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Mobilisation communautaire pour l'amélioration de la surveillance de la grossesse en milieu rural au Maroc

INTRODUCTION: The improvement of maternal health is a health priority in many developing countries. The purpose of this study was to describe the contribution of a community project in the improvement of monitoring during pregnancy in a vulnerable rural commune in the Moroccan High Atlas. METHODS: W...

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Autores principales: Sebbani, Majda, Adarmouch, Latifa, Amine, Mohamed, Cherkaoui, Mohamed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250196/
https://www.ncbi.nlm.nih.gov/pubmed/32537076
http://dx.doi.org/10.11604/pamj.2020.35.73.18328
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author Sebbani, Majda
Adarmouch, Latifa
Amine, Mohamed
Cherkaoui, Mohamed
author_facet Sebbani, Majda
Adarmouch, Latifa
Amine, Mohamed
Cherkaoui, Mohamed
author_sort Sebbani, Majda
collection PubMed
description INTRODUCTION: The improvement of maternal health is a health priority in many developing countries. The purpose of this study was to describe the contribution of a community project in the improvement of monitoring during pregnancy in a vulnerable rural commune in the Moroccan High Atlas. METHODS: We conducted an action-research project incorporating an approach for community mobilization conducted in 2014. The project involving several participants such as social actors, local authorities, health professionals and students in medicine helped to ensure the monitoring of a cohort of 283 pregnant women. In the course of antenatal consultations, women were interviewed, assessed and participated in information sessions and education. The interviewers speaking berber were trained to data collection. Bivariate and descriptive statistical analyzes were carried out, with a threshold for significance of 5%. RESULTS: The average age of patients was 27.1± 6.7 years. The majority of them was illiterate, without health coverage and with no career. Nearly 73.4% had no previous contact with the health care system (N = 252). Among 500 planned pregnancies, 56.6% of women were monitored, 30.4% consulted twice and 6.7% underwent three consultations out of a total of 407 antenatal consultations performed. Follow-up compliance by undergoing at least two consultations was 60.3%. Abnormality detection during pregnancy was significantly associated with monitoring (p = 0.04). CONCLUSION: The results reflect the importance of community engagement in the approach to complex health problems as maternal health.
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spelling pubmed-72501962020-06-11 Mobilisation communautaire pour l'amélioration de la surveillance de la grossesse en milieu rural au Maroc Sebbani, Majda Adarmouch, Latifa Amine, Mohamed Cherkaoui, Mohamed Pan Afr Med J Research INTRODUCTION: The improvement of maternal health is a health priority in many developing countries. The purpose of this study was to describe the contribution of a community project in the improvement of monitoring during pregnancy in a vulnerable rural commune in the Moroccan High Atlas. METHODS: We conducted an action-research project incorporating an approach for community mobilization conducted in 2014. The project involving several participants such as social actors, local authorities, health professionals and students in medicine helped to ensure the monitoring of a cohort of 283 pregnant women. In the course of antenatal consultations, women were interviewed, assessed and participated in information sessions and education. The interviewers speaking berber were trained to data collection. Bivariate and descriptive statistical analyzes were carried out, with a threshold for significance of 5%. RESULTS: The average age of patients was 27.1± 6.7 years. The majority of them was illiterate, without health coverage and with no career. Nearly 73.4% had no previous contact with the health care system (N = 252). Among 500 planned pregnancies, 56.6% of women were monitored, 30.4% consulted twice and 6.7% underwent three consultations out of a total of 407 antenatal consultations performed. Follow-up compliance by undergoing at least two consultations was 60.3%. Abnormality detection during pregnancy was significantly associated with monitoring (p = 0.04). CONCLUSION: The results reflect the importance of community engagement in the approach to complex health problems as maternal health. The African Field Epidemiology Network 2020-03-16 /pmc/articles/PMC7250196/ /pubmed/32537076 http://dx.doi.org/10.11604/pamj.2020.35.73.18328 Text en © Majda Sebbani et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Sebbani, Majda
Adarmouch, Latifa
Amine, Mohamed
Cherkaoui, Mohamed
Mobilisation communautaire pour l'amélioration de la surveillance de la grossesse en milieu rural au Maroc
title Mobilisation communautaire pour l'amélioration de la surveillance de la grossesse en milieu rural au Maroc
title_full Mobilisation communautaire pour l'amélioration de la surveillance de la grossesse en milieu rural au Maroc
title_fullStr Mobilisation communautaire pour l'amélioration de la surveillance de la grossesse en milieu rural au Maroc
title_full_unstemmed Mobilisation communautaire pour l'amélioration de la surveillance de la grossesse en milieu rural au Maroc
title_short Mobilisation communautaire pour l'amélioration de la surveillance de la grossesse en milieu rural au Maroc
title_sort mobilisation communautaire pour l'amélioration de la surveillance de la grossesse en milieu rural au maroc
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250196/
https://www.ncbi.nlm.nih.gov/pubmed/32537076
http://dx.doi.org/10.11604/pamj.2020.35.73.18328
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