Alexandre Dumont
Biographic Data
| ID | 5929802 |
|---|---|
| NAME | Alexandre Dumont |
| GIVEN NAMES | Alexandre |
| FAMILY NAME | Dumont |
| SIGNATURE | DUMONT A |
| AFFILIATIONS | Inserm |
| ORCID | 0000-0003-3826-0193 |
| VERIFIED | Yes |
| TOTAL WORKS | 14 |
| TOTAL CITATIONS | 4 |
| AUTHOR COUNT | 14 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2015 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Implementation of a decision aid to promote shared decision-making on mode of birth in low-risk pregnant women
INTRODUCTION: Implementing shared decision-making (SDM) in maternity care remains challenging in low-income and middle-income countries (LMICs). Decision aids can support SDM, but evidence on their effectiveness in such settings is limited. We assessed the impact of a decision analysis tool (DAT) for pregnant women on mode of birth (MOB) within the QUALIty DECision-making project, a multisite, multicountry pragmatic trial to reduce unnecessary ca…
Reframing labour companionship
Labour companionship positively shapes childbirth experiences, offering continuous emotional and practical support to birthing people. In Argentina, companionship is protected by law, though implementation challenges remain. Gender norms and expectations can act as barriers to quality care. Addressing a gap in companionship literature, this paper explores gender representations perceived by male and female companions and health care providers at …
Implementing the Quali-DEC project in Argentina, Burkina Faso, Thailand and Viet Nam
The project ‘Quality Decision-making by women and providers’ (QUALI-DEC) combines four non-clinical interventions to promote informed decision-making surrounding mode of birth, improve women’s birth experiences, and reduce caesarean sections among low-risk women. QUALI-DEC is currently being implemented in 32 healthcare facilities across Argentina, Burkina Faso, Thailand, and Viet Nam. In this paper, we detail implementation processes and the pla…
How anger works
Caesarean section or vaginal delivery for low-risk pregnancy? Helping women make an informed choice in low- and middle-income countries
Women’s fear and uncertainty about vaginal delivery and lack of empowerment in decision-making generate decision conflict and is one of the main determinants of high caesarean section rates in low- and middle-income countries (LMICs). This study aims to develop a decision analysis tool (DAT) to help pregnant women make an informed choice about the planned mode of delivery and to evaluate its acceptability in Vietnam, Thailand, Argentina, and Burk…
What the percentage of births in facilities does not measure
Introduction: Increases in facility deliveries in sub-Saharan Africa have not yielded expected declines in maternal mortality, raising concerns about the quality of care provided in facilities. The readiness of facilities at different health system levels to provide both emergency obstetric and newborn care (EmONC) as well as referral is unknown. We describe this combined readiness by facility level and region in Senegal. Methods: For this cross-…
Trop et pas assez à la fois
Le taux de césarienne varie de 1 % à 58 % dans le monde. Il est particulièrement bas, en deçà de 5 %, dans des pays peu développés d’Afrique subsaharienne comme le Mali (2 %), le Nigéria (3 %) et le Congo (5 %). À l’opposé, il dépasse les 30 % dans des pays européens comme Chypre (57 %), la Géorgie (41 %), la Roumanie (40 %) ou l’Italie (35 %). Il est très élevé aussi en Amérique latine qui a une longue histoire d’accouchements par césarienne. La…
Caesarean section in Benin and Mali
The impact of the obstetrical risk insurance scheme in Mauritania on maternal healthcare utilization
In Mauritania, obstetrical risk insurance (ORI) has been progressively implemented at the health district level since 2002 and was available in 25% of public healthcare facilities in 2015. The ORI scheme is based on pre-payment scheme principles and focuses on increasing the quality of and access to both maternal and perinatal healthcare. Compared with many community-based health insurance schemes, the ORI scheme is original because it is not bas…
Forfait obstétrical et inégalités dans l’accès aux soins maternels en Mauritanie
La Mauritanie a introduit en 2002 un système de prépaiement des soins de santé maternelle, le forfait obstétrical. L’objectif de cette étude est de savoir si le forfait améliore la qualité de l’accès et réduit les inégalités dans le recours aux soins obstétricaux. Les données sont celles de l’enquête ménages MICS-Mauritanie de 2015. Deux méthodes ont été utilisées. La première est la méthode des indices de concentration. La seconde est la méthode…
Assessing scalability of an intervention
Public health interventions should be designed with scale in mind, and researchers and implementers must plan for scale-up at an early stage. Yet, there is limited awareness among researchers of the critical value of considering scalability and relatively limited empirical evidence on assessing scalability, despite emerging methodological guidance. We aimed to integrate scalability considerations in the design of a study to evaluate a multi-compo…
Do free caesarean section policies increase inequalities in Benin and Mali
Urban/rural and socioeconomic inequalities in C-section access did not change substantially after the countries implemented free C-section policies. User fee exemption is not enough. We recommend switching to mechanisms that combine both a universal approach and targeted action for vulnerable populations to address this issue and ensure equal health care access for all individuals
Maternal and neonatal health impact of obstetrical risk insurance scheme in Mauritania
A variety of health financing schemes shaped on pre-payment scheme have been implemented across Sub-Saharan Africa (SSA) to address the Millennium Development Goals (MDGs). In Mauritania, the Obstetric Risk Insurance package (ORI) focusing on maternal and perinatal health has been progressively implemented at the health district level since 2002. Here, our main objective was to assess the effectiveness of the ORI in increasing facility-based deli…
The Hidden Costs of a Free Caesarean Section Policy in West Africa (Kayes Region, Mali)
The fee exemption policy for EmONC in Mali aims to lower the financial barrier to care. The objective of the study was to evaluate the direct and indirect expenses associated with caesarean interventions performed in EmONC and the factors associated with these expenses. Data sampling followed the case control approach used in the large project (deceased and near-miss women). Our sample consisted of a total of 190 women who underwent caesarean int…
Assessing scalability of an intervention
Public health interventions should be designed with scale in mind, and researchers and implementers must plan for scale-up at an early stage. Yet, there is limited awareness among researchers of the critical value of considering scalability and relatively limited empirical evidence on assessing scalability, despite emerging methodological guidance. We aimed to integrate scalability considerations in the design of a study to evaluate a multi-compo…
Caesarean section in Benin and Mali
The Hidden Costs of a Free Caesarean Section Policy in West Africa (Kayes Region, Mali)
The fee exemption policy for EmONC in Mali aims to lower the financial barrier to care. The objective of the study was to evaluate the direct and indirect expenses associated with caesarean interventions performed in EmONC and the factors associated with these expenses. Data sampling followed the case control approach used in the large project (deceased and near-miss women). Our sample consisted of a total of 190 women who underwent caesarean int…
Maternal and neonatal health impact of obstetrical risk insurance scheme in Mauritania
A variety of health financing schemes shaped on pre-payment scheme have been implemented across Sub-Saharan Africa (SSA) to address the Millennium Development Goals (MDGs). In Mauritania, the Obstetric Risk Insurance package (ORI) focusing on maternal and perinatal health has been progressively implemented at the health district level since 2002. Here, our main objective was to assess the effectiveness of the ORI in increasing facility-based deli…
Do free caesarean section policies increase inequalities in Benin and Mali
Urban/rural and socioeconomic inequalities in C-section access did not change substantially after the countries implemented free C-section policies. User fee exemption is not enough. We recommend switching to mechanisms that combine both a universal approach and targeted action for vulnerable populations to address this issue and ensure equal health care access for all individuals
Assessing scalability of an intervention
Public health interventions should be designed with scale in mind, and researchers and implementers must plan for scale-up at an early stage. Yet, there is limited awareness among researchers of the critical value of considering scalability and relatively limited empirical evidence on assessing scalability, despite emerging methodological guidance. We aimed to integrate scalability considerations in the design of a study to evaluate a multi-compo…
What the percentage of births in facilities does not measure
Introduction: Increases in facility deliveries in sub-Saharan Africa have not yielded expected declines in maternal mortality, raising concerns about the quality of care provided in facilities. The readiness of facilities at different health system levels to provide both emergency obstetric and newborn care (EmONC) as well as referral is unknown. We describe this combined readiness by facility level and region in Senegal. Methods: For this cross-…
Trop et pas assez à la fois
Le taux de césarienne varie de 1 % à 58 % dans le monde. Il est particulièrement bas, en deçà de 5 %, dans des pays peu développés d’Afrique subsaharienne comme le Mali (2 %), le Nigéria (3 %) et le Congo (5 %). À l’opposé, il dépasse les 30 % dans des pays européens comme Chypre (57 %), la Géorgie (41 %), la Roumanie (40 %) ou l’Italie (35 %). Il est très élevé aussi en Amérique latine qui a une longue histoire d’accouchements par césarienne. La…
Caesarean section in Benin and Mali
The impact of the obstetrical risk insurance scheme in Mauritania on maternal healthcare utilization
In Mauritania, obstetrical risk insurance (ORI) has been progressively implemented at the health district level since 2002 and was available in 25% of public healthcare facilities in 2015. The ORI scheme is based on pre-payment scheme principles and focuses on increasing the quality of and access to both maternal and perinatal healthcare. Compared with many community-based health insurance schemes, the ORI scheme is original because it is not bas…
Forfait obstétrical et inégalités dans l’accès aux soins maternels en Mauritanie
La Mauritanie a introduit en 2002 un système de prépaiement des soins de santé maternelle, le forfait obstétrical. L’objectif de cette étude est de savoir si le forfait améliore la qualité de l’accès et réduit les inégalités dans le recours aux soins obstétricaux. Les données sont celles de l’enquête ménages MICS-Mauritanie de 2015. Deux méthodes ont été utilisées. La première est la méthode des indices de concentration. La seconde est la méthode…
How anger works
Caesarean section or vaginal delivery for low-risk pregnancy? Helping women make an informed choice in low- and middle-income countries
Women’s fear and uncertainty about vaginal delivery and lack of empowerment in decision-making generate decision conflict and is one of the main determinants of high caesarean section rates in low- and middle-income countries (LMICs). This study aims to develop a decision analysis tool (DAT) to help pregnant women make an informed choice about the planned mode of delivery and to evaluate its acceptability in Vietnam, Thailand, Argentina, and Burk…
Implementing the Quali-DEC project in Argentina, Burkina Faso, Thailand and Viet Nam
The project ‘Quality Decision-making by women and providers’ (QUALI-DEC) combines four non-clinical interventions to promote informed decision-making surrounding mode of birth, improve women’s birth experiences, and reduce caesarean sections among low-risk women. QUALI-DEC is currently being implemented in 32 healthcare facilities across Argentina, Burkina Faso, Thailand, and Viet Nam. In this paper, we detail implementation processes and the pla…
Reframing labour companionship
Labour companionship positively shapes childbirth experiences, offering continuous emotional and practical support to birthing people. In Argentina, companionship is protected by law, though implementation challenges remain. Gender norms and expectations can act as barriers to quality care. Addressing a gap in companionship literature, this paper explores gender representations perceived by male and female companions and health care providers at …
Implementation of a decision aid to promote shared decision-making on mode of birth in low-risk pregnant women
INTRODUCTION: Implementing shared decision-making (SDM) in maternity care remains challenging in low-income and middle-income countries (LMICs). Decision aids can support SDM, but evidence on their effectiveness in such settings is limited. We assessed the impact of a decision analysis tool (DAT) for pregnant women on mode of birth (MOB) within the QUALIty DECision-making project, a multisite, multicountry pragmatic trial to reduce unnecessary ca…
Global Maternal and Child Health (12 works) · Medicine (9 works) · Pregnancy (7 works) · Family medicine (6 works) · Maternal and Perinatal Health Interventions (6 works) · Caesarean section (5 works) · Economic growth (5 works) · Environmental health (5 works) · Nursing (5 works) · Population (5 works)