1. [Evaluation of free cesarean sections in Benin].
- Author
-
Ouedraogo TL, Kpozehouen A, Gléglé-Hessou Y, Makoutodé M, Saizonou J, and Tchama-Bouraima M
- Subjects
- Adolescent, Adult, Benin, Cesarean Section mortality, Cross-Sectional Studies, Female, Hospitals, Public, Humans, Middle Aged, Pregnancy, Young Adult, Cesarean Section economics, Cesarean Section statistics & numerical data
- Abstract
Introduction: The Benin Government introduced free caesarean section in public hospitals in 2009 and a national agency was created to manage free caesarean section., Methods: Three years after introduction of free caesarean section, we evaluated this measure in the Ouidah hospital area (HZO) by analysing the hospital structure, the implementation process and the results., Results: This study showed the efficacy of free caesarean section, which has helped to increase the caesarean rate from 2.38% in 2009 to 3.48% in 2012, a caesarean section mortality rate of 0.99%, insufficient information for beneficiaries, some drugs are not covered by this measure, and additional costs must be paid by beneficiaries., Discussion: These results indicate the need for a detailed cost analysis to adjust the unit cost for caesarean section. This type of evaluation should be performed in all public hospitals in the country to more clearly identify malfunctions.
- Published
- 2013