{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T16:09:32Z","timestamp":1790438972723,"version":"4.1.0"},"reference-count":20,"publisher":"CAIRN","issue":"S1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,24]]},"abstract":"<jats:p>Le nouveau-n\u00e9 a \u00e9t\u00e9 oubli\u00e9 dans les politiques de sant\u00e9 publique, visant \u00e0 r\u00e9duire la mortalit\u00e9 des enfants de moins de cinq ans en Afrique de l\u2019Ouest et du Centre, jusqu\u2019\u00e0 la publication en 2014 du \u00ab\u00a0Plan d\u2019Action Chaque Nouveau-N\u00e9\u00a0\u00bb. Si la mortalit\u00e9 n\u00e9onatale a fortement diminu\u00e9 depuis 1990 (\u2013\u00a035\u00a0%), le nombre de morts n\u00e9onatales augmente dans la r\u00e9gion en raison de la lenteur des progr\u00e8s et de la forte croissance d\u00e9mographique. La\u00a0mortinatalit\u00e9 a suivi les m\u00eames \u00e9volutions, doublant ainsi le nombre de grossesses viables qui se terminent par la perte du f\u0153tus et du nouveau-n\u00e9. Les principales causes de d\u00e9c\u00e8s n\u00e9onatals sont \u00e9vitables \u00e0 tr\u00e8s faible co\u00fbt et avec du personnel peu qualifi\u00e9\u00a0: asphyxie \u00e0 la naissance et infections. La mortalit\u00e9 des pr\u00e9matur\u00e9s est aussi largement \u00e9vitable par des soins m\u00e8re-kangourou. Les femmes de la r\u00e9gion utilisent les services de sant\u00e9 dans une proportion importante, mais les \u00e9tudes montrent qu\u2019il n\u2019y a aucun lien entre la consultation pr\u00e9natale, l\u2019accouchement institutionnel et la mortalit\u00e9 due \u00e0 la mauvaise qualit\u00e9 des soins. Il est indispensable de comprendre pourquoi des soins aussi basiques et peu co\u00fbteux que l\u2019allaitement maternel imm\u00e9diat, le\u00a0peau \u00e0 peau, la prise en charge de l\u2019asphyxie \u00e0 la naissance, le lavage des mains ne sont pas pratiqu\u00e9s dans les\u00a0formations sanitaires prenant en charge les m\u00e8res et les nouveau-n\u00e9s. L\u2019anthropologie doit venir au secours de la sant\u00e9 publique pour mettre en place des programmes efficaces bas\u00e9s sur la compr\u00e9hension des pratiques.<\/jats:p>","DOI":"10.3917\/spub.200.0007","type":"journal-article","created":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T01:25:20Z","timestamp":1580952320000},"page":"7-15","source":"Crossref","is-referenced-by-count":5,"title":["Le nouveau-n\u00e9 en Afrique de l\u2019Ouest et du Centre\u00a0: comprendre pour agir"],"prefix":"10.3917","volume":"HS1","author":[{"given":"Alain","family":"Prual","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"crossref","unstructured":"1 Rosenfield A, Maine D. Maternal mortality--a neglected tragedy. Where is the M in MCH? Lancet. 1985;2(8446):83-5.","DOI":"10.1016\/S0140-6736(85)90188-6"},{"key":"rb2","unstructured":"2 WHO. Every Woman Every Child. Every Newborn. 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Paris\u00a0: Karthala\u00a0; 2003. 464\u00a0p.","DOI":"10.3917\/kart.jaffr.2003.01"},{"key":"rb20","doi-asserted-by":"crossref","unstructured":"20 et al. Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. 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