| Titre | Le soignant en son miroir. Accompagnement anthropologique d'une intervention en santé maternelle au Sénégal | |
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| Auteur | Patricia Vasseur, Laurent Vidal | |
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Revue | Autrepart |
| Numéro | no 55, 2010 Variations | |
| Rubrique / Thématique | Variations |
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| Page | 107 | |
| Résumé |
La prise en charge des accouchements difficiles génère au Sénégal une morbidité et une mortalité importantes. Dans le cadre d'un projet de recherche et d'intervention (AQUASOU), associant disciplines et expertises diverses, des anthropologues se sont penchés sur les mécanismes de prise en charge des parturientes, afin de mettre en place une intervention visant à les transformer. De 2003 à 2006, dans une maternité d'un hôpital de la périphérie de Dakar, ils ont étudié les facteurs compliquant leur prise en charge. Des « rencontres-miroirs » ont été créées et se sont tenues régulièrement, dans un cadre préservant la confidentialité. Les professionnels de santé ont progressivement accepté de discuter collectivement de leurs pratiques, ce qui a transformé les gestes de soins et le fonctionnement de l'équipe. Source : Éditeur (via Cairn.info) |
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| Résumé anglais |
The caregiver in his mirror. Anthropological follow up of a maternal health program intervention in Senegal Context and aims : The management of difficult childbirths is a cause of significant morbidity and mortality in Senegal. In the course of a project of research and intervention (AQUASOU), bringing together different disciplines and expertise, anthropologists explored different mechanisms for managing parturients in order to initiate an intervention that would transform them. Methods : From 2003-2006, in the maternity wing of a district hospital on the periphery of Dakar, anthropologists, one of whom was a midwife, analyzed factors that complicated parturient management. An intervention was initiated, involving health professionals who would appropriate new practices : « mirror-meetings » were created and held regularly in a framework that maintained confidentiality : cases were decoded and discussed in order to identify obstacles and difficulties in managing women in a consensual manner. These case studies were themselves implemented by observations of researchers and professionals. Results : Health professionals gradually agreed to discuss their practices – on specific cases – collectively, giving their own opinions and accepting others'. This improved team communication, which is essential during childbirth management. Equally, tensions within the team were revealed among the professionals taking hierarchy into account. If the principle of « observing the practice » have changed care gestures and team functioning, « mirror-meetings » did not last when the project ended, due to questions related to the approval of the activity by medical hierarchy. Conclusion : Anthropology can productively contribute to the improvement of practices when it is created within a framework of calm dialogue and where technical reflection on medical gestures is combined with open communication of the team. Source : Éditeur (via Cairn.info) |
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| Article en ligne | http://www.cairn.info/article.php?ID_ARTICLE=AUTR_055_0107 |
