Within EpiMaCT, Eyram Tchibozo explored cardiovascular risk factors in pregnant women in Benin.
Eyram Tchibozo, chercheur·e au sein de EpiMaCT (Institut de Recherche pour le Développement).
Thèse soutenue en 2024 à l'école doctorale École doctorale Ω-LIM-Biologie-Chimie-Santé (Limoges ; 2022-).
Référencée dans le réseau ABES/STAR, cette thèse répond aux critères de rigueur de l'enseignement supérieur français.
The health of pregnant women in Benin is a major public health issue, especially in light of an alarming maternal mortality rate that calls for action from all sectors of society. Eyram Tchibozo's thesis, conducted at the Institute for Research and Development, highlights the cardiovascular risk factors (CVRF) affecting this vulnerable population. In 2015, Benin reported a maternal mortality rate of 405 per 100,000 live births, a figure that places the country among the nations most affected by this scourge. Preeclampsia, which accounts for 22% of maternal deaths, is an alarming indicator of the health status of pregnant women. These figures underscore the urgency of targeted action to improve maternal health, as each lost life is a tragedy that affects not only families but also the community as a whole.
The study conducted by Eyram Tchibozo took place in 30 maternity wards, where data was collected on CVRF and hypertensive disorders of pregnancy. The results reveal significant disparities in access to care between urban and rural areas. For example, women living in rural areas, often far from health centers, face difficulties accessing prenatal care. This situation raises questions about health equity, as women living in underserved areas are particularly at risk. It is crucial to adapt interventions according to their context, taking into account the socio-economic and cultural realities of each region.
The recommendations arising from this research are clear and must be taken into account by decision-makers. It is necessary to intensify screening and awareness programs regarding modifiable CVRF. This could include targeted information campaigns, using materials suited to different populations, as well as training for healthcare professionals. For example, awareness workshops on nutrition, physical activity, and stress management could be organized in communities. Furthermore, additional research is needed to better understand CVRF based on residential environments, in order to develop tailored strategies. A differentiated approach could allow for better targeting of interventions and reaching the most vulnerable women.
Eyram Tchibozo's thesis represents a significant contribution to research on women's health in Benin. It provides crucial data to guide health policies and clinical interventions. By integrating these recommendations into public policies, it is possible to reduce maternal mortality and improve fetal outcomes. For instance, integrating CVRF monitoring into prenatal care could allow for early detection of complications. The health of pregnant women should not be a secondary priority, but a central focus of public health policies in Benin. This requires a strong commitment from health authorities, as well as mobilization from civil society and development partners.
From a regional perspective, it is essential to note that Benin is not alone in facing this challenge. Other West African countries are experiencing similar situations, with concerning maternal mortality rates. Regional collaboration could facilitate the sharing of best practices and harmonize efforts to improve maternal health. Initiatives such as regional forums on women's health could promote the exchange of experiences and innovative solutions. In summary, the health of pregnant women in Benin is an issue that deserves particular attention, not only to save lives but also to ensure a better future for generations to come.
Données clés
- 405 : Taux de mortalité maternelle pour 100 000 naissances vivantes en 2015.
- 22% : Prévalence de la pré-éclampsie parmi les décès maternels.
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Sources et accès
Eyram Tchibozo. Facteurs de risque cardiovasculaires chez les femmes enceintes au Bénin. Médecine humaine et pathologie. Université de Limoges; Université d'Abomey-Calavi UAC (Bénin), 2024. Français. ⟨NNT : 2024LIMO0063⟩. ⟨tel-04932963⟩