Disponibilité et capacité opérationnelle des formations sanitaires à offrir les services aux nouveau-nés prématurés et de faible poids de naissance au Burkina Faso
Keywords:
Premature newborns, Low-birth-weight newborns, Availability of services, readiness of health facilities, Burkina FasoAbstract
Introduction: Prematurity is the second leading cause of neonatal death in medical centres and hospitals in Burkina Faso in 2024. This study aimed to assess the availability of care for premature and low-birth-weight (LBW) newborns and the readiness of health facilities to provide these s e r v i c e s. Methods: A secondary analysis of data from the Harmonised Health Facility Assessment (HHFA) conducted in 2020 in Burkina Faso was conducted. HHFA was a census of all public and private health facilities (N=2757). A descriptive data analysis of the availability of health services for premature and low-birth-weight newborns and the readiness of health facilities to provide these services, following 11 tracers (guidelines and staff, diagnosis and treatment), was cond u c t e d. Results: The availability of care services for premature newborns and LBW ranged from 13% for blood transfusion to 88% for antibiotic administration for premature rupture of membranes or maternal infection. The average readiness score of health facilities to provide services for premature newborns and LBW was 31%. This could be explained by the low scores for medicines and supplies (18%) and guidelines and trained staff for the provision of care for premature newborns and L B W ( 2 1 % ). Conclusion: Provision and readiness of health facilities to provide services to premature newborns and LBW should be improved. This will impact the quality of care and reduce neonatal and infant mortality.
References
Lawn JE, Blencowe H, Oza S, You D, Lee AC, Waiswa P, Lalli M, Bhutta Z, Barros AJ, Christian P, Mathers C, Cousens SN. Every Newborn: progress, priorities, and potential beyond survival. The Lancet. 12 juill 2014;384 (9938):189‑205.
Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, Narwal R, Adler A, Vera Garcia C, Rohde S, Say L, Lawn JE. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet. 9 juin 2012;379(9832):2162‑72.
Arya S, Naburi H, Kawaza K, Newton S. Immediate “Kangaroo Mother Care” and Survival of Infants with Low Birth Weight. New England Journal of Medicine. 26 mai 2021;384(21):2028‑38.
Boundy EO, Dastjerdi R, Spiegelman D, Fawzi WW, Missmer SA, Lieberman E, Kajeepeta S, Wall S, Chan GJ. Kangaroo Mother Care and Neonatal Outcomes: A Metaanalysis. Pediatrics. janv 2016;137(1):e20152238.
Ministry of Health and Sanitation, Government of Sierra Leone. Essential Newborn Care. Sierra Leone; 2017 mai p. 115. Disponible sur: https://platform.who.int/docs/defaultsource/mca-documents/policydocuments/operationalguidance/SLE-MN-48-01-opérational-guidance-2017-eng-SL-ENC-Participant-Manual-Updated-Final.
WHO recommendations for care of the preterm or low birth-weight infant. Geneva: World Health Organization; 2022. (WHO Guidelines Approved by the Guidelines Review Committee). Disponible sur: http://www.ncbi.nlm.nih.gov/books/NBK586704/
OMS. New resources released to help more preterm and low birthweight babies benefit from kangaroo mother care. 2023. Disponible sur: https://www.who.int/news/item/16-05-2023-new-resources-releasedto-help-more-preterm-and-low-birthweight-babies-benefitfrom-kangaroo-mother-care
Ministère de la santé et de l’hygiène publique Sécrétariat général, Institut National de Santé Publque, Observatoire National de la santé de la population. Etat de santé de la population du Burkina Faso. Burkina Faso; 2022 p. 64. Disponible sur: http://cns.bf/IMG/pdf/mshp_bfa_ rapport_etat_de_sante_2022.pdf
UNICEF. Maternal and Newborn Health Disparities in Burkina Faso [Internet]. Burkina Faso; 2018 mars p. 8. Disponible sur: https://data.unicef.org/wp-content/uploads/cp/maternal-newbornhealth/maternal-and-newbornhealth_BFA.pdf
Institut National de la Statistique et de la Démographie. Enquête Démographique et de Santé 2021. INSD; 2022 juill p. 73.
Ouattara CA, Tinto R, Traore IT, Traore S, Tamboura H, Bamouni J, Meda ZC, Savadogo LGB. Facteurs pronostiques de la mortalité néonatale au CHU Sourô Sanou de Bobo -Dioulasso, Burkina Faso: une étude transversale. Pan Afr Med J [Internet]. 2024;47. Disponible sur: https://www.panafrican-medjournal.com//content/article/47/154/full
Offosse MJ, Avoka C, Yameogo P, Manli AR, Goumbri A, Eboreime E, Boxshall M, Banke-Thomas A. Effectiveness of the Gratuité user fee exemption policy on utilization and outcomes of maternal, newborn and child health services in conflictaffected districts of Burkina Faso from 2013 to 2018: a pre-post analysis. Conflict and Health. 6 juill 2023;17(1):33.
Cisse K, Yugbaré Belemsaga D, Lougue S, Baguiya A, Bado AR, Traore S, Ouedraogo HG, Kouanda S. Assessing urban–rural inequality in the primary healthcare system readiness to provide postpartum care for mothers and newborns in Burkina Faso: a Gini index decomposition analysis. International Journal for Equity in Health. 14 oct 2025;24(1):274.
UNICEF, WHO. Survive and Thrive : Transforming care for every small and sick newborn. Geneva; 2019 p. 162. Disponible sur: https://researchonline.lshtm.ac.uk/id/eprint/4672341/1/Final-Survive-and-Thrive_Transform_Jan2020_WEB.pdf
World Health Organization. Every Newborn : An Action Plan to End Preventable Deaths. Geneva: WHO; 2014 juin p. 58. Disponible sur: https://iris.who.int/server/api/core/ bitstreams/d5128253-1071-4cb2-9e96-83d7d774cbd0/content
Lawn JE, Gravett MG, Nunes TM, Rubens CE, Stanton C, GAPPS Review Group. Global report on preterm birth and stillbirth (1 of 7): definitions, description of the burden and opportunities to improve data. BMC Pregnancy Childbirth. 23 févr 2010;10 Suppl 1(Suppl 1):S1.
Save the children, PMNCH, WHO, Eds CP, Howson, MV Kinney, JE Lawn. Born too soon : The global action report on preterm birth. Geneva: World Health Organization; 2012 p. 128. Disponible sur: https://www.who.int/publications/i/item/9789241503433
World Health Organization. Oxygen therapy for children. Geneva: World Health Organization; 2016. 66 p. Disponible sur: https://www.healthynewbornnetwork.org/hnn-content/uploads/Oxygen-Therapy-for-Children.pdf
Olajubu AO, Komolafe AO, Olajubu TO, Olowokere AE, Irinoye OO. Influence of Structured Training Programme on Healthcare Workers’ Knowledge of Recommended Postnatal Care Services in Nigeria. SAGE Open Nursing. 8 août 2022; Disponible sur: https://journals.sagepub.com/doi/full/10.1177/23779608221117387
Umar LW, Ahmad HR, Isah A, Idris HW, Hassan L, Abdullahi FL, Hassan I, Yakubu A, Zubairu AM, Jobling JA. Evaluation of the Cognitive Effect of Newborn Resuscitation Training on Health-care Workers in Selected States in Northern Nigeria. Annals of African Medicine. mars 2018;17(1):33.
Gomez PP, Nelson AR, Asiedu A, Addo E, Agbodza D, Allen C, Appiagyei M, Bannerman C, Darko P, Duodu J, Effah F, Tappis H. Accelerating newborn survival in Ghana through a low-dose, high-frequency health worker training approach: a cluster randomized trial. BMC Pregnancy Childbirth. 22 mars 2018;18(1):72.
Marthias T, Anindya K, Saputri NS, Putri LP, Atun R, Lee JT. Effective coverage for reproductive, maternal, neonatal and newborn health: an analysis
of geographical and socioeconomic inequalities in 39 low- and middle-income countries. BMJ GlobHealth. 17 févr 2025;10(2). Disponible sur: https://gh.bmj.com/content/10/2/e016549
Narayanan I, Nsungwa-Sabiti J, Lusyati S, Rohsiswatmo R, Thomas N, Kamalarathnam CN, Wembabazi JJ, Kirabira VN, Waiswa P, Data S, Kajjo D, Mubiri P, Ochola E, Shrestha P, Choi HY, Ramasethu J. Facility readiness in low and middleincome countries to address care of high risk/ small and sick newborns. Maternal Health, Neonatology, and Perinatology. 18 juin 2019;5(1):10.
Peven K, Mallick L, Taylor C, Bick D, Day LT, Kadzem L, Purssell E. Equity in newborn care, evidence from national surveys in low- and middleincome countries. International Journal for Equity in Health. 5 juin 2021;20(1):132.
Conde‐Agudelo A, Díaz‐ Rossello JL. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database- SystRev. 23 août 2016;2016 (8):CD002771.
OMS. Recommandations de l’OMS pour les soins aux nourrissons prématurés ou de faible poids à la naissance. Organisation mondiale de la santé; 2022. Disponible sur: https://www.alignmnh.org/fr/resource/whorecommendations-for-care-ofthe-preterm-or-low-birthweight-infant/
United Nations Department of Economic and Social Affairs. The Sustainable Development Goals Report 2023: Special Edition. United Nations, 2023. (The Sustainable Development Goals Report). Disponible sur: https://www.unilibrary.org/content/books/9789210024914
Downloads
Published
Issue
Section
License
Copyright (c) 2025 JOURNAL OF AFRICAN NEONATOLOGY
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
This is an open-access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.