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Evaluation of Antenatal Care Screening According to the National Recommendations in Senegal

Received: 18 August 2017    Accepted: 4 September 2017    Published: 5 October 2017
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Abstract

In the fight against maternal and infant mortality, Senegal has defined screening tests guidelines for antenatal care. A minimal list of six (6) tests should be requested during the first ANC visit. To contribute to the reduction of maternal mortality in Senegal, we conducted a study to evaluate, this practice in health facilities, taking into account the national guidelines in order to formulate recommendations. The study was conducted in 16 health peripheral facilities. We collected data on tests requested, pregnant age, pregnancy age, gestity, midwives monthly salary, midwives number, type of structure (Hospital and Health Center), regions (capital and others), and the availability of guidelines. The quantitative data were collected from 1692 pregnant women, 61 midwives and 16 financial managers with appropriate tools, from February 2013 to July 2014. Data were entered in Microsoft Excel versions 2013 and Open Clinica and then exploited and analyzed in SPSS version 20. Univariate and bivariate analyses were computed. Only 49.2% of pregnant women have received the 6 recommended tests. Requested tests were Syphilis (96%), Blood group (90%), Emmel Test for sickle cell anemia (90%), Hemogram (81%), HIV serology (78%) and Protein urine test (67%). Factors associated with guidelines adherence were: (i) first antenatal visit (p <0.001), (ii) midwives monthly salary (R=-0,232), and (iii) regions type (p<0.001). It is important to take into account these results. For a better antenatal care, we recommend to train and motivate midwives on the national guidelines, in Senegal, and to sensitize childbearing about the importance of tests.

Published in Central African Journal of Public Health (Volume 3, Issue 5)
DOI 10.11648/j.cajph.20170305.14
Page(s) 73-79
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Guidelines, Maternal Screening Tests, Antenatal Care, Maternal Mortality, Senegal

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Cite This Article
  • APA Style

    Aïcha Marceline Sarr, Kamadore Toure, Pascale Ondoa, Winny Koster, Adja Khady Datt-Fall, et al. (2017). Evaluation of Antenatal Care Screening According to the National Recommendations in Senegal. Central African Journal of Public Health, 3(5), 73-79. https://doi.org/10.11648/j.cajph.20170305.14

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    ACS Style

    Aïcha Marceline Sarr; Kamadore Toure; Pascale Ondoa; Winny Koster; Adja Khady Datt-Fall, et al. Evaluation of Antenatal Care Screening According to the National Recommendations in Senegal. Cent. Afr. J. Public Health 2017, 3(5), 73-79. doi: 10.11648/j.cajph.20170305.14

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    AMA Style

    Aïcha Marceline Sarr, Kamadore Toure, Pascale Ondoa, Winny Koster, Adja Khady Datt-Fall, et al. Evaluation of Antenatal Care Screening According to the National Recommendations in Senegal. Cent Afr J Public Health. 2017;3(5):73-79. doi: 10.11648/j.cajph.20170305.14

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  • @article{10.11648/j.cajph.20170305.14,
      author = {Aïcha Marceline Sarr and Kamadore Toure and Pascale Ondoa and Winny Koster and Adja Khady Datt-Fall and Oulimata Diémé and Ahmad Iyane Sow},
      title = {Evaluation of Antenatal Care Screening According to the National Recommendations in Senegal},
      journal = {Central African Journal of Public Health},
      volume = {3},
      number = {5},
      pages = {73-79},
      doi = {10.11648/j.cajph.20170305.14},
      url = {https://doi.org/10.11648/j.cajph.20170305.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20170305.14},
      abstract = {In the fight against maternal and infant mortality, Senegal has defined screening tests guidelines for antenatal care. A minimal list of six (6) tests should be requested during the first ANC visit. To contribute to the reduction of maternal mortality in Senegal, we conducted a study to evaluate, this practice in health facilities, taking into account the national guidelines in order to formulate recommendations. The study was conducted in 16 health peripheral facilities. We collected data on tests requested, pregnant age, pregnancy age, gestity, midwives monthly salary, midwives number, type of structure (Hospital and Health Center), regions (capital and others), and the availability of guidelines. The quantitative data were collected from 1692 pregnant women, 61 midwives and 16 financial managers with appropriate tools, from February 2013 to July 2014. Data were entered in Microsoft Excel versions 2013 and Open Clinica and then exploited and analyzed in SPSS version 20. Univariate and bivariate analyses were computed. Only 49.2% of pregnant women have received the 6 recommended tests. Requested tests were Syphilis (96%), Blood group (90%), Emmel Test for sickle cell anemia (90%), Hemogram (81%), HIV serology (78%) and Protein urine test (67%). Factors associated with guidelines adherence were: (i) first antenatal visit (p <0.001), (ii) midwives monthly salary (R=-0,232), and (iii) regions type (p<0.001). It is important to take into account these results. For a better antenatal care, we recommend to train and motivate midwives on the national guidelines, in Senegal, and to sensitize childbearing about the importance of tests.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Evaluation of Antenatal Care Screening According to the National Recommendations in Senegal
    AU  - Aïcha Marceline Sarr
    AU  - Kamadore Toure
    AU  - Pascale Ondoa
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    AB  - In the fight against maternal and infant mortality, Senegal has defined screening tests guidelines for antenatal care. A minimal list of six (6) tests should be requested during the first ANC visit. To contribute to the reduction of maternal mortality in Senegal, we conducted a study to evaluate, this practice in health facilities, taking into account the national guidelines in order to formulate recommendations. The study was conducted in 16 health peripheral facilities. We collected data on tests requested, pregnant age, pregnancy age, gestity, midwives monthly salary, midwives number, type of structure (Hospital and Health Center), regions (capital and others), and the availability of guidelines. The quantitative data were collected from 1692 pregnant women, 61 midwives and 16 financial managers with appropriate tools, from February 2013 to July 2014. Data were entered in Microsoft Excel versions 2013 and Open Clinica and then exploited and analyzed in SPSS version 20. Univariate and bivariate analyses were computed. Only 49.2% of pregnant women have received the 6 recommended tests. Requested tests were Syphilis (96%), Blood group (90%), Emmel Test for sickle cell anemia (90%), Hemogram (81%), HIV serology (78%) and Protein urine test (67%). Factors associated with guidelines adherence were: (i) first antenatal visit (p <0.001), (ii) midwives monthly salary (R=-0,232), and (iii) regions type (p<0.001). It is important to take into account these results. For a better antenatal care, we recommend to train and motivate midwives on the national guidelines, in Senegal, and to sensitize childbearing about the importance of tests.
    VL  - 3
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Author Information
  • Department of Health Sciences, University of Thies, Thies, Senegal

  • Amsterdam Institute for Global Health and Development, Department of Global Health Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

  • Amsterdam Institute for Global Health and Development, Department of Global Health Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

  • Direction of Laboratories, Ministry of Health and Social Welfare, Dakar, Senegal

  • Direction of Laboratories, Ministry of Health and Social Welfare, Dakar, Senegal

  • Direction of Laboratories, Ministry of Health and Social Welfare, Dakar, Senegal

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