Medical Demography and Access to Prenatal Care in the Foumbot Agricultural Production Basin (West Cameroon)

This article analyzes the dynamics of medical demography and access to prenatal care in the agricultural production basin of Foumbot, located in western Cameroon. This region, characterized by strong agricultural activity, presents particular challenges in terms of maternal and child health. Lack of adequate access to prenatal care is a major concern that can influence maternal and neonatal health indicators. In our work, we conducted a six-month study in the commune of Foumbot. We used a research methodology that included multidimensional analysis, drawing on data from field surveys of 140 randomly selected women in the villages of Baigom, Fosset, Foumbot 1, 2, 3, 4, 5, Maka, Momo and Njone. These data were analyzed using descriptive statistical techniques. This enabled us to highlight the variation in qualities of prenatal care according to environments and types of health facility. The results show a significant disparity in access to prenatal care according to different socio-economic and geographical factors. Only 70% of pregnant women made the minimum four visits required, 22% did not use prenatal care, while 8% had fewer than four visits. The study also reveals that the main obstacles are the remoteness of health centers, the costs associated with cares and cultural practices that can limit the use of available services. The impact of agricultural activity, which is often the main source of income and subsistence for local populations, exacerbates these challenges by reducing the time available for medical care and increasing economic constraints. In rural areas, the use of medicinal plants also predominates, at 30%. The maternal mortality rate rose from 20 to 25 deaths per 100,000 live births between 2020 and 2023. Life expectancy at birth is 56 years; the infant mortality rate is 54‰, and the adult literacy rate is 63%. This research sheds light on the challenges faced by rural populations in terms of prenatal cares, and proposes concrete avenues for strengthening the healthcare system in similar contexts. The results of this study could also serve as a reference for public health policies aimed at improving access to care in other rural areas of Africa.