Prise en charge préventive-curative du paludisme : articulations entre quatre espaces éducationnels d'acquisition de compétences

Thèse numérisée par la Direction des bibliothèques de l'Université de Montréal

Portrait of a lengthy vaccination trajectory in Burkina Faso: from cultural acceptance of vaccines to actual immunization

Some obstacles still hamper the achievement of good vaccination coverage. In the health district of Nouna (Burkina Faso) three elements emerged from the analysis: the empirical conceptions of childhood diseases, the perceived efficacy of vaccine and the knowledge of appropriate age for vaccination uptake; the gap between the decision-making process and the actual achievement of vaccination; and the vaccination procedure leading to vaccination uptake

Assessment of factors associated with complete immunization coverage in children aged 12-23 months: a cross-sectional study in Nouna district, Burkina Faso

This study identifies specific factors associated with immunization status in Nouna health district (Burkina Faso) in order to advance improved intervention strategies in this district and in those with similar environmental and social contexts. While comprehensive communication may improve understanding about immunization, local interventions should also take into account religious specificities and critical economic periods. Communication problems need to be examined; for instance, many respondents did not understand what the health workers wanted; and or they assumed their child was already totally immunized. Particular approaches that take into consideration local distinctions need to be applied

Enquête qualitative sur la prise de décision en obstétrique : le choix du mode d’accouchement après césarienne

En obstétrique, la médecine offre différentes options pour améliorer les résultats de santé. Ces possibilités représentent autant de prises de décision auxquelles sont confrontés les patients. Afin de procéder au choix des soins, le modèle de partage de la décision médicale constitue actuellement le principal paradigme. Prenant pour exemple le processus de décision concernant le mode d’accouchement après césarienne, nous explorons quelques aspects du processus de prise de décision en obstétrique. De façon générale, la prise de décision concernant le mode d’accouchement après césarienne relève davantage du principe d’autonomie que du partage d’information. Les consultations individuelles ou de groupe, ou encore les outils d’analyse décisionnelle semblent prometteurs pour gérer les différentes problématiques rencontrées.In obstetrics, several options are offered to improve health outcomes. These possibilities can be considered as many decisions that parents will need to face. To proceed to the choice of care, the model of shared decision making is currently the main paradigm. Taking as an example the decision process regarding the mode of delivery after cesarean section, we explore some aspects of the process of decision making in obstetrics. In general, decision making regarding the mode of delivery after cesarean is more the principle of autonomy then shared decision. Individual or group counseling, or decision analysis tools are promising tools to help with the various problems encountered

Caesarean section or Vaginal birth: Making an Informed Choice

Women’s fear and uncertainty about vaginal delivery and lack of empowerment in decision-making generate decision conflict and the overuse of caesarean sections in low- and middle-income countries (LMICs). This decision analysis tool (DAT) aims to help pregnant women make an informed choice about the planned mode of delivery in Vietnam, Thailand, Argentina, and Burkina Faso. The DAT targets low-risk pregnant women with a healthy, singleton foetus, without any medical or obstetric disorder, no previous caesarean scarring, and eligibility for labour trials

Cesárea o parto vaginal Tomar una decisión informada

Este folleto es una herramienta de apoyo a la decisión que se está utilizando en un proyecto de investigación llamado QUALI-DEC. El objetivo del proyecto es mejorar la toma de decisiones sobre el parto. Esta herramienta la entrega un profesional sanitario a las mujeres embarazadas para ayudarles a elegir el modo de parto más adecuado para ella y su bebé