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ISSN: 2637-4722

Progressing Aspects in Pediatrics and Neonatology

Research Article(ISSN: 2637-4724)

Better Neonatal Health Outcomes: Management of Materno-Foetal Risk Factors in Peripheral Health Centres In Burundi

Volume 3 - Issue 1

Desire Habonimana1,2, Denis Niyomwungere1, Pontien Ndabashinze1,2, Nadine Misago3, Emile Nkurunziza4, Leonard Bivahagumye1,2, Eugene Ndirahisha1,2

  • Author Information Open or Close
    • 1Department of Community Medicine, Research and Innovation Unit, Medical Teaching Hospital of Kamenge, Burundi
    • 2Faculty of Medicine, University of Burundi, Burundi
    • 3Health Healing Network Burundi, Burundi
    • 4Department of Public Health, National Institute of Public Health, Burundi

    *Corresponding author: Desire Habonimana, Department of Community Medicine, Research and Innovation Unit, Medical Teaching Hospital of Kamenge. Boulevard Mwezi Gisabo, Bujumbura, Burundi Desire Habonimana ORCID: 0000-0003-0832-5558 Denis Niyomwungere ORCID: 0000-0002-1814-3339

Received: November 06, 2020   Published: November 30, 2020

DOI: 10.32474/PAPN.2020.03.000153

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In Burundi, maternal health care is mainly provided by midwives especially in peripheral health centres. However, midwives may not have needed knowledge and management capacity to offer care needed for women presenting maternal risks. This study assessed and modelled determinants of the knowledge and management of materno-foetal risk factors among midwives offering maternal health care in peripheral health centres in Burundi.

Subjects and Method

A cross-sectional survey was conducted on 90 midwives from 32 peripheral health centres offering maternal health care using a multistage random sampling. Dichotomous outcomes were built, and logistic models fitted on sociodemographic determinants. Significance of coefficients were detected using confidence intervals.


Of 90 midwives, 57 (63%) and 63 (70%) had deficient knowledge level and management capacity of materno-foetal risk fectors; respectively. Younger midwives, those who studied in technical public schools, and those who had received professional trainings were more likely to have good knowledge. The effect of experience was inconclusive. Midwives whose work experience amounted up to 5 years were better off while those with higher experience accused having deficient knowledge. A good knowledge of maternofoetal risk factors predicted better management capacity up to seven times more (OR=7.21 [2.23-23.40]). Contrarily, male gender, long commute distance and the age above 45 years negatively predicted better management capacity.


In peripheral health centres offering maternal health care, newly recruited midwives and those who completed university education need further capacity building training to enhance both their knowledge level and management capacity related to materno-foetal risk factors.

Keywords:Midwives; Peripheral Health Centres; Materno-Foetal Risk Fectors; Knowledge Level; Management Capacity

Abstract| Background| Subjects and Method| Data Analysis| Research Ethics| Results| Logistic models| Discussion| Financial Support and Sponsorship| Acknowledgement| Conflict of Interest| References|