نبذة مختصرة : PURPOSE: The DenBalo study in Burkina Faso aimed to examine biological vulnerability in preterm versus full-term newborns but recorded fewer preterm births than expected based on routine health centre statistics. To investigate this discrepancy, a qualitative study was conducted to understand how healthcare workers assess gestational age in urban Burkina Faso. METHODS: Ten in-depth interviews and four focus groups were conducted with health workers across four centres in Bobo-Dioulasso. Thematic analysis revealed five key themes: definitions of preterm birth, gestational age estimation methods, preterm birth reporting, care challenges, and proposed improvements. RESULTS: Health workers varied in their definitions of preterm birth, using either gestational age (
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