ArticleReproductive health2018
Integration of postpartum care into child health and immunization services in Burkina Faso: findings from a cross-sectional study.
Article in Reproductive health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 32 citations in OpenAlex.
- Timely vaccination coverage and associated factors among children aged 12-23 months in Arbaminch Town, Ethiopia, 2024.BMC public health · 2026Article
- Dyadic Care Interventions and Outcomes for Mothers and Their Infants: A Scoping Review.Pediatrics · 2025Article
- Assessing urban-rural inequality in the primary healthcare system readiness to provide postpartum care for mothers and newborns in Burkina Faso: a Gini index decomposition analysis.International journal for equity in health · 2025Article
- Review
- Integration measurement and its applications in low- and middle-income country health systems: a scoping review.BMC public health · 2023Article
- Effectiveness of the Gratuité user fee exemption policy on utilization and outcomes of maternal, newborn and child health services in conflict-affected districts of Burkina Faso from 2013 to 2018: a pre-post analysis.Conflict and health · 2023Article
- Uptake of, barriers and enablers to the utilization of postnatal care services in Thyolo, Malawi.BMC pregnancy and childbirth · 2023Article
- Evaluation of implementation outcomes of an integrated group postpartum and well-child care model at clinics in Malawi.BMC pregnancy and childbirth · 2023Article
- Evaluation of implementation outcomes of an integrated group postpartum and well-child care model at clinics in Malawi.Research square · 2023Article
- Article
- Acceptability of family planning in a changing context in Uganda: a realist evaluation at two time points.BMJ open · 2022Article
- Postpartum care content and delivery throughout the African continent: An integrative review.Midwifery · 2021Review
- What mechanisms drive uptake of family planning when integrated with childhood immunisation in Ethiopia? A realist evaluation.BMC public health · 2021Article
- Assessing changes in costs of maternal postpartum services between 2013 and 2014 in Burkina Faso.International journal for equity in health · 2019Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 4 countries.
Funding
Abstract
backgroundThe Missed Opportunities for Maternal and Infant Health (MOMI) project, which aimed at upgrading maternal and infant postpartum care (PPC), implemented a package of interventions including the integration of maternal PPC in infant immunization services in 12 health facilities in Kaya Health district in Burkina Faso from 2013 to 2015. This paper assesses the coverage and the quality of combined mother-infant PPC in reproductive, maternal, newborn and child health services (RMNCH).
methodsWe conducted a mixed methods study with cross-sectional surveys before and after the intervention in the Kaya health and demographic surveillance system. On the quantitative side, two household surveys were performed in 2012 (N = 757) and in 2014 (N = 754) among mothers within one year postpartum. The analysis examines the result of the intervention by the date of delivery at three key time points in the PPC schedule: the first 48 h, days 6-10 and during weeks 6-8 and beyond. On the qualitative side, in depth interviews, focus group discussions and observations were conducted in four health facilities in 2012 and 2015. They involved mothers in the postpartum period, facility and community health workers, and other stakeholders. We performed a descriptive analysis and a two-sample test of proportions of the quantitative data. The qualitative data were recorded, transcribed and analysed along the themes relevant for the intervention.
resultsThe findings show that the WHO guidelines, in terms of content and improvement of maternal PPC, were followed for physical examinations and consultations. They also show a significant increase in the coverage of maternal PPC services from 50% (372/752) before the intervention to 81% (544/672) one year after the start of the intervention. However, more women were assessed at days 6-10 than at later visits. Integration of maternal PPC was low, with little improvements in history taking and physical examination of mothers in immunization services. While health workers are polyvalent, difficulties in restructuring and organizing services hindered the integration.
conclusionUnless a comprehensive strategy of integration within RMNCH services is implemented to address the primary health care challenges within the health system, integration will not yield the desired results.
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