title: [Effect of reproductive health services restructuring on antenatal care at Marcory General Hospital, Ivory Coast].
abstract: BACKGROUND
  Improvement of the work environment and staff training are health promotion strategies that can contribute to improving the supply of health care. This study evaluated the effects of reorganization of health services on antenatal care (ANC) activities.
  
  
  METHODS
  A cross-sectional study was conducted over a period of 4 months in the ANC unit of Marcory General Hospital in Abidjan. The study population was health workers in charge of ANC and pregnant women attending the health facility. Self-administered questionnaires and observation sheets were used to collect data that were analysed with Epi Info 3.5.1 software. results: After reorganization, health workers said they were satisfied with the work environment and the care provided in 91% and 96.9% of cases, respectively. These results were confirmed by all pregnant respondents (100%) attending the centre, who said they were satisfied with the quality of care received. This could explain the ANC 4 coverage rate, which increased from 39.4% in 2010 to 56.7% in 2012 and tetanus vaccination coverage which increased from 59.4% to 87.5%, although the waiting time was still too long.
  
  
  CONCLUSIONS
  This study showed an increase of ANC activity indicators, such as ANC 4 and tetanus vaccination coverage rate, after reorganization of health care services. This strategy could be an opportunity to strengthen ANC services.
authors.forename: Joseph Vroh
authors.initials: JV
authors.lastname: Benie Bi
authors.forename: Issaka
authors.initials: I
authors.lastname: Tiembre
authors.forename: Éric Martial
authors.initials: ÉM
authors.lastname: Ahoussou
authors.forename: Koutoua
authors.initials: K
authors.lastname: Tchiny
authors.forename: N Cho Simplice
authors.initials: NC
authors.lastname: Dagnan
authors.forename: Janine
authors.initials: J
authors.lastname: Tagliante-Saracino
mesh_terms: D007560:Cote d'Ivoire; D003430:Cross-Sectional Studies; D005260:Female; D006282:Health Personnel / Q000458:organization & administration*; D006769:Hospitals, General / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D017060:Patient Satisfaction; D011247:Pregnancy; D011295:Prenatal Care / Q000458:organization & administration* / Q000592:standards; D011787:Quality of Health Care; D034121:Reproductive Health Services / Q000458:organization & administration* / Q000592:standards; D011795:Surveys and Questionnaires; D014850:Waiting Lists