title: [Identification of malfunctioning in the treatment and quality of care of maternal morbidity in Abidjan, Côte d'Ivoire].
abstract: A study was carried out using a clinical audit aimed at identifying the dysfunctions in the care of female patients with serious morbidity. The study was done at the University Hospital of Cocody (CHU de Codody) and in the health training unit in the southern part of Abobo (Abidjan) from January to May 2000. The study allowed us to track and record the frequency of women who nearly died (40.4%) in both of the sites during the period of the study. Malfunctions were found at all stages of the female patients' care. The provision of medical care during the patients' hospitalisation and care provided in the emergency room were the cases and situations wherein the most frequency was noted, with 42.8% and 39.6% of dysfunctions found respectively. The delay for patients to wait to receive care was long, varying from 80 minutes to 5 days coupled with a lack of follow-up and surveillance of patients. This data demonstrates the inadequacy of the quality of obstetrical care.
authors.affiliation: Institut National de Santé Publique, BP V 47 Abidjan, Côte d'Ivoire.
authors.forename: B
authors.initials: B
authors.lastname: Touré
authors.forename: N M
authors.initials: NM
authors.lastname: Koffi
authors.forename: V
authors.initials: V
authors.lastname: Gohou
authors.forename: S
authors.initials: S
authors.lastname: Dagnan
authors.forename: A J
authors.initials: AJ
authors.lastname: Diarra-Nama
mesh_terms: D000328:Adult; D007560:Cote d'Ivoire; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008427:Maternal Health Services / Q000592:standards*; D008485:Medical Audit; D009017:Morbidity; D011247:Pregnancy; D011787:Quality of Health Care; D014850:Waiting Lists