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Experiences of Mothers with Antenatal, Delivery and Postpartum Care in Rural Gambia

Michelle L. Telfer, Jane T. Rowley and Gijs E. L. Walraven
African Journal of Reproductive Health / La Revue Africaine de la Santé Reproductive
Vol. 6, No. 1 (Apr., 2002), pp. 74-83
DOI: 10.2307/3583148
Stable URL: http://www.jstor.org/stable/3583148
Page Count: 10
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Experiences of Mothers with Antenatal, Delivery and Postpartum Care in Rural Gambia
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Abstract

Over the last two decades, the maternal mortality ratio appears to have fallen by up to 50% in the Farafenni, a rural area of The Gambia. This reduction almost certainly reflects improvements in access to essential obstetric services. The ratio, however, is still 50 times higher than in Western and Northern Europe or North America. This paper provides information from a community-based study of 623 women who had recently given birth in the Farafenni area. Information on how, when, and why care was accessed, and what type of care and information were provided were obtained from traditional and western methods of health care were during visits. Women were asked about their experiences during prenatal, delivery and postpartum periods. Results from this study highlight a number of opportunities for improving the quality of maternal health services that could be implemented relatively easily with existing resources. /// Au cours de ces deux dernières décennies, le rapport de la mortalité semble avoir baissé de jusqu'à 50% dans la Farafenni, une région rurale en Gambie. Cette baisse, si l'on veut, reflète certainement des améliorations par rapport à l'accès aux services obstétriques. Le rapport néanmoins est cinquante fois plus élevé qu'en Europe occidentale et l'Europe du Nord ou en Amérique du nord. Cet article fournit l'information recueillies d'une communauté dans le cadre d'une étude faite sur 623 femmes qui venaient récemment d'accoucher dans la région de la Farafenni. Nous avons pu obtenir des renseignements sur le comment, le quand et le pourquoi l'on a recherché le soin, ainsi que sur le type du soin assuré à travers les méthodes traditionnelles et occidentales de services de santé. On a posé des questions aux femmes sur leurs expériences pendant les périodes prénatales, de l'accouchement et du postpartum. Les résultats émanant de cette étude indiquent un certain nombre d'opportunités pour améliorer la qualité de service de maternité qu'on peut relativement mettre en oeuvre avec les ressources disponsibles.

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