Health information systems in developing countries are often faulted for the poor quality of the data generated and for the insufficient means implemented to improve system performance. This study examined data quality in the Routine Health Information System in Benin in 2012 and carried out a cross-sectional evaluation of the quality of the data using the Lot Quality Assurance Sampling method. The results confirm the insufficient quality of the data based on three criteria: completeness, reliability and accuracy. However, differences can be seen as the shortcomings are less significant for financial data and for immunization data. The method is simple, fast and can be proposed for current use at operational level as a data quality control tool during the production stage.

The main difference between poor and nonpoor people's therapeutic itinerary is that nonpoor people more often use state health facilities first than the poor.

(Dujardin 1993; WHO 1994). Le concept de qualité est assez complexe et la qualité des soins et des services de santé est perçue différemment selon les trois principaux acteurs: les professionnels privilégient la qualité technique et l'efficacité des soins; pour les gestionnaires et décideurs, il s'agit surtout d'efficience, d'équité et de pèrennité; quant aux usagers, l'important est la réponse à la souffrance, l'accessibilité des services, le traitement humain des professionnels (Béraud 1998; Daouas et al. 2002 2 ;Jaffré & Olivier de Sardan 2003). La qualité des soins et services revêt donc trois aspects: techniques, organisationnels, et humains.Les articles et ouvrages sur la qualité en obstétrique ne se comptent plus dans le domaine de la recherche clinique et épidémiologique. Pour les dimensions humaines et organisationnelles, la littérature reste encore pauvre au Bénin et ailleurs en Afrique de l'Ouest où le ratio de mortalité maternelle (RMM) est le plus élevé au monde (Prual 1999b; WHO 2004). L'amélioration de la qualité de prise en charge des complications obstétricales, un des détermi-nants de réduction du RMM, ne pourra être effective sans la prise en compte des besoins et de la satisfaction des patientes (Jaffré & Prual 1994; Sitzia & Wood 1997 3 ;Landais et al. 2003). Le présent article a pour objectif d'évaluer le système de soins obstètricaux d'urgence à partir de l'itinéraire thérapeutique, des perceptions et des Tropical Medicine and International Health

Objective: The e-waste recycling is increasing worldwide, yet there remain outstanding environmental and occupational health concerns. Most research conducted on e-waste recycling has focused on only few countries (e.g., China, Ghana), thus there is a need to increase understanding of e-waste workers' (recyclers') knowledge and practices in other locations, that is purpose of this study. Methods: In a cross-sectional study conducted in Cotonou, Benin, 45 e-waste recyclers were interviewed from September to November 2018. Survey data was collected concerning their demographics, professional practices, and knowledge of occupational and environmental risks associated with e-waste recycling. Results: Most participants reported the following methods of material recovery of electronic items in declining orders: dismantling (97.8%) > sorting (91.1%) > incinerating (88.9%). Only 44.2% of the recyclers reported wearing ≥ 1 piece of personal protective equipment (PPE). More than 90% of e-waste workers noted that they disposed the e-waste in natural sites. About half, 46.7% believed that e-waste can pollute water and 71.1% considered that it can pollute air and soil. Recyclers reported several diseases including respiratory (67.4%), heart (62.8%), eye (65.1%), kidney (41.9%) and cancers (30.2%) could be linked to their work, respectively. Interestingly, we also found associations between the number of electronic items dismantled per month and self-report symptoms from the e-waste recyclers such as finding blood in urine and stool, wounds, dizziness, and itchy skin. Our results also indicated associations between the number of How to cite this paper: Houessionon,

IntroductionLe financement basé sur les résultats (FBR) est une intervention à l’échelle du système de santé dont les effets sur les piliers de ce système ne sont pas souvent mesurés, surtout au niveau du système d’information et de suivi des interventions de santé.MéthodesL’étude transversale faite au Bénin dans 67 formations sanitaires tirées au hasard dans deux zones sanitaires FBR_PRPSS, deux zones FBR_PASS, toutes exposées au FBR et deux zones non exposées au FBR, a permis d’évaluer la qualité du système d’information et de suivi. L’indice de qualité et les scores de performance des composantes du système ont été utilisés pour comparer les strates exposées au FBR à la strate non exposée.RésultatsLa qualité du système d’information et de suivi est moyenne dans les trois strates, avec des indices de qualité plus élevés dans les strates FBR_PRPSS (77%) et FBR_PASS (74%) que dans la strate Non_FBR (67%). La distribution de la qualité du système au sein des strates est plus favorable aux strates exposées aux FBR. Les composantes ayant une bonne performance sont “Information démographique”, “Résultats et analyses essentiels” et “Archivage des supports statistiques”. Toutefois, des composantes importantes pour le FBR et le système d’information telles “Supervision” et “Rapportage” continuaient d’avoir un IQ moyen, deux ans après le début de l’intervention.ConclusionLa performance moyenne du système d’information et de suivi pourrait davantage s’améliorer avec le respect des directives du FBR, surtout si la qualité de ce système devient une priorité du FBR.

Adequate nutrition is required for the effectiveness and adherence to medication among TB (Tuberculosis) patients. The purpose of the study was to evaluate the quality of nutritional management of TB patients under treatment in intensive phase in two health districts in Benin. This cross sectional and evaluative study was conducted from February 2 nd to 20 th July 2016 and included 36 tuberculosis TB patients (exhaustively selected) under treatment in intensive phase and twelve health professionals who provide care to TB patients identified by a reasoned choice. Data on nutritional management of TB patients were collected through interviews, observation and medical records exploitation. The quality of nutritional management for TB patients was assessed according to national and international guidelines. The median age of the 36 TB patients was 40 years and 97.2% (35) were new cases of tuberculosis. Among TB patients, 88.89% consumed less than required intake of fats and proteins. At base line, 66.67% had BMI <18.5. At the end of intensive phase treatment 44.44% showed BMI <18.5.The quality of nutritional management of TB patients was poor (score = 27.3%) characterized by and a fair component "input" (score = 55.6%), poor components "process" (score = 0%) and "results" (score = 20%). Interventions to improve the quality of nutritional care of TB patients under treatment in intensive phase in the two health districts are timely to improve effectiveness of drug treatment.

No abstract

Issue/Problem Road crashes are the primary cause of death within the 15-29-year-old age group. In Benin, there is no policy of road safety. The establishment of effective policies requires objective data that can guide decision-making. Research institutions are poorly integrated in this process. To fill the gap in scientific evidence and to participate in the decision-making, the Department of Epidemiology and Bio-Statistics of Regional Institute of Public Health, along with partners, set up a unit research dedicated to road safety, the UR ReMPARt. Description of the method UR ReMPARt, based on multidisciplinarity and intersectoriality, is the first initiative of its kind in the African sub-region. Its mission is to contribute to political decision-making on the subject of road safety via research development and on a template of sustainability of interventions. The intervention strategies are: training, research development, and knowledge transfer. Results Created in May 2017, this research unit is organized around academic and professional competences from different countries. Assessment after two years shows four continuous training sessions on different themes, the development of doctoral research projects, and activities of expertise. Three Ph.D. thesis and five masters students in epidemiology are also in training to reinforce the unit. The partnership contains dedicated consortiums for the mobilization of resources in favour of the research and training for road safety. Lessons Intersectoriality and multidisciplinarity are requisite to guide the relevance of the research and provide the adequate answers on the matter of road safety. The research and the targeted transfer of results remain key foundations to direct decision-making. The reproducibility of this initiative must take in consideration those principles and constitute an opportunity of sharing of experience and networking in favour of the joint cause that is road safety. Key messages Research in road safety cannot be one way vision. Building political decisions around conclusive data is henceforth an obligation to integrate in our practices.