Igiene e sanita pubblica最新文献

{"title":"Epidemiological Assessment of Malaria Prevalence among Children Under 5 in Cameroon: A Cross-Sectional Study.","authors":"Eric Defo Tamgno, Armand Tiotsia Tsapi, Martin Fossi, Joseph Nguessie Essofack, Gaelle Magne Tamoufe, Gianluca Russo, Vittorio Colizzi, Georges Nguefack-Tsague, Olivier Ethgen","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Malaria remains a significant public health challenge in Cameroon, particularly affecting children under 5 years of age. Despite these efforts, its prevalence persists, highlighting the need for comprehensive epidemiological studies to guide interventions.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in five randomly selected health areas across five regions of Cameroon. Data on sociodemographic profiles, insecticide-treated net utilization, and malaria incidence among children under 5 years of age were collected using structured questionnaires and rapid diagnostic tests. Statistical analysis was performed to identify factors associated with malaria positivity.</p><p><strong>Results: </strong>The study included 1,200 households with children under 5 years of age, representing various sociodemographic profiles across regions. Among the respondents, 85% demonstrated a high awareness of malaria. While 92% reported ownership of insecticide-treated nets, only 67% reported consistent utilization. Alarmingly, 42% of children under 5 years of age tested positive for malaria. Factors associated with malaria positivity included the gender of the household head, marital status, insecticide-treated net availability, physical condition of insecticide-treated nets, and recent malaria episodes.</p><p><strong>Conclusion: </strong>While the study provided valuable insights, limitations such as its cross-sectional design and potential biases necessitate caution in interpreting the results. To address these issues, rigorous data collection methods and statistical analysis were employed, emphasizing the importance of targeted interventions and ongoing surveillance to combat malaria effectively.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"92 5","pages":"155-168"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Leave and Corporate Welfare at the Territorial Health Company of Fermo. A Cross- Sectional Prospective Study (Marche, Italy).","authors":"Betty Perticarini, Renato Rocchi, Federico Lattanzi, Andrea Benni","doi":"","DOIUrl":"","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;One of today's main issues is balancing work and family life, which significantly impacts the socio-economic and working conditions of the population. Since the last century, support for parenthood has been at the center of legislative attention both in Italy and Europe. The Italian Constitution of 1948 began addressing the shift from the woman's exclusively domestic role, promoting female workforce integration from the 1950s. Today, Italian legislation focuses on gender equality and worker protection, with measures aimed at reconciling work and family life. Recent terminological changes, such as parental leave, reflect a shift towards recognizing the right and duty of both parents in child-rearing. Health companies, like the one in Fermo with its 670 nurses, need to manage absences and human resources effectively to facilitate work-family balance and ensure optimal work organization.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;This study analyzes the behaviors and needs of nurses in managing their children, aiming to improve corporate protection strategies for parents. The research investigated perceptions on the use of leave and the implications of legal rights for organizations and the services provided, proposing corporate welfare alternatives. The survey was conducted through an anonymous questionnaire.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;The study employed a cross-sectional prospective method, also known as a prevalence study, to describe the frequency of phenomena in relation to variables. A quantitative and qualitative approach was used to analyze leave usage and the reasons behind it. The initial phase involved a bibliographic review and the creation of a questionnaire, which was subsequently distributed and analyzed. The setting was the U.O.C. Nursing and Obstetrics Area of the Territorial Health Company of Fermo (Italy), conducted from February 13, 2023, to July 31, 2023. The questionnaire was distributed digitally for 3 weeks, from July 10 to July 31, 2023. The sample included only nurses with minor children, excluding non-nurse professionals and employees with adult children or no children.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The survey, conducted among 496 employees of the Territorial Health Company of Fermo, included 478 nurses with an average age of 41.9 years. Among the 173 nurses with minor children, 96% are employed on permanent contracts and 57.8% work shifts including nights. Most children are between 1 and 18 years old. 30% of parents use public institutions for child care, while 25% receive family support. 28% feel they have not fully utilized their parental leave rights. 66% of users of fully paid parental leave did so out of necessity, while 74% of users of 30% paid leave cited the need to care for their children. 91% did not use the family reunion benefits provided by the national contract, and only 8.7% took advantage of the modified summer vacation period. Finally, 44% find the company co","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"92 5","pages":"139-154"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sterilization of infective health care waste in hospitals.","authors":"Pietro Manzi, Francesco Di Maria, Yeshoda Marcella","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Collection and disposal of infective medical waste represents a well-known problem in all Italian and foreign hospitals. Pandemic events have increased the attention and sensitivity on the topic both from a legal/regulatory and technical-professional perspective. latest legislation introduced some noticeable modification in the perception of the problem changing the particularly precautionary approach largely exploited in the past, putting the sterilization procedures at the center of a more efficient management of such waste materials. Contemporary the specific industrial sector is developing and proposing on the market sterilization equipment able to minimizing the risk of pollution and reducing the volumes of material to be disposed of. This article addresses the topic with particular focus on the advantages, drawback and specific aspect to be considered for the realization of an in-situ sterilization for infective hospital waste. Different aspects related to biological, environmental, financial legal and medical liability risk, which become essential for allowing a careful evaluation and conscious choice, were also considered and discussed.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"92 5","pages":"123-138"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitative research on clinical risk perception in Pediatric Intensive Care Unit.","authors":"Angela Prendin, Paola Claudia Fazio, Benedicta Tabacco, Veronica Strini, Valentina Cerrone, Vincenzo Andretta, Mario Capunzo, Maria Lucia Specchia","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>the Pediatric Intensive Care field is characterized by the criticality of newborns and children who access it, as well as by a high complexity of care. This entails the need of an optimal integration between the various professional figures working in Pediatric Intensive Care Units (PICUs) and their ability to work in team.</p><p><strong>Purpose: </strong>to describe how nurses perceive clinical risk and relate to it; to identify adverse events and related risk factors.</p><p><strong>Methods: </strong>the focus group was used to identify and analyze the risks, or possible risks, that may occur in the intensive pediatric field. Nine nurses with different work experience in PICU, two moderators and one external observer participated in the focus group.</p><p><strong>Results: </strong>through qualitative analysis, 9 themes describing the clinical risk perception by nurses working in PICUs were identified: teamwork, specific training, time management, team communication, clinical management, individual errors, facility criticalities, patient factors/characteristics, standardization.</p><p><strong>Conclusions: </strong>the culture of safety can be promoted by management through learning spirit and free speech without fearing negative effects.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"92 5","pages":"112-122"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of yoga in quality of life among patients with oral cancer: a systematic review.","authors":"Deepthi T R, Nitin Khargekar, Yeshoda Tg, Sarath Kappiamkunnath, Kavya Maheesan, Adarsh Vj","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Head and neck cancer, which includes the oral cancer, is the seventh commonest cancer worldwide, estimating for more than 660,000 fresh cases and 325,000 mortalities every year. However, cancer and its treatment are often associated with prolonged adverse physical and psychosocial symptoms, including reduced physical function and fitness and increased risk of anxiety, depression, and fatigue. This greatly impacts the patient's quality of life (QoL). The aim of the present study is to conduct a systematic review of the effects of yoga in in quality of life among patients with oral cancer. An electronic database search was performed to identify the suitable literature using Cochrane, EBSCO host, PubMed and Trip database. The literary search was focused on the effect of yoga on quality of life among oral cancer patients. A total of 23 relevant studies were identified, and only 2 articles were taken for the systematic review. The review concludes that yoga improves the quality of life among oral cancer patients.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"91 4","pages":"106-111"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333822","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reasons for dropouts in a community-based Management Acute Malnutrition (CMAM) program using local foods in the Far North of Cameroon.","authors":"André Izacar Gael Bita, Nyenty Agbor Agbornkwai, Herve Ebola Ambouol, Jules Guintang Assiene","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>The security crisis caused by the Islamic sect Boko Haram, coupled with arid climatic conditions and a context of poverty, has preyed on populations in the far north of Cameroon, exacerbating malnutrition rates among children under five years old. New evidence has shown that many children with moderate acute malnutrition (MAM) can be treated in their communities (CMAM) without having to be admitted to a health center or therapeutic feeding center. The purpose of our study was to identify factors that may lead to beneficiary dropout in a CMAM program in four health districts in the far north of Cameroon.</p><p><strong>Methods: </strong>A retrospective descriptive study of children who exited the CMAM program as lost to follow-up. Trained CHWs interviewed mothers in the households of children identified as lost to follow-up in the CMAM program using a questionnaire. The data were analyzed using STATA software. The confidence interval used was 95% and a P-value of 5%.</p><p><strong>Results: </strong>Seven hundred and ten children were identified as being lost to the CMAM program, 686 of whom were present in the households during the interviews. Boys were 40.20%; girls 59.79% and the median age was 19 months. In the post-CMAM period, boys (OR=0.64; p=0.018); children in Moulvoudaye health district (OR=0.32; p=0.0025), and households with ≥10 people were at lower risk of MAM. The risk of being MAM was higher in households located 6-10 km and -=10km from a health facility (OR=4.21, +0.0001). Vitamin A Supplementation (OR=0.37; p=0.0131) and dietary diversity (OR=0.60; p=0.0773) protected children from MAM. The main reasons for dropping out of the CMAM program cited by parents were that health personnel and CHWs had declared and discharged the child as cured (44.4%); mothers received information that the project was over (17.54%); and mothers had traveled (10.2%). Other reasons: parents not keeping appointments (4.5%); children not responding to treatment (4.8%); shortage of food supplies (3.1%); and the long distance between the distribution site and the household (5.6%) etc. Conclusion: Several children were discharged as dropouts while they were still active. These included discharge errors and those due to the end of the project. Distance, stock shortages, failure to keep appointments, parental relocation, and illnesses in children were all reasons for the high dropout rate. We recommend strengthening the quality of training for health personnel and CHWs on the CMAM protocol before implementation.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"91 4","pages":"91-105"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142333833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of the costs of adverse events in the public healthcare system of the Lombardy Region over five-year period 2016-2021.","authors":"Enrico Burato, Enrico Trombetta, Chiara Picchetti, Liviana Scotti, Paola Colombo, Maria Paola Garancini, Luciana Bevilacqua, Enrico Comberti, Paola Goretti, Maristella Moscheni, Cristina Oppezzo, Anna Paiano, Chiara Signori, Paolo Trucco, Simona Amato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The monitoring of litigation (i.e., claims received by the public healthcare system of the Lombardy Region) is started following the implementation of the \"Circolare 46/SAN/2004\" by evaluating the risk management activities carried out over a five-year period (2016-2021) and following a systematic approach by the regional risk management coordination group. The paper presents a risks analyzed belong to the following 4 categories: Clinical Risk, Worker Risk Facility Accidental Damage. The trend of the Average Settled (cash analysis) shows an increase of the amounts over the years. The average amount paid is from about €45k in 2017 to over €71k in 2021, with a 16% decrease in the average amount paid in 2021 compared to the previous year (2020). The trend of the average amounts paid (analysis by accrual) shows a significant natural decrease over the years. The average amount settled is from about €74K in 2016 to almost 30K in 2021, recording a 30% decrease in the average amount liquidated in 2021 compared to the previous year (2020). As presented in the paper, the analysis shows a decrease in the magnitude of claims over time, as a positive factor that could be explained by the centralization and continuous monitoring of financial statement data, and the presence of claims evaluation committees (CVS) that includes different skills, such as: broker, loss adjuster, risk manager, medical examiner, lawyers, company management , etc., and the insurance expertise that works in the revaluation of reserves linked to the budget reform.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 3","pages":"59-71"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a prescriptive appropriateness project in RSAs affiliated with Local health authority of Vercelli: repercussions on the correct use of the drug and on the economic sustainability of the SSN.","authors":"Antonietta Barbieri, Rossana Monciino, Maddalena Galante, Roberta Giacometti, Alice Mastrogiacomo, Luca Rabbiosi, Fabiola Formica","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Law 405/2001, DGR of 30 July 2012, n. 45-4248 and the DGR of 2 August 2013, n. 85-6287 provide that ASLs guarantee the direct distribution of drugs from the Company's Therapeutic Handbook (PTA) necessary for the treatment of patients in residential and semi-residential care. In this context, some critical issues have emerged such as: long dispensing times with repercussions of \"extemporaneous\" prescriptions in the area by GPs and consequent disbursements under contract (CONV) and distribution on behalf (DPC), poorly controlled stocks of medicines within the structures, lack of appropriateness of therapies, significant increase in costs. The final objective is to describe the process of supplying and managing medicines for guests hospitalized in facilities for the elderly and disabled (here in after RSA) and identify strategies to optimize appropriateness pathways. METHODS In 2022, there were 46 RSAs present in ASL VC, of which 31 were enrolled in the project and for which a retrospective descriptive study was conducted. Each RSA sends an Excel and a PDF (stamped and signed by the GP) of the drug request to the SC Farmaceutica Territoriale (SFT). The request indicates: date of completion, GP, tax code/patient name, surname, drug, quantity, dosage, AIFA note, any notes. The SFT checks the requests for quantity (packages requested/indicated dosage) and quality (prescriptive appropriateness) and forwards them to the Hospital Pharmacy for processing. RESULTS From 2019 to 2022, enrollment grew from 18 to 31 RSAs and guests from 1,387 to 1,678 with an average age of 83.84 (± 11.64); at the same time, there was a reduction in the average number of drugs given to patients from 62.5 to 47.3 and in prescriptions per patient from 32.8 to 31.7. Over the years the percentage of checks carried out by the SFT has increased from 2% to 5%. The most frequent inappropriatenesses were: lack of known AIFA (22.5%), missing PT (12.3%), drugs outside PTA (11.2%), expired PT (9.3%), absence of diagnosis (6.5%). The gross per capita affiliated pharmaceutical expenditure of €163.83 in 2019 fell to €136.97 in 2022 (-19%). The DPC increased from €27.83 to €38.80 in relation to the expansion of the drugs included in the PHT. DISCUSSION The project guarantees, through prescriptive appropriateness paths, a more controlled and punctual supply of the drug with a consequent reduction in the expenditure paid by the NHS. It also highlights the importance of the figure of the pharmacist, as a drug specialist, for the correct management and organization of procedures aimed at obtaining favorable results such as the deprescribing of drugs. CONCLUSION The project will continue with the enlistment of other RSAs and the proposal to include the pharmacist in the Supervisory Commission which inspects the structures to evaluate the management of the drug on site to guarantee the protection of patient health.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 3","pages":"72-90"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142134642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healthcare Risk Management and Monitoring of patient falls in Italian National Service. The experience of a Local Health Authority.","authors":"Simona Amato, Anna Aniuskevich, Anna Maria Lombardi, Francesco Amato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Falls are a widespread concern in hospitals settings. In Italy, falls are the fourth frequent damage claim type after surgical, diagnostic and therapeutic error and 90% of falls are avoidable. The first necessary action for the prevention of falls consists in identifying the possible risk factors, in relation to the characteristics of the patient and those of the environment and the structure that hosts him, in terms of safety, organization and adequacy of the process welfare. In this work we wanted to evaluate the extent, frequency and characteristics of the phenomenon of falls in the population hospitalized at the Local Health Authority called \"Roma 2\", with the aim of analyzing the critical issues to allow the identification of possible preventive and improvement interventions as well as reducing the risk of falls.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 2","pages":"30-40"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with the occurrence of maternal deaths in the West Region between 2020 - 2022: case control study.","authors":"Armand Tiotsia Tsapi, Eric Defo Tamgno, Jacques Delors Mfonkou Toumansie, Edmond Fofou, Gilles Happi Tankeu, Emiline Makemdjio Zogning, Loic Djommo Metchehe, Ghislain Guehoua Konga, Gianluca Russo, Vittorio Colizzi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>WHO defines maternal mortality as any death of a woman occurring during pregnancy or within 42 days of its termination or after delivery. Our aim was to study the factors associated with the occurrence of maternal deaths in the West Region of Cameroon between 2020 and 2022. This was a case-control study. Cases consisted of maternal deaths that occurred during the study period. The controls for their part were made up of women who normally gave birth in the same health facilities from which the cases came and during the same period as the cases. The only exposure criterion being the status of death. The data useful for our investigation were collected respectively with the investigation sheets, audit reports and via interviews with the heads of the health facilities where the maternal deaths occurred with a view to considerably reducing information bias. Analysis were done with IBM-SPSS 25 and RStudio 2023.03.0. The West Region of Cameroon recorded 161 maternal deaths between 2020 and 2022. 67% of them were housewives. The most frequently identified causes were haemorrhage (ante-, per- and post-partum), followed far behind by complications and sepsis, with respective 42.2%, 12.4% and 10.6%. Slightly more than one child out of 10 had an abnormal presentation. Nearly 50% had a short labor (less than 10 hours), the partograph was used in 38% of the women, and the GATP practiced in 50.1% of them. Abnormal presentation of the fetus (aOR = 2.7 (95% CI: 1.4 - 5.1), p=0.002), failure to use the partograph (aOR = 4.4 (95% CI: 2 .6 - 7.4), p&lt;0.001), the fact of not having an economic activity (aOR = 1.7 (95% CI: 1.0 - 2.7), p = 0.033), the fact of having taken less than 2 doses of VAT ( aOR = 2.8 (95% CI: 1.8 - 4.4), p&lt;0.001) and the absence of practice of GATP (aOR = 1.6 (CI 95%: 1.0 - 2.6), p=0.040) were identified as factors that significantly favored the occurrence of maternal deaths. Several factors negatively influence the occurrence of maternal deaths in the West Region. Operational strategies such as continuous training of maternity ward staff, and the establishment of systematic maternal death audits and review meetings should be implemented to reduce and control these risk factors.</p>","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"80 2","pages":"41-58"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140912514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}