Journal of
Public Health and Epidemiology

  • Abbreviation: J. Public Health Epidemiol.
  • Language: English
  • ISSN: 2141-2316
  • DOI: 10.5897/JPHE
  • Start Year: 2009
  • Published Articles: 584

Full Length Research Paper

Preventing prematurity: The power of determining factors and challenges in a rural district hospital in Benin

SAIZONOU Jacques
  • SAIZONOU Jacques
  • Regional Institute of Public Health Comlan Alfred Quenum, University of Abomey-Calavi, Benin.
  • Google Scholar
MONGBO Virginie
  • MONGBO Virginie
  • Regional Institute of Public Health Comlan Alfred Quenum, University of Abomey-Calavi, Benin.
  • Google Scholar
AFFO Alphonse
  • AFFO Alphonse
  • Population Training and Research Center (CEFORP), Research Group in Population, Health and Development, University of Abomey-Calavi, Benin.
  • Google Scholar
MAKOUTODE Patrick
  • MAKOUTODE Patrick
  • Regional Institute of Public Health Comlan Alfred Quenum, University of Abomey-Calavi, Benin.
  • Google Scholar
HOUESSOU Gad
  • HOUESSOU Gad
  • Regional Institute of Public Health Comlan Alfred Quenum, University of Abomey-Calavi, Benin.
  • Google Scholar


  •  Received: 17 May 2021
  •  Accepted: 21 June 2021
  •  Published: 31 July 2021

Abstract

Preterm births remain a major public health issue due to its weight in neonatal mortality and the significant socio-economic costs for its care. The aim of the current study was to identify factors associated with preterm births at Allada-Toffo-Zè zone hospital in Benin. This was a case-controlling study, which took place in April 2019. A total of 222 women's files were examined, including 74 cases and 148 controlling samples. Socio-demographic data, health status during pregnancy, previous state of being and health system were collected. Conditional logistic regression was used to identify explanatory factors for prematurity via Stata 15. The prematurity rate was 9.4%. Self-medication OR = 4.99 with 95% CI = [1.71-14.5], alcohol consumption OR = 19.55 with 95% CI = [5.89-64.90], threat to premature birth OR = 3.88 with 95% CI = [1.04-14.35], the mother's occupation OR = 13.22 with a 95% CI = [1.65-105.66] were related to prematurity. Prematurity is a problem that requires corrective actions. Promoting empowerment of women which guarantees good health during pregnancy, as well as enhancing health staff skills will significantly reduce preterm births at Allada-Toffo-Zè district hospital.

Key words: Prematurity, factors, determinants, district, Allada-Toffo-Zè, Benin.