Déterminants culturels et liés aux ressources de la morbidité maternelle sévère : leçons tirées de certaines expériences « évitées de justesse »
Corresponding Author(s) : Grace Bantebya-Kyomuhendo
Revue africaine de sociologie,
Vol. 8 No 1 (2004): Revue africaine de sociologie
Résumé
En Ouganda, la morbidité maternelle grave reste un problème avec lequel il faut compter. Cet article rend compte d'une partie d'une étude plus large menée dans les districts de Kiboga, Hoima et Kampala, en Ouganda, entre 1999 et 2000 (Okong et al. 2001), dont le but était de documenter les circonstances qui ont conduit les femmes à des situations de crise médicale potentiellement mortelles. Il est apparu que les maladies maternelles graves ne sont pas nécessairement le résultat de causes directes (biomédicales) en soi, mais peuvent découler d'autres facteurs profondément enracinés dans la culture et les relations entre les sexes. Nonobstant ces facteurs, les femmes sont gênées par les lacunes du système formel de soins de santé, notamment les agents de santé inexpérimentés, en particulier dans les unités de niveau inférieur, les systèmes d'orientation médiocres et l'absence de système de transport efficace, l'espace limité dans les salles ou le bloc opératoire. , et incapacité d'accéder au personnel de santé occupé : ces contraintes entraînent souvent des retards critiques, qui aggravent les expériences de morbidité des femmes. Des interventions appropriées, y compris la fourniture d'informations sur la santé maternelle culturellement acceptées et la lutte contre le manque de services de santé maternelle de qualité, sont nécessaires.
Télécharger la référence bibliographique
Endnote/Zotero/Mendeley (RIS)BibTeX
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- Stones W, W. Lim, F. Al-Azzawi, M. Kelley. 1991. '
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Les références
Bonvier-Colle, M. H, B. Salavane, T. Y. Ancel, and N. Varnoux. 1996. '
in Intensive Care Units and Materna! Mortality', European Journal of Obstetrics Gyneacology (Reproductive Biology), vol. 65, pp. 121-5.
Caldwell, J. C., and P. Caldwell. 1990. 'High Fertility in Sub-Saharan Africa', Scientific American, May, pp. 118-25.
Diallo, A. B .. 1991. "'A Tora Mousso Kale La": A Call Beyond Duty, Often Omitted Root Causes of Maternai Mortality in West Africa', Issues paper no. 9, New York: UN Development Programme, HIV and Development Programme.
Filippi, V., T. Gandaho, C. Ronsmans, W. J. Graham, and B. Alihonou. 1996. "'Near Misses': Are Life Threatening Complications Practical Indicators for Safe Motherhood Programmes?', IUSSP Committee on Reproductive Health, Population Institute, University of the Philippines. Fitzpatrick C., A. Halligan, T. Mc Kenna, B. N. Coughlan, M. R. N. Darling, D. Phelan.
"'Near Miss" Maternai Mortality', Irish Medical Journal, vol. 1, no. 85.
Graham, S. G., and M. C. Luxton. 1989. 'The Requirement for Intensive Care Support for the Pregnant Population', Anaethesia, vol. 44, pp. 581-4.
Howson, P.C., P. F. Harrison, D. Hotra,M. Law.(eds.) 1996. Jn Her Lifetime: Female Morbidity and Mortality in Sub-Saharan Africa, Washington D.C.,
lnstitute of Medicine, National Academy Press. Koblinsky, M. A., A. Tinker, P. Dally. 1993. 'Making Motherhood Safe', World Bank discussion paper, World Bank, Washington D.C.
Kyomuhendo, B. G ., and R. MacNaim. 1998. 'Social Cultural Factors in Reproductive Health and Materna! Mortality', Unpublished report, FIGO Safe Motherhood Needs Assessment Project, Kiboga District, Uganda.
Mantal, G. D., and E. Buchmann. 1997. 'Maternai Morbidity: A Dcfinition fora Maternai "Near Miss"', Proceedings of the l 6'h Conference, Priorities in Perinatal Care in Southern Africa, March 11-14, 1997, University of Pretoria.
Ministry ofHealth. 1989. 'Macro International Inc. Uganda Demographic and Health Survey 1988-89', Kampala: MoH.
Ministry of Planning and Economie Development. 2000. 'Uganda National Household Survey Report', Entebbe, Statistical Department.
Mukhopadhyay, C. C., P.J. Higgins. 1988. 'Anthropological Studies ofWomen's Status Revisted; 1977-1987', Annual Review of Anthropology, vol. 17, pp. 461-95.
Okong, P., A. Johansson, G. Bantebya-Kyomuhendo, B. Steffan. 2001. 'The Adoles cent Mother's Right to Survive: A Study on Teenage Maternai Mortality and Morbidity in Uganda 1999-2000', Unpublished report, Division oflntemational Health (IHCAR), Department of Public Health Science, Karolinska Jnstitutet, Stockholm, and Makerere University, Kampala). Sargent, C. 1990. 'The Politics ofBirth: Cultural Dimensions of Pain Virtue and Control among the Baariba of Benin', in Handwerker Penn, ( ed. ), Birth and Power: Social Change and the Politics of Reproduction, Boulder, Westview Press.
Stones W, W. Lim, F. Al-Azzawi, M. Kelley. 1991. '
An Investigation of Maternai Morbidity with Identification of Lifo Threatening "Near Miss" Episodes', Health Trends,vol.23,pp. 13-15. Ubot, S. 1992. 'Social Science and Medicine in Africa', in T. Fallola, D. Hyavyar, ( eds. ), The Politîcal Economy of Health in Africa, Athens, Ohio University Press. Uganda Ministry ofHealth. 1999.
'Uganda National Health Policy', Kampala: MoH. Uganda Ministry ofHealth. 200 l. 'Macro International Inc. Uganda Demographic and Health Survey 2000-200 l ', Kampala: MoH.
Vlassoff, C., and E. Bonilla. 1994. 'Gender-Related Differences and the Impact of Tropical Diseases on Women: What Do We Know?', Journal of Bio Social Science, vol. 26, pp. 37-53.
WHO/UNICEF. 1996. Revised 1990 Estimates of Maternai Mortality: A New Approach by WHO and UNICEF, WHO/FRH/MSM/96.11 and UNICEF/PLN/96.1, Geneva, World Health Organization.