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Abstract

RÉSUMÉ
Introduction. L’implémentation de la politique des kits obstétricaux (KOU) démotiverait certains personnels de santé dans les formations sanitaires dès lors que les recettes sont affectées et qu’il y a un manque à gagner. Méthodes. Une enquête a été conduite auprès du personnel impliqué dans la mise en œuvre des KOU dans les districts de santé de Maroua afin d’apprécier leur satisfaction vis-à-vis de cette stratégie. Résultats. Presque tous les personnels interviewés (93,2%) reconnaissaient l’utilité des KOU. Certains (70,2%) affirmaient qu’ils renforçaient la confiance des populations vis-à-vis des prestataires de soins; cependant, 39,7% se plaignaient de la surcharge en travail et 61,4% de la baisse des revenues. Plus de la moitié de ces personnels (53,0%) réclamait une augmetation de leur rénumération « motivation », 68,6% suggéraient que soient allouées des primes de performance basées sur le nombre d’accouchements réalisés. Une minorité (23,0%) proposait l’abandon des kits au profit de l’ancien système de paiement des soins obstétricaux. Conclusion. La mise en place d’un mécanisme d’intéressement des intervenants dans l’opérationnalisation de la politique des KOU est une nécessité. Il est crucial de renforcer la redevabilité du personnel vis-à-vis des utilisatrices et du système de santé afin de fiabiliser et de pérenniser le processus d’implémentation des KOU ; condition pouvant conduire à une réduction appréciable de la mortalité maternelle et néonatale.

ABSTRACT
Introduction. The implementation of Emergency Obstetrical Kits (E.O.K.) policy will lead to lack of motivation of some health personnel in health services, given that the revenue is affected with the loss of gain. Methods. A study has been carried out with some health personnel involved in the implementation of the E.O.K. policy in Maroua health districts. This was to evaluate their satisfaction with respect to this strategy. Results. Almost all the personnel interviewed (93.2%) recognized the utility of the E.O.K. Some (70.2%) approved its role in strengthening the confidence of the population towards the health care providers; however, 39.7% complained of work overload and 61.4% of the drop in revenue. More than half (53.0%) claimed an increase in their revenue “motivation”, 68.6% suggested an allocation of subsidies based on the number of deliveries realized. A minority (23.0%) proposed withdrawal on the E.O.K. policy in favour of the former system of payment for obstetric care. Conclusion. The putting in place on a profit-sharing system among stakeholder involved in the implementation of the E.O.K. system is a necessity. It is crucial to reinforce the accountability of the personnel with respect to the users and the health system in order to increase the reliability and sustainability of the E.O.K. implementation process; a condition which could lead to a considerable decrease in neonatal and maternal mortality rate.

Keywords

Kits obstétricaux d’urgence accouchement paiement des soins satisfaction motivation personnels.

Article Details

How to Cite
Nguefack, F., Fouejio, J. H., Fodoung Wamba, D. S., Djoumessap Djoyou, C. M., Fouelifack Ymele, F., & Dongmo, R. (2020). Satisfaction des Prestataires des Soins Vis-À-Vis de l’Implémentation des Kits Obstétricaux d’Urgence dans les Districts de Santé de Maroua – Cameroun. HEALTH SCIENCES AND DISEASE, 21(3). https://doi.org/10.5281/hsd.v21i3.1874

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