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Vision et Ambition

Notre vision Contribuer à l’amélioration de la santé de la reproduction, notamment celle de la mère et de l’enfant au Burkina Faso et dans la sous–région ouest Africaine. Nos missions Servir de guide opérationnel pour l’action aux structures, instituts, organisations intervenant dans le domaine de la santé de la reproduction ; Servir de cadre (...)

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Women who experience obstetric haemorrhage are at higher

 

K. S. Wagner1, C. Ronsmans1, S. L. Thomas1, C. Calvert1, A. Adler1, R. Ganaba2, S. Goufodji3 and V. Filippi1
1 London School of Hygiene and Tropical Medicine, London, UK
2 Africsante´, Bobo Dioulasso, Burkina Faso
3 Centre de Recherche en Reproduction Humaine et en Demographie, Cotonou, Benin
Abstract objectives Anaemia is a potential long-term sequel of obstetric blood loss, but the increased risk of
anaemia in women who experience a haemorrhage compared to those who do not has not been
quantified. We sought to quantify this risk and explore the duration of increased risk for these women.
methods Systematic review of articles published between 1990 and 2009. Data were analysed by highand
low-income country groupings. Prevalence and incidence ratios, and mean haemoglobin levels were
compared.
results Eleven of 822 studies screened were included in the analysis. Most studies showed a higher
prevalence or incidence of anaemia in women who had experienced haemorrhage than in those who
did not, irrespective of the timing of measurement post-partum. In high-income countries, women who
had a haemorrhage were at 5.68 (95% CI 5.04–6.40) times higher risk of post-partum anaemia than
women who did not. In low-income countries, the prevalence of anaemia was 1.58 (95% CI 0.96–2.60)
times higher in women who had a haemorrhage than in women who did not, although this ratio was
greater when the study including mild anaemia in its definition of anaemia was excluded (1.93, 95% CI
1.42–2.62). Population-attributable fractions ranged from 14.9% to 39.6%. Several methodological
issues, such as definitions, exclusion criteria and timing of measurements, hindered the comparability of
study results.
conclusions Women who experience haemorrhage appear to be at increased risk of anaemia for
many months after delivery. This important finding could have serious implications for their health care
and management.

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RESEARCH ARTICLE Prevalence of and Factors Associated with Human Cysticercosis in 60 Villages in Three Provinces of Burkina Faso


Hélène Carabin1*, Athanase Millogo2, Assana Cissé3, Sarah Gabriël4, Ida Sahlu5,6, Pierre Dorny4, Cici Bauer7, Zekiba Tarnagda8, Linda D Cowan1†, (...)

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RESEARCH ARTICLE :The obstetric care subsidy policy in Burkina Faso : what are the effects after five years of implementation ? Findings of a complex evaluation


Rasmané Ganaba1*, Patrick G. C. Ilboudo1, Jenny A. Cresswell2, Maurice Yaogo1, Cheick Omar Diallo3, Fabienne Richard4, Nadia Cunden5, Veronique (...)

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