title: Effects of an intervention initiated by a national society to improve postabortion care in rural facilities in Burkina Faso.
abstract: OBJECTIVE
  To evaluate the results of an intervention by the Societé de Gynécologues et Obstétriciens du Burkina (SOGOB) to improve postabortion care (PAC) in rural areas of Burkina Faso.
  
  
  METHODS
  From June 1, 2012, to May 31, 2013, SOGOB increased capacity for PAC by providing training in health care and equipment to 45 rural health facilities. Performance in PAC in the year before intervention (June 1, 2011, to May 31, 2012) was compared with that in the year following intervention (June 1, 2013, to May 31, 2014).
  
  
  RESULTS
  The number of cases of incomplete abortion managed within a year increased from 1812 before the intervention to 2738 afterwards. Before capacity building, none of the health facilities was using misoprostol for management of incomplete abortion. After capacity building, misoprostol was used in 805 (29.4%) cases. The use of inappropriate methods to empty the uterus decreased (27.5% [498/1812] vs 1.4% [38/2738]; P<0.001). The frequencies of uterine perforation and pelvic infection also decreased (P≤0.01 for both). In the year after implementation, 2035 (78.3%) of 2600 women had taken up a family planning method before leaving the facility.
  
  
  CONCLUSIONS
  SOGOB's intervention has improved the quality of PAC in rural health facilities in Burkina Faso.
authors.affiliation: Unit of Training and Research in Health Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso.|Department of Obstetrics and Gynecology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso.
authors.forename: Sibraogo
authors.initials: S
authors.lastname: Kiemtoré
authors.affiliation: Unit of Training and Research in Health Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso.|Department of Obstetrics and Gynecology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso.
authors.forename: Hyacinthe
authors.initials: H
authors.lastname: Zamané
authors.affiliation: Unit of Training and Research in Health Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso.|Department of Obstetrics and Gynecology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso.
authors.forename: Danlotoma P
authors.initials: DP
authors.lastname: Kaïn
authors.affiliation: Unit of Training and Research in Health Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso.|Department of Obstetrics and Gynecology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso.
authors.forename: Yobi A
authors.initials: YA
authors.lastname: Sawadogo
authors.affiliation: Unit of Training and Research in Health Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso.|Department of Obstetrics and Gynecology, Centre Hospitalier Régional de Ouahigouya, Ouahigouya, Burkina Faso.
authors.forename: Issa
authors.initials: I
authors.lastname: Ouédraogo
authors.affiliation: Unit of Training and Research in Health Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso.|Department of Obstetrics and Gynecology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso.
authors.forename: Ali
authors.initials: A
authors.lastname: Ouédraogo
authors.affiliation: Unit of Training and Research in Health Sciences, University of Ouagadougou, Ouagadougou, Burkina Faso.|Department of Obstetrics and Gynecology, Yalgado Ouedraogo Teaching Hospital in Ouagadougou, Ouagadougou, Burkina Faso.
authors.forename: Jean
authors.initials: J
authors.lastname: Lankoandé
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000027:Abortion, Incomplete / Q000188:drug therapy* / Q000453:epidemiology; D000328:Adult; D000359:Aftercare / Q000592:standards*; D002050:Burkina Faso; D005193:Family Planning Services / Q000706:statistics & numerical data; D005260:Female; D006268:Health Facilities / Q000600:supply & distribution*; D006282:Health Personnel / Q000193:education*; D006801:Humans; D016595:Misoprostol / Q000008:administration & dosage*; D011247:Pregnancy; D012424:Rural Population; D012955:Societies, Medical
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D016595:Misoprostol
keywords: Burkina Faso; Family planning; Misoprostol; Postabortion care