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Статті в журналах з теми "Mortalité maternelle – Pays en voie de développement"
Diallo, B. "Evaluation des connaissances, attitudes et pratiques des hommes du district sanitaire de Diéma face à l’éclampsie." Mali Santé Publique 11, no. 1 (August 4, 2021): 29–33. http://dx.doi.org/10.53318/msp.v11i1.1889.
Повний текст джерелаMUKANDILA KALOMBO, Pascal. "PROBLEMATIQUE DES ACCOUCHEMENTS DYSTOCIQUES AU CENTRE DE SANTE MATERNEL ET INFANTILE (CSMI) DE LUBAO, EN REPUBLIQUE DEMOCRATIQUE DU CONGO." Tanganyika Journal Of Science 2, no. 1 (October 15, 2022): 17–24. http://dx.doi.org/10.59296/tgjs.2221033.
Повний текст джерелаDe Koninck, Maria. "Le discours des femmes sur leur santé, un savoir essentiel pour l’intervention." Articles 10, no. 1 (April 12, 2005): 97–112. http://dx.doi.org/10.7202/057912ar.
Повний текст джерелаDumont, A. "Réduire la mortalité maternelle dans les pays en développement : quelles sont les interventions efficaces ?" Revue de médecine périnatale 9, no. 1 (January 23, 2017): 7–14. http://dx.doi.org/10.1007/s12611-016-0390-8.
Повний текст джерелаKane, B., KW Diallo, O. Koné, M. Maiga, BM Toure, A. Traore, and F. Dicko-Traore. "Tétanos néonatal : rapport de trois cas clinques de janvier 2017 à juillet 2018 à l'unité de néonatologie de l'hôpital du Mali." Revue Malienne d'Infectiologie et de Microbiologie 15, no. 1 (May 14, 2020): 64–68. http://dx.doi.org/10.53597/remim.v15i1.1569.
Повний текст джерелаTraoré, D., F. Sissoko, N. Ongoïba, I. Traoré, A. K. Traoré, and A. K. Koumaré. "Invagination intestinale aiguë chez l’adulte : écueils diagnostiques, morbidité et mortalité dans un pays en voie de développement." Journal de Chirurgie Viscérale 149, no. 3 (June 2012): 231–34. http://dx.doi.org/10.1016/j.jchirv.2011.12.010.
Повний текст джерелаBillon-Denis, Emmanuelle, and Jean-Nicolas Tournier. "COVID-19 et vaccination : une dérégulation globale." médecine/sciences 36, no. 11 (November 2020): 1034–37. http://dx.doi.org/10.1051/medsci/2020203.
Повний текст джерелаDaher, M., V. Boute, and A. A. Chebib. "Mythes et variations culturelles autour du cancer dans les pays du bassin méditerranéen." Psycho-Oncologie 13, no. 3-4 (December 2019): 164–67. http://dx.doi.org/10.3166/pson-2019-0103.
Повний текст джерелаFerhi, Salah, Boubakeur Kermiche, Naouel Chibout, and Mohamed Ridha Guedjati. "Diagnosis of asymptomatic chronic obstructive pulmonary disease using spirometry." Batna Journal of Medical Sciences (BJMS) 2, no. 1 (June 30, 2015): 13–18. http://dx.doi.org/10.48087/bjmsra.2015.2104.
Повний текст джерелаPayment, P., and P. Hartemann. "Les contaminants de l'eau et leurs effets sur la santé." Revue des sciences de l'eau 11 (April 12, 2005): 199–210. http://dx.doi.org/10.7202/705338ar.
Повний текст джерелаДисертації з теми "Mortalité maternelle – Pays en voie de développement"
Afridi, Muhammad Asim. "The effects of health aid on health outcomes : public versus private channels." Thesis, Aix-Marseille, 2013. http://www.theses.fr/2013AIXM1111.
Повний текст джерелаThe reduction of child and maternal mortality is universally accepted as a millennium development goal (MDG). Foreign aid for health is one of the means implemented to reach it. However, even if many successes of health aid activities have been underlined at the microeconomic level, the effectiveness of health aid in general remains unknown. In spite of many macroeconomic works on aid effectiveness on economic growth, only little deals with its effectiveness in health. The purpose of this thesis is precisely to assess the effectiveness of foreign aid in improving health measurements, at the macroeconomic level. I tried to explore the impact of health aid disbursed by the donors through the government and private sector on health outcomes like child, maternal and adult mortality rates in developing economies. The thesis examines the issue of foreign aid earmarked for health sector using a three-paper format. The three chapters of this thesis can be read independently
Diallo, Elhadj Mamadou Saliou. "Three essays on progress towards universal health coverage in developing countries." Electronic Thesis or Diss., Université Clermont Auvergne (2021-...), 2021. http://www.theses.fr/2021UCFAD034.
Повний текст джерелаMany efforts and tremendous progress has been made in recent years by low- and middle-income countries towards universal health coverage. It is achieved when all individuals have access to quality health care when they need it, without incurring financial hardship. This thesis aims to measure the progress made by low- and middle-income countries in universal health coverage, deduce their determinants, and highlight the effects of universal health coverage on health outcomes. The thesis is organized around three chapters. The first chapter shows the effect of out-of-pocket expenditures on poverty. The analysis aims to show the necessity to move towards universal health coverage by highlighting the effect of out-of-pocket expenditures on poverty. The second chapter aims to show the factors that explain the progress made by some countries in universal health coverage and analyzing the specific effect of government revenue. In addition, this chapter, unlike other studies, deduces the minimum level of government revenue as a share of GDP that low and middle-income countries should mobilize to make significant progress towards universal health coverage. Finally, chapter three examines the effect of progress towards universal health coverage on health status
Abdel-Mahamoud, Adam Yaya. "Etude des déterminants socioculturels du recours aux services de planification familiale par les femmes au Tchad : cas de la zone périurbaine d'Abéché." Thesis, Tours, 2018. http://www.theses.fr/2018TOUR3304/document.
Повний текст джерелаThe objectives of our study were identified and describe the barriers to family planning; analyze and identify factors associated with non-use by women; and to analyze the attitude of health professionals regarding family planning. A literature search on the topic and a questionnaire survey administered in face-to-face interviews with women of childbearing age and health professionals were conducted. Statistical analyzes were performed using EPI INFO 6 and SAS version 9.4. Logistic regression measured the association between the use and non-use of family planning methods. A total of 314 women and 17 health professionals were interviewed. Access to services, age, and ethnicity were significantly associated with non-use of family planning. Barriers, including spousal opposition, lack of information, lack of qualified staff, limited the use of family planning. The implementation of targeted interventions will need to overcome barriers and be key determinants of women's use of planning services
Seck, Mame Alassane. "L'analyse des disparités et distorsions des taux de mortalité et de morbidité dans le Tiers Monde." Lyon 3, 1987. http://www.theses.fr/1987LYO33009.
Повний текст джерелаKorachais, Catherine. "Contribution de l'aide publique au développement à l'amélioration de la santé dans les pays en développement." Phd thesis, Université d'Auvergne - Clermont-Ferrand I, 2010. http://tel.archives-ouvertes.fr/tel-00473640.
Повний текст джерелаObach, Dorothée. "Efficacité et coût-efficacité de différentes stratégies de traitements contre l'hépatite C chronique en Egypte : définition des meilleurs critères d'initiation de traitement." Paris 7, 2014. http://www.theses.fr/2014PA077118.
Повний текст джерелаIt is estimated that in Egypt 4,000,000 persons would have a chronic hepatitis C. In 2006 the Egyptian government opened the first national treatment centers to fight against this epidemic and patients had an access to dual therapy with pegylated interferon and ribavirin. However, due to financial and logistical constrains, only a part of the patients could be treated. The objective of this work was to evaluate the efficacy and cost-effectiveness of different strategies of initiation of treatment against HCV in Egypt to optimize the use of available resources. Using a Markov model, we simulated the trajectory of Egyptian patients infected by chronic HCV, through different health states (fibrosis, cirrhosis, carcinoma), until their death. We estimated costs associated to follow-up and treatment of patients infected by chronic HCV in Egypt, and evaluated the cost-effectiveness of treatment strategies based on fibrosis stage at diagnosis. Finally, we measured the efficiency of strategies of initiation of treatment, available in limited number. Through those studies we demonstrated that it is cost-effective to treat patients at advanced stages of fibrosis (F4) in Egypt, ineligible until now. Also, we demonstrated that in a limited resources context this is more efficient to prioritize treatment for patients at stages F3-F4. The future availability of new and more efficacious treatments does not change conclusions, for an identical or doubled number of patients treated. We verified those last results in another developing country, Thailand
Kabore, Patrick C. W. O. "Le petit poids de naissance à terme en milieu rural sahélien: importance, déterminants et conséquences." Doctoral thesis, Universite Libre de Bruxelles, 2009. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/210293.
Повний текст джерелаObjectifs, hypothèses
Ce travail repose sur les hypothèses que les facteurs socioéconomiques influencent la survenue du petit poids de naissance et que le petit poids de naissance a un impact négatif sur la croissance et la survie au cours de la première année de vie.
Ce travail s’est fixé pour objectifs de :
•connaître l’importance du petit poids de naissance à terme ;
•analyser les déterminants du petit poids de naissance ;
•proposer un score pour l’identification des femmes enceintes à risque de mise au monde d’un enfant de petit poids ;
•identifier les facteurs influençant la croissance des enfants nés de petit poids ;
•étudier l'impact du déficit pondéral à la naissance sur la morbidité et la mortalité infantile ;
•formuler des recommandations pour la prévention et la prise en charge du petit poids de naissance en milieu défavorisé dans le but d’orienter les stratégies de réduction de la mortalité infantile.
Méthodologie
Trois types d’études ont été réalisés:
•une étude de cohorte rétrospective portant sur 435 enfants dans le but d’explorer les facteurs de risque, la croissance, le statut nutritionnel et la mortalité des enfants nés de petit poids de naissance à terme.
•Une étude transversale portant sur 1013 naissances vivantes à terme qui a permis de déterminer la fréquence du petit poids de naissance et d’analyser les facteurs associés qui lui étaient associés.
•Une étude de cohorte prospective au cours de laquelle les 1013 enfants enrôlés dans l’étude transversale ont été suivis afin d’analyser leur croissance et leur survie au cours des 12 premiers mois de vie.
Principaux résultats
•Le petit poids de naissance représente 15,8% des naissances à terme.
•Le sexe féminin est prédominant chez les enfants de petit poids.
•Les facteurs sociodémographiques associés au petit poids de naissance sont essentiellement des caractéristiques sociodémographiques maternelles :le jeune âge de la mère (moins de 20 ans), le faible niveau d’instruction, le mauvais état nutritionnel et la faible accessibilité géographique aux structures de santé.
•Les facteurs obstétricaux associés au petit poids sont :la primiparité, la survenue de vomissements gravidiques, l’exécution de travaux champêtres et une charge de travail plus importante en cours de grossesse.
•Le score proposé pour l’identification des femmes à risque a un pouvoir de discrimination acceptable et présente une bonne stabilité et une faible marge d’erreur de prédiction.
•Indépendamment de la catégorie de poids à la naissance, tous les enfants demeurent en dessous des médianes des courbes de référence internationales pour l’ensemble des indices nutritionnels entre 0 et 12 mois.
•Malgré des gains plus importants mais de façon non significative, les enfants de PPN montrent une incapacité à combler leur retard en taille et en poids.
•Le PPN est associé à un risque significativement plus élevé de retard de croissance et d’insuffisance pondérale au cours de la première année de vie.
•Le petit poids de naissance et la non-complétude de la consultation prénatale étaient associés à un risque deux fois plus important de décès.
•L’état nutritionnel à l’âge de 3 mois ainsi qu’à l’âge de 6 mois joue un rôle plus important dans la survie chez les enfants de PPN que chez les enfants nés de poids normal.
Conclusions
Les solutions au problème du petit poids de naissance impliquent un paquet d’interventions intégrant des stratégies avant, pendant et après la grossesse et des programmes de prise en charge ciblant les enfants de petit poids après leur naissance. Il s’agit prioritairement de :
•l’information et de la sensibilisation des populations pour un meilleur suivi de la grossesse et une complétude de la consultation prénatale ;
•l’adoption de pratiques et d’habitudes en faveur d’une alimentation équilibrée des femmes enceintes ;
•un plaidoyer pour un allègement de la charge de travail des femmes enceintes ;
•l’utilisation de méthodes opérationnelles pour l’identification des femmes à risque ;
•l’amélioration de la qualité des prestations de surveillance de la grossesse ;
•la redéfinition du contenu et des protocoles des programmes de suivi et de promotion de la croissance des jeunes enfants avec une attention particulière pour les enfants nés de petit poids ;
•la lutte contre certaines pratiques sociales comme les mariages précoces et les grossesses chez les adolescentes et les femmes de moins de 20 ans ;
•la promotion de la scolarisation des jeunes filles et l’alphabétisation des mères ;
•l’amélioration de l’état nutritionnel de la population ;
•la réalisation d’études pour évaluer l’impact de certains déterminants et interventions sur l’incidence du petit poids et le devenir des enfants nés avec un handicap pondéral :rôle de l’infection palustre, interventions nutritionnelles ciblant les enfants de petit poids, apports nutritionnels pendant la grossesse.
Summary
Due to its impact on infant morbidity and mortality, and its effects on adult’s health, low birth weight (LBW) is a major issue in the public health sector. Burkina Faso, a Sahelian country land-locked in the heart of West Africa is listed among the heavily indebted poor countries, with a high prevalence of Low Birth Weight, caused in most cases by intra uterine growth retardation. The context of the current study, conducted in urban area, is characterised by a poor socio-economic situation resulting in weak health indicators and difficult access to the basic social services.
Objectives, assumptions
The study is based o the assumptions that socio-economic factors have an influence on the occurrence of Low Birth Weight and that Low Birth Weight has a negative impact on growth and survival during the first year of the infant.
The study has the following objectives:
•To assess the importance of low birth weight a term;
•To analyse the determinant factors of low birth weight;
•To suggest a classification for the identification of pregnant women at risk of giving birth to low birth weight infants ;
•To identify factors which have an impact on the growth of low birth weight children ;
•To look at the impact of body weight deficiency at birth on infant morbidity and mortality ;
•To give recommendations on the prevention and treatment of low birth weight children from underprivileged background with the aim to orientate strategies for infant mortality reduction.
Methodology
Three types of studies were conducted:
•A retrospective cohort study of 435 children aiming at exploring risk factors, growth, nutritional status, and mortality of low birth weight infants in the long run.
•A cross-sectional study of 1013 live full-term births, which led to determining the frequency of low birth weight and at analysing associated factors which are linked to low birth weight.
•A prospective cohort study during which the 1013 children taken into consideration for the cross-sectional study were followed up so as to analyse their growth and survival all along the first 12 months of their life.
Main results
•Low birth weight represents 15.8% of full-term births.
•Female babies are predominant among low birth weight babies.
•Socio-demographic factors linked to low birth weight are mainly maternal socio-demographic characteristics: young mother (below 20 years old), low educational level, poor nutritional status and limited geographical access to health infrastructures.
•Obstetrical factors linked to low birth weight are the following: primiparity, occurrence of vomiting during pregnancy, field work and a heavier workload during pregnancy.
•The suggested classification for the identification of women at risk proves to have an acceptable power of discrimination and shows good stability and limited margin of error for prediction.
•Regardless of weight categories at birth, all children remain below medians of international reference curves for all nutritional indicators between 0 and 12 months.
•In spite of more important but not significant weight gains, LBW children prove not to be able to catch up on height and weight.
•LBW is linked to a significantly higher risk in growth retardation and weight deficiency during the newborn’s first year of life.
•LBW and non-complete antenatal visits are linked to a death risk multiplied by two.
•The nutritional status at the age of 3 months and 6 months old plays a more important role in the survival in LBW children than in children born with normal weight.
Conclusions
Solutions to LBW imply a package of interventions which should integrate strategies before, during and after pregnancy, together with treatment programmes targeting LBW children after their birth. In priority, these are:
•Information and awareness given to population for a better follow-up of pregnancies and complete cycles antenatal visits ;
•New practices and habits to be taken on favouring a balanced diet of pregnant women ;
•Advocacy actions aiming at reducing the workload of pregnant women ;
•The use of operational methods to identify women at risk ;
•Improving the quality of monitoring of pregnancy;
•Redefined content and procedures of monitoring programs and promoting young children growth, with particular focus on LBW children ;
•The fight against some social practices such as early marriages and pregnancies of teenagers and women below 20 years;
•The promotion of school education for young girls and literacy for mothers ;
•Improving the nutritional status of the population;
•The realisation of studies to assess the impact of some determinant factors and interventions on the occurrence of low birth weight and on the future of children born with weight deficiency: role of malaria, nutritional interventions targeting LBW children, nutritional intakes during pregnancy
Doctorat en Sciences médicales
info:eu-repo/semantics/nonPublished
Soubeiga, Dieudonné. "Facteurs organisationnels associés à l’éducation prénatale et impact sur l’accouchement assisté dans deux contextes à risques maternels et néonatals élevés au Burkina Faso." Thèse, 2012. http://hdl.handle.net/1866/6991.
Повний текст джерелаMaternal and neonatal mortality remain high in developing countries. The magnitude of these phenomena is related to a constellation of factors. But a significant proportion of adverse pregnancy and birth outcome, in poor area, are attributable to preventable and behaviourally modifiable causes. Prenatal educational interventions have been developed in order to address the factors affecting the demand for effective maternal and neonatal care. Educational strategies targeting pregnant women include individual counselling, group sessions, and the combination of both strategies. These strategies aim to improve knowledge on issues related to maternal and newborn health and to promote the appropriate use of skilled care and hygiene practices at home. The World Health Organization (WHO) released practice guidelines in developing countries related to maternal and neonatal care including birth preparedness, during routine prenatal visits. However, few data are available about the effectiveness and implementation of effective prenatal education in these countries. This thesis aims to understand the impact of prenatal education programs in two contexts in Burkina Faso where maternal and neonatal risk are high. Written in the form of articles, the thesis addresses three specific objectives namely to: 1) examine the efficacy of prenatal education programs to reduce maternal and neonatal mortality in developing countries, 2) assess the association between different organizational factors and women’s exposure to birth preparedness messages during routine antenatal care, and 3) determine the impact of receiving birth preparedness advice on the likelihood of institutional delivery. For the first objective, a meta-analysis of data from randomized trials was conducted. To achieve the two other objectives, data from a retrospective cohort study were used. This observational study, designed specifically for the thesis, was conducted in two districts (Dori and Koupela) in Burkina Faso. The meta-analysis showed that educational interventions are associated with a 24% reduction in neonatal mortality. This reduction reached 30% in areas with very high neonatal mortality. In routine situations, organizational factors may limit or facilitate the transmission of educational advice to women using prenatal care. In Burkina Faso, the data indicate significant disparities between the two districts in the study. Women from Koupela district were significantly more exposed to advice than those from Dori. Beyond this regional disparity, two other organizational factors were strongly associated with exposure of women to birth preparedness counselling during routine prenatal visits. The first factor was the availability of print materials and aids (e.g., posters, pictures…), used by health professionals as communication support to provide prenatal clients with advice. The second factor was a lower volume of daily consultations (i.e., less than 20 consultations versus 20 or more) which meant lower workload for staff. Finally, advice received by women concerning signs of obstetric complications and costs of care were associated with a significantly higher likelihood of institutional deliveries but only in the district of Dori where the initial rate of institutional deliveries was relatively low. In conclusion, prenatal education is beneficial for maternal and newborn health. However, implementation and effect heterogeneities exist across contexts. Others experimental and observational studies are required to strengthen the evidence and more thoroughly investigate success factors in order to support policies. Future experiments should focus on maternal outcomes (i.e., skilled birth attendance, postpartum care, and maternal mortality). Prospective cohort studies with large and representative samples would allow for examination of events and exposures to interventions during pregnancy, childbirth, and post-partum.
Частини книг з теми "Mortalité maternelle – Pays en voie de développement"
Gay, Marie-Claire, Damien Oudin Doglioni, and Marie-Pierre Lehougre. "Drépanocytose." In Pratiques et interventions en psychologie de la santé, 119–32. Editions des archives contemporaines, 2020. http://dx.doi.org/10.17184/eac.3190.
Повний текст джерела