MATERNAL MORBIDITY: INVENTORY FEASIBILITY AND ACCEPTABILITY OF MEASUREMENT TOOLS AT THE LEVEL OF MARRAKECH-MOROCCO

The measurement of less severe maternal morbidity represents many challenges forwomen during pregnancy and postpartum, and for the organization of health services. In orderto explore the different aspects of the feasibility and acceptability of implementing morbiditymeasurement tools at the primary health care network level, a qualitative and quantitativemixed descriptive study was conducted at the level of the primary health care network in theprefecture of Marrakech. The objectives are: (1) to test the tools for measuring maternalmorbiditylesssevereproposedbytheWHOanddescribethestateofplayofthismorbidity, (2) to study the feasibility and acceptability of integrating these tools into the Pregnancy and Childbirth Surveillance Program inMarrakech, and (3) to validating and proposing a new tool adapted to our Moroccan context. The data were collected by questionnaires administered face-to-face for 257 women in antenatal care and 253 women in postpartum care recruited at the level of ten health centers. Most of the women who participated in the study (55.95% antenatal and 52.17% postpartum care) were not in good health. Of these women, 35.79% had direct complications and 33.85% indirect (medical) complications. In terms of feasibility, the results suggest that the implementation of the tools presents challenges in terms of time, resources and coordination. Regarding the acceptability of the WMOs, the women surveyed perceive it as a useful information tool that promotes communication with health professionals and makes it possible to assess their state of health and ensure their holistic care.