title: Evaluation of the benefit of setting up a decentralised obstetric-surgical structure in order to reduce maternal mortality and transfers in the Ivory Coast.
abstract: Our purpose is to study the way to reduce maternal mortality when introducing a structured obstetric and surgical center to a community previously without such a center. The study was done in Ivory Coast, where such a structure was set up in 1982 in a rural hospital at Divo. It has been observed that with such a structure there are no more transfers of women from Divo to the teaching hospital at Cocody, and a reduction in maternal mortality at Divo. This observation regarding the value of bringing obstetric services to communities currently without them could be a way among those available to reduce maternal mortality in a developing country such as the Ivory Coast.
authors.affiliation: C.H. François Quesnay, Mantes la Jolie, France.
authors.forename: J C
authors.initials: JC
authors.lastname: Berardi
authors.forename: A
authors.initials: A
authors.lastname: Richard
authors.forename: Y
authors.initials: Y
authors.lastname: Djanhan
authors.forename: E
authors.initials: E
authors.lastname: Papiernik
mesh_terms: D007560:Cote d'Ivoire; D003906:Developing Countries; D005260:Female; D006739:Hospital Administration; D006780:Hospitals, Rural / Q000458:organization & administration*; D006801:Humans; D008427:Maternal Health Services / Q000458:organization & administration*; D008428:Maternal Mortality; D010360:Patient Transfer; D011247:Pregnancy