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[Evaluation of free cesarean sections in Benin]
Tinoaga Laurent Ouedraogo1, Alphonse Kpozehouen2, Yolaine Gléglé-Hessou2
1Unité de Formation et de Recherche en Sciences de la Santé (UFR/SDS), Université de Ouagadougou-01, BP 5705 Ouagadougou 01 Burkina Faso. laurent_tikar@yahoo.fr
Introduction:
The Benin Government introduced free caesarean section in public hospitals in 2009 and a national agency was created to manage free caesarean section.
Methods:
Three years after introduction of free caesarean section, we evaluated this measure in the Ouidah hospital area (HZO) by analysing the hospital structure, the implementation process and the results.
Results:
This study showed the efficacy of free caesarean section, which has helped to increase the caesarean rate from 2.38% in 2009 to 3.48% in 2012, a caesarean section mortality rate of 0.99%, insufficient information for beneficiaries, some drugs are not covered by this measure, and additional costs must be paid by beneficiaries.
Discussion:
These results indicate the need for a detailed cost analysis to adjust the unit cost for caesarean section. This type of evaluation should be performed in all public hospitals in the country to more clearly identify malfunctions.
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