Victorin Boris GNODJOM TACHEGNO1*, Jérôme ATEUDJIEU1, Nelie AlidaMEPOUBONG K.1 , AbouZANABOU1, Benjamin AZIKE. C1, Andre Pascal GOURA1, Frank Forex KIADJEU1, Martin YAKUM1, Landry BEYALA1, Anthony NJIMBIA CHEBE1
1M.A. SANTE(Meilleur Accès Aux Soins de Santé)
CaHReF 2018, Yaoundé Congres hall, 08 – 11 January 2019 , PSME064
Background: More than three-quarters of maternal deaths occur during childbirth and the postnatal period, from where the need for the woman to use care services provided by qualified personnel. However, in rural areas, the number of women expected in the health facilities hardly reaches 50%. In two rural districts.
Objectif: We aim to assess pregnant women frequentation of persons or structures able to perfom deliveries (TBA and health facilities).
Methodology: We conducted a cross-sectional descriptive study with the TBA and in the health facilities of Mada and Kousseri health districts during the month of April 2018. The data were collected from all the identifying TBA in each village, as well as from the health facility managers, via a questionnaire administered through the Epi-info Mobile application. Some villages and health facilities have not been visited for insecurity reasons and geographical inaccessibility.
Results: At the end of this survey 637/700 AT and 17/19 FOSA visited were interviewed in Made and Kousseri health districts. With a population of 405502 inhabitants in the 17 health areas visited, the expected number of births during the first quarter of 2018 was estimated at 4561 births. It should be noted, however, that 884/4561 (19%) expected birth was achieved in health facilities, and 3126/4561 (68%) expected births achieved in communities by TBA.
Conclusion/Recommandation:These results show that TBA play a very important role in the follow-up of pregnant women in Logone and Chari and that they should be involved in maternal and child health activities. training should be designed and made available to traditional birth attendants, in order to strengthen collaboration between them and health facilities.
KEY WORDS: TBA, Maternal birth, Cameroon,