during the 1st year after birth in kaya health district burkina faso a contribution analysis
topic mother-child care
contribution analysis
community involvement
postpartum care
community health worker (CHW)
url https://www.frontiersin.org/articles/10.3389/fpubh.2022.938967/full
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