Evidence map›Paper›PMID 40393435›Full record

ArticleThe American journal of tropical medicine and hygiene2025

Practice of Leadership, Governance, and Management Related to Maternal Nutrition Intervention Research Embedded in Antenatal Care in Burkina Faso.

Ziemlé Clément Méda, Hervé Hien, Robert Karama, Bernard Ilboudo, Zongo Alidou, Seydou Barro, Amadou Koinda, Cheick Ahmed Ouattara, Issiaka Sombié

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Article in The American journal of tropical medicine and hygiene, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Ziemlé Clément MédaCentre Hospitalier Universitaire Souro Sanou, Bobo Dioulasso, Burkina Faso.
Hervé HienInstitut National de Santé Publique, Ouagadougou, Burkina Faso.
Robert KaramaMinistère de la Santé, Oagadougou, Burkina Faso.
Bernard IlboudoInstitut National de Santé Publique, Ouagadougou, Burkina Faso.
Zongo AlidouMinistère de la Santé, Oagadougou, Burkina Faso.
Seydou BarroInstitut National de Santé Publique, Ouagadougou, Burkina Faso.
Amadou KoindaCentre Hospitalier Universitaire Souro Sanou, Bobo Dioulasso, Burkina Faso.
Cheick Ahmed OuattaraCentre Hospitalier Universitaire Souro Sanou, Bobo Dioulasso, Burkina Faso.
Issiaka SombiéUniversité Nazi Boni, Institut Supérieur des Sciences de la Santé, Bobo Dioulasso, Burkina Faso.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Maternal nutrition intervention research (MNIR) embedded in antenatal care (ANC) was conducted in Burkina Faso to improve reproductive services. The aim of this study was to understand and document the contributions of leadership and management at various health system levels in improving resource management and maternal nutrition service coverage. It was a qualitative case study conducted from July to December 2022 with 44 participants from the Boucle du Mouhoun and Hauts-Bassins health regions. It consisted of interviews with key managers and document reviews. This study demonstrated that strengthening maternal nutrition through ANC in Burkina Faso was feasible and significantly impacted nutrition practices within a year. Coordination involved national and regional actors, nongovernmental organizations, and the private sector, ensuring effective collaboration. Leadership was shared with the private sector, but not effectively at the central level. Inputs and databases were managed by the private executive association and were not integrated into the National Health Information System. The health system's usual organization was respected, with well-defined roles and effective communication, despite some delays in per diem payments and a lack of implementation tools. Monitoring and follow-up were systematic, involving quarterly and monthly review meetings. The project showed significant improvements in maternal nutrition knowledge, weight gain, ANC visits, anemia management, and early breastfeeding initiation, despite minimal changes in self-efficacy, beliefs, and family support. The MNIR was successfully implemented in four health districts, with private sector involvement improving communication and leadership. The project enhanced the health system's resilience against terrorism and coronavirus disease 2019, demonstrating potential for expansion to national implementation.

Indexed as

LeadershipMaternal Nutritional Physiological PhenomenaPrenatal CareAdultBurkina FasoCOVID-19FemaleHumansPregnancyQualitative Research

Identifiers

PMID40393435
PMCPMC12360113

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.