Medical audit of neonatal deaths with the "three delay" model in a pediatric hospital in Ouagadougou

• Published in: Santé (Montrouge, France) Vol. 21; no. 4; pp. 209 - 214
• Main Authors: Kouéta, Fla, Ouédraogo Yugbaré, Solange Odile, Dao, Lassina, Dao, Fousséni, Yé, Diarra, Kam, Kobena Ludovic
• Format: Journal Article
• Language: French
• Published: France 01-10-2011
• Subjects: Burkina Faso - epidemiology; Congenital Abnormalities - mortality; Decision Making; Health Services Accessibility; Hemorrhage - mortality; Hospitals, Pediatric; Humans; Infant Mortality; Infant, Newborn; Infection - mortality; Medical Audit; Premature Birth - mortality; Respiratory Distress Syndrome, Newborn - mortality; Time Factors; Burkina Faso
• ISSN: 1157-5999
• DOI: 10.1684/san.2011.0271

To determine the causes of neonatal deaths and their contributing factors.
We used the "three-delay model" to conduct an audit of the neonatal deaths that occurred between January 2006 and December 2010 at the Charles de Gaulle University Pediatric Hospital, in Ouagadougou.
The neonatal mortality rate was 12.3%. The main direct causes were infections (70%), cerebral distress (10%), respiratory distress (7%), congenital malformations (5.5%), prematurity (4.5%) and hemorrhagic syndromes (3%). All three delays were found: in decision making in 64.4% of cases, in access to health services in 77%, and in receiving appropriate care in 66.9%; they multiplied the risk of death by a factor of 4, 3 and 5, respectively.
To reduce deaths of newborn babies, it is necessary to overcome the three delays that contribute to it, pending the improvement of socioeconomic conditions of populations. This combat requires optimizing the implementation of the subsidies for obstetric and neonatal emergency care and strengthening the involvement of all stakeholders, specifically, policy makers, the community and health professionals.