title: [Use of health facilities by children from 0 to 5 years in Togo. Results of an epidemiological study carried out at a RHC (Atakpamé)].
abstract: Through a prospective survey coordinated by the CIE of Paris, and carried at a semi-urban regional hospital (Atakpame), the authors studied the use of health structures by inpatient and outpatient consulting children. Questionnaires were filled for the 112 children of the study. Results were as follows: There is a maladjustment between recruitment at the regional hospital and its real mission (emergency cases and special health care). Thus only 13.3% of children were seen for an emergency, and 4.5% admitted for special health case. In the majority of cases (69.4%), the health state of patients was not alarming. Improper channelling of the patients is responsible for this condition. 79.4% of children consult directly at the hospital without prior consultation at the "peripheral" health centers. The regional health center thus finds itself overburdened, whereby long waiting periods before consultation (> 300 mn for certain patients), and delay in the management of referred patients.
authors.affiliation: Pédiatrie CHU, Lomé.
authors.forename: J K
authors.initials: JK
authors.lastname: Assimadi
authors.forename: A D
authors.initials: AD
authors.lastname: Gbadoe
authors.forename: D Y
authors.initials: DY
authors.lastname: Atakouma
authors.forename: S J
authors.initials: SJ
authors.lastname: Ategbo
authors.forename: A D
authors.initials: AD
authors.lastname: Agbéré
authors.forename: D
authors.initials: D
authors.lastname: Gbetoglo
authors.forename: A
authors.initials: A
authors.lastname: Tursz
authors.forename: J
authors.initials: J
authors.lastname: Cook
mesh_terms: D002675:Child, Preschool; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D004813:Epidemiology; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011446:Prospective Studies; D014037:Togo; D014505:Urban Population
vernacular_title: Utilisation des structures de soins par les enfants de 0 à 5 ans au Togo. Résultats d'une enquête épidémiologique menée dans un CHR (Atakpamé).