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Résumé Objectif Evaluer les soins obstétriques d'urgence et les perceptions et attentes des femmes ayant vécu l'expérience d'avoir été‘presque perdue’, dans le but d'améliorer la santé au Bénin. Méthode Surveillance qualitative dans 7 hôpitaux dans les trois niveaux de référence de la pyramide de la santé, de juillet à octobre 2003. Nous avons utilisé deux méthodes: en premier lieu, 557 femmes qui ont été‘presque perdues’ ont été interviewées à l'hôpital et un questionnaire standard a été rempli, puis des entretiens individuels semi structurés ont été menés à domicile avec 42 de ces 557 femmes. Résultats Les soins procurés, le logement, les services, le coût et les modalités de récupération, l'hygiène des prémices, le dynamisme, l'expertise, le soutien social, le comportement et l'attitude du personnel ont été les critères utilisés pour exprimer la satisfaction des patientes. La plupart des femmes interviewées à l'hôpital étaient satisfaites de l'accès physique, de l'organisation, du fonctionnement et de l'environnement. Cependant, les coûts excessivement élevés et les exigences de récupération des dépenses, les failles du système de référence, le manque d'empathie et la discrimination de la part du personnel infirmier, le manque de ressources d'urgence, le manque d'hygiène et de confort des prémices ont été soulignés par les femmes interviewées à domicile. Conclusion Le système de santé maternel actuel n'arrive pas à faire face de façon effective aux complications obstétriques. Ce système a besoin d'un meilleur financement, d’être plus accessible, moins coûteux et de la prise en compte des besoins des femmes. [ABSTRACT FROM AUTHOR]

Objective: To determine relation between changes in the prevalence of HIV infection in pregnant women from 2006 to 2015 and place of residence in Benin. Methods: This was a retrospective and analytical study which consisted in reviewing the reports of the annual surveys of HIV infection among pregnant women from 2006 to 2015 across the country. Results: A total of 138,319 pregnant women participated in the annual HIV surveys from 2006 to 2015. The national prevalence of HIV infection among pregnant women between 2006 and 2015 is 2%. Changes in prevalence of HIV infection from 2006 to 2015 in pregnant women increased significantly in departments of Mono (p = 0.001), Donga (p = 0.001) and decreased in departments of Collines (p = 0.000) and Couffo (p = 0.001) and in urban areas (p = 0.000). Conclusion: Changes in the prevalence of HIV infection among pregnant women between 2006 and 2015 varied across departments and according the urbanization of the residence. The National AIDS control program may take these results into account when planning interventions against HIV for optimal response against the pandemic infection. [ABSTRACT FROM AUTHOR]

Objective: To analyze the performance of procurement and distribution system of antiretroviral, antituberculosis and antimalarials drugs in Benin. Methods: The cross-sectional study was carried out in 2016. Data on the procurement, storage and distribution of drugs were collected by individual interview and observation of storage sites at the central procurement center for essential medicines (CAME). Compliance of the components of the procurement and distribution of the products with standards was appreciated. Order satisfaction, drug expiry and stock status at the operational level of concerned health program were measured based on the statements of participants. Results: Three workers of CAME and 76 of health programs were surveyed. According to norms, malfunction impaired the system of procurement, storage and distribution of products. At the operational level, antiretroviral drug orders were satisfied according to 83% of participants, dispensed drugs were within 3 months of the expiry date according to 26% to 33% of the participants, and antiretroviral stock-outs were reported by 69%. Conclusion: Malfunction impaired the system of procurement, storage and distribution of antiretroviral, antimalarial and antituberculosis drugs. These dysfunctions negatively affect the performance of the system.q [ABSTRACT FROM AUTHOR]

In total, 446 healthy individuals (240 in urban and 206 in rural environments, respectively) were selected from 96 households, based on cluster sampling of residential location. Demographic, sociological and environmental data were collected by face-to-face interviews using a standard questionnaire. Infection with Helicobacter pylori was assessed by detection of anti- H. pylori IgG serum antibodies. The prevalence of H. pylori antibodies was 75.4% in the urban population and 72.3% in rural (village) residents (p 0.459). No association was found between infection and age, gender, education level, size of household, economic activity or source of drinking water. The infection rate was higher in children whose parents were both infected, and also in children whose mother was infected (p < 0.001). By logistic regression analysis, the density of occupation of sleeping accommodation (more than three persons sharing a room; 95% odds ratio (OR) = 9.82 (4.13–23.31), p < 0.001), and the mother's status within the household (95% OR = 3.85 (1.53–9.67), p 0.003), were independent predictors for H. pylori infection. The 74% seroprevalence of H. pylori infection found in healthy Beninese individuals is similar to that reported previously from other parts of sub-Saharan Africa. Family contact with infected persons and crowded living conditions were associated with increased risk of infection. These findings are consistent with intra-familial H. pylori transmission and suggest that improvement of living conditions should be protective against infection. [ABSTRACT FROM AUTHOR]