[Community-based intervention to reduce birth asphyxia mortality in Mali].
Approximately one million newborn babies die every year as a result of birth asphyxia in developing countries. The objectives of this study are to develop the management of birth asphyxia and to establish a community-based surveillance system of vital events in rural areas of Oueléssébougou, Mali. Traditional birth attendants, female leaders of village associations and village health workers were trained to carry out communication activities designed to change behaviours in the management of birth asphyxia. The study has improved health facility-based delivery (from 80 to 93%) and the identification of birth asphyxia (11 to 12% new born babies have been resuscitated). As a result of training and supervising community actors, the quality of delivery is improved and neonatal mortality is reduced.
Sangho
Hamadoun
H
Centre de recherche d'étude et de documentation pour la suivie de l'enfant -, BP 2109, Bamako, Mali.
Doumbia
Seydou
S
Dembélé Keïta
Haoua
H
Keïta
Assan Sidibé
AS
Coulibaly
Lazare
L
Diakité
Baye
B
Téguété
Ibrahim
I
Sylla
Mariam
M
Keïta
Moussa
M
Sidibé
Toumani
T
D000293:Adolescent; D000328:Adult; D001238:Asphyxia Neonatorum / Q000175:diagnosis / Q000401:mortality / Q000517:prevention & control*; D036861:Delivery, Obstetric; D005260:Female; D006282:Health Personnel / Q000193:education*; D006801:Humans; D007231:Infant, Newborn; D008302:Mali / Q000453:epidemiology; D008875:Middle Aged; D010865:Pilot Projects