title: [Evaluation of free cesarean sections in Benin].
abstract: BACKGROUND
  The Benin Government introduced free caesarean section in public hospitals in 2009 and a national agency was created to manage free caesarean section.
  
  
  METHODS
  Three years after introduction of free caesarean section, we evaluated this measure in the Ouidah hospital area (HZO) by analysing the hospital structure, the implementation process and the results.
  
  
  RESULTS
  This study showed the efficacy of free caesarean section, which has helped to increase the caesarean rate from 2.38% in 2009 to 3.48% in 2012, a caesarean section mortality rate of 0.99%, insufficient information for beneficiaries, some drugs are not covered by this measure, and additional costs must be paid by beneficiaries.
  
  
  CONCLUSIONS
  These results indicate the need for a detailed cost analysis to adjust the unit cost for caesarean section. This type of evaluation should be performed in all public hospitals in the country to more clearly identify malfunctions.
authors.affiliation: Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou-01, BP 5705 Ouagadougou 01 Burkina Faso. laurent_tikar@yahoo.fr
authors.forename: Tinoaga Laurent
authors.initials: TL
authors.lastname: Ouedraogo
authors.affiliation: Institut Régional de Santé Publique de Ouidah, Bénin.
authors.forename: Alphonse
authors.initials: A
authors.lastname: Kpozehouen
authors.affiliation: Institut Régional de Santé Publique de Ouidah, Bénin.
authors.forename: Yolaine
authors.initials: Y
authors.lastname: Gléglé-Hessou
authors.affiliation: Institut Régional de Santé Publique de Ouidah, Bénin.
authors.forename: Michel
authors.initials: M
authors.lastname: Makoutodé
authors.affiliation: Institut Régional de Santé Publique de Ouidah, Bénin.
authors.forename: Jacques
authors.initials: J
authors.lastname: Saizonou
authors.affiliation: Institut Régional de Santé Publique de Ouidah, Bénin.
authors.forename: M'Tatouwa
authors.initials: M
authors.lastname: Tchama-Bouraima
mesh_terms: D000293:Adolescent; D000328:Adult; D001541:Benin; D002585:Cesarean Section / Q000191:economics* / Q000401:mortality / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006779:Hospitals, Public; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D055815:Young Adult