Organizational and operational capabilities of specialist centres for children with psychomotor disability in Abidjan Organisation et fonctionnement des centres d’accueil pour enfants handicapés psychomoteurs à Abidjan

Objective. – To describe the organizational and operational capabilities of specialized centres for children with psychomotor disability in Abidjan, Republic of Côte d’Ivoire. Materials and methods. – This descriptive study was carried out from February to May, 2006 at the various specialized centres for children with psychomotor disability that exist in the district of Abidjan. The procedure comprised a clinical description of the disabled children admitted to these centres and an assessment of the centres’ organization and operational capabilities. Results and comments. – Six specialist centres for children with psychomotor disability were identified, namely the Infant Guidance Centre, the Awakening and Stimulation Centre for disabled Children, the ‘‘Sainte-Magdeleine’’ Centre, the Medical and Training Institute, the ‘‘Page Blanche’’ institute and the ‘‘Colombes Notre Dame de la Paix’’ Centre. Among the children, 97.15% were day patients, 66.37% were mentally challenged, 30.96% had psychomotor impairment and 2.66% had motor impairments. The level of organization varied but the centres nevertheless had operational administrative, medical and paramedical staff, despite the absence of certain specialties. However, the lack of personnel, equipment and infrastructure is hindering the delivery of adequate services to the children. Conclusion. – In Abidjan District, reception centres for children with psychomotor impairments are essentially privately run. Organizational and operational performances were suboptimal, with a low carer-to-patient ratio. Reinforcement of the centres’ operational capabilities appears to be necessary. # 2009 Elsevier Masson SAS. All rights reserved.