Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

Zugl.: Mainz, Univ., Diss., 2006

Univ., Diss.--Bonn, 2004.

Thèses (M.Sc.)--Université de Sherbrooke (Canada), 2000. / Titre de l'écran-titre (visionné le 20 juin 2006). Publié aussi en version papier.

Th. 3e cycle--Sociol.--Paris 5, 1974.

Thèse (M.A.) -- Université Laval, 2008. / Bibliogr.: f. [142]-154. Publié aussi en version électronique dans la Collection Mémoires et thèses électroniques.

Thesis (doctoral)--Swedish University of Agricultural Sciences, 2004 / Includes bibliographical references (p. 241-252)

Universiẗat, Diss., 2004--Frankfurt (Main). / Zsfassung in dt. und engl. Sprache.

This essay is a comparative case study of the democratization in Bhutan and Burkina Faso. The question this essay ask of its theories and empirical facts are that of ; what kind of similarities can be found in two cases so different, regarding their modern democratization process. To answer that question, two theories are used. Dankwart A. Rustows four phases of democratization and Samuel P. Huntingtons waves of democratization. They are later compared to the empirical data of Bhutan and Burkina Fasos political development and historical backgrounds to democracy. Whilst comparing them, similarities are found in that of leaders institutionalizing the democratic process, and in the rise of new political forums where the democratic process is being applied to actual political problems and then resolved and worked with by politicians. This research concludes with Bhutan being the exception to the democratic process, having had monarks giving up their absolute power to benefit the democratic process, whereas the former leader of Burkina Faso who institutionalized democratic process used it to gain and sustain his own power of the state.

Background: The Missed Opportunities for Maternal and Infant Health (MOMI) project, which aimed at upgrading maternal and infant postpartum care (PPC), implemented a package of interventions including the integration of maternal PPC in infant immunization services in 12 health facilities in Kaya Health district in Burkina Faso from 2013 to 2015. This paper assesses the coverage and the quality of combined mother-infant PPC in reproductive, maternal, newborn and child health services (RMNCH). Methods: We conducted a mixed methods study with cross-sectional surveys before and after the intervention in the Kaya health and demographic surveillance system. On the quantitative side, two household surveys were performed in 2012 ( N = 757) and in 2014 ( N = 754) among mothers within one year postpartum. The analysis examines the result of the intervention by the date of delivery at three key time points in the PPC schedule: the first 48 h, days 6 - 10 and during weeks 6 - 8 and beyond. On the qualitative side, in depth interviews, focus group discussions and observations were conducted in four health facilities in 2012 and 2015. They involved mothers in the postpartum period, facility and community health workers, and other stakeholders. We performed a descriptive analysis and a two-sample test of proportions of the quantitative data. The qualitative data were recorded, transcribed and analysed along the themes relevant for the intervention. Results: The findings show that the WHO guidelines, in terms of content and improvement of maternal PPC, were followed for physical examinations and consultations. They also show a significant increase in the coverage of maternal PPC services from 50% (372/752) before the intervention to 81% (544/672) one year after the start of the intervention. However, more women were assessed at days 6 - 10 than at later visits. Integration of maternal PPC was low, with little improvements in history taking and physical examination of mothers in immunization services. While health workers are polyvalent, difficulties in restructuring and organizing services hindered the integration. Conclusion: Unless a comprehensive strategy of integration within RMNCH services is implemented to address the primary health care challenges within the health system, integration will not yield the desired results.