Fatou Diawara - Academia.edu (original) (raw)
Papers by Fatou Diawara
In Mali, 56% of children under 5 deaths are associated with malnutrition in 2006. The center of g... more In Mali, 56% of children under 5 deaths are associated with malnutrition in 2006. The center of gravity of malnutrition appears to move from rural to urban areas. It is in this context that a study of factors associated with malnutrition among children aged 6 to 59 months was conducted in 2012 in two common Bamako district. A cross-sectional cluster sample survey was conducted from September 2012 to February 2013 with 470 children aged 6 to 59 months. Collection tools were tested and the protocol approved by the ethics committee of the INRSP. The chi-square test of Pearson 2, Fisher's exact test and multiple logistic regression were used for analysis. The prevalence of wasting was 10.9% [8.4-14.0] and 18.9% of children were at risk of wasting. Factors associated with wasting were age 12-23 months (OR = 0.36 [0.14-0.90]) and 48-59 months (OR = 0.26 [0.08-0, 80]), parity ≥ 5 (OR = 0.34 [0.12-0.95]), the family meal (OR = 4.47 [1.95- 10.26]), the special meal (OR = 3.85 [1.79-8.30]). These results could towards more effective strategies against malnutrition.
Introduction : The area of Sikasso although it is overall surplus with an agricultural level of p... more Introduction : The area of Sikasso although it is overall surplus with an agricultural level of production knew in 2010 connait a level of prevalence of malnutrition. Vis-a-vis this paradox, the present study on the level of knowledge, the attitudes and the practices of the households as regards health, nutrition was carried out in order to reduce the prevalency of malnutrition in the area. Materials and methods: A cross-sectional study by cluster sampling was carried out of June 3 at July 16, 2010 in six communes of the circle of Sikasso (Dioumatene, Finkolo, Klela, Pimperna, Socourani, Sikasso) composed of 38 producing potato villages. The level of knowledge, the attitudes and the practices of 1182 mothers of children from 6 to 59 months on health and the nutrition were carried out. Results : Nearly 60% of the children from 6 to 59 months had been sick. The fever (35,1%), the diarrhoea (27,9%) and cough (21,2%) were the principal symptoms observed. In the event of disease nearly 33,5% of households had against recourse to the traditional care 25,3% for the modern care. Approximately 52 % of mothers had stated to know the signs of paludism and 63% the causes of the diarrhoea. L has pump was the principal source D ' supply out of drink water of the households as well in of dry season (49,3%) as in rainy season (48,3%). Nearly 87 % of households had latrines traditional or improved which were into bad in 54% of the cases. The washing of the hands was done collectively in 86,3% of the cases in the same container. The breast feeding was practised by more than 70% of the mothers with a setting with the immediate centre E D years 51,2%. It was exclusive in 54,7% of the cases. The levels of prevalence of the three forms of malnutrition were very high with respectively 11,1 % of emaciation, 51,5 % of delay of growth and 34,6% of underweight. The children from 12 to 23 month were touched by the emaciation and the delay of growth whereas the underweight struck more the age bracket 36 to 47 months. Conclusion : The low level of knowledge and practice of the mothers hygiene cleansing, the ignorance of the signs of diarrhoea make that the nutritional situation of the children from 6 to 59 months was alarming. Required to develop publicity campaigns integrated in a program of multisector development could contribute to the improvement of the medical and nutritional state of the populations concerned.
Sikasso, in spite of its strong cereal and animal production, remains one of the areas of Mali th... more Sikasso, in spite of its strong cereal and animal production, remains one of the areas of Mali the most touched by the malnutrition which constitutes a problem of public health. This paradox, was at the base of our study of which the goal aimed at evaluating the food practices and the nutritional follow-up of the children malnutris 6-59 month in the rural communes of Klela and Fama in the Circle of Sikasso. An exhaustive exhaustive study near all children 6 to 59 months of the two communes whose 1248 detected children malnutris had been followed every month for 6 January at June 2011. The prevalence of the emaciation was 14,5% with a prevalence in the children from 6 to 23 month with 9,5%. Close to a child on two (48,5%) a delay of growth presented was 37% with a ponderal insufficiency against. The basic food in the children malnutris primarily consisted of cereals (24%). C ertains produced local like the tubers, the fruits and vegetables were consumed on the other hand little. The nutritional indicators of the children from 06 to 59 months of the surveyed villages thus remained alarming, in spite of the noted improvements these last years. In conclusion, our study showed that the strategies and actions for the follow-up and the improvement of the nutritional state of the children should include the contributions of the whole of the disciplines or sectors associated (nutritional safety, agriculture, health for the nutrition, crop…). It formulated for this purpose of the recommendations which will make it possible to the various actors (State, local authorities, engineering departments decentralized, research, ONG, trade associations, mediae…) to intervene effectively against malnutrition in the area of Sikasso, in particular.
Revue Mali Santé Publique, Dec 31, 2019
Introduction Le faible poids de naissance (FPN) est un indicateur important de la santé infantile... more Introduction Le faible poids de naissance (FPN) est un indicateur important de la santé infantile en raison de son poids à la morbidité et mortalité infantiles. Objectif Etudier les facteurs de risque et les complications néonatales précoces de faible poids à la naissance. Méthode Nous avons mené une étude cas-témoins dans le district de santé de Douentza de janvier 2015 à décembre 2016, Pour chaque cas du couple mèreenfant, un contrôle du couple mère-enfant et de l'enfant de poids normal a été sélectionné. Les données ont été saisies sur EpiData 3.1 et analysées sur SPSS 20. Des régressions logistiques simples et multiples ont été utilisées et des cotes pour mesurer la force de l'association. Résultat La prévalence de l'insuffisance pondérale à la naissance (FPN) était de 9,2%. Dans l'analyse univariée, Plusieurs variables ont été associés à l'insuffisance pondérale à la naissance avec un OR≥2. Dans l'analyse multivariée, seules les variables comme la faible dose de SEP (p = 0,005) et de déficit en HU (p = 0,0001) étaient associées au FPN. Conclusion Une étude prospective s'avère nécessaire pour mieux élucider les autres facteurs de risque et les mécanismes par lesquels les différents facteurs sont liés.
Revue Malienne de Science et de Technologie, Dec 28, 2018
Revue Malienne de Science et de Technologie, 2020
Mali méd. (En ligne), 2020
Mali Santé Publique, Jun 30, 2014
Etude des déterminants de la mortalité périnatale suite aux complications obstétricales dans le d... more Etude des déterminants de la mortalité périnatale suite aux complications obstétricales dans le district sanitaire de kéniéba (kayes). Study of the determinants of perinatal mortality from obstetric complications in the health district Kéniéba (Kayes).
Mali Santé Publique, 2018
Les diarrhées demeurent un véritable problème de santé publique par qu'elles constituent la d... more Les diarrhées demeurent un véritable problème de santé publique par qu'elles constituent la deuxième cause de mortalité des moins de 5 ans. En milieu tropical, des études montrent plusieurs facteurs concourent à la fréquence et à la gravité des diarrhées. C'est dans un tel contexte que la présente étude des facteurs favorisants les maladies diarrhéiques chez les enfants de 0 à 5 ans en commune II du district de Bamako a été réalisée. Matériels et méthodes : Une étude transversale par sondage en grappe ayant concerné 200 mères d'enfant de 0-5 ans, de novembre 2015 à octobre 2016. Le test de Chi² de Pearson a été utilisé pour avec un niveau de confiance de 95%. Résultats: Les femmes mariées représentaient 85,5% de notre échantillon dont 47% n'avaient reçu aucune instruction. Parmi les mères interrogées, 17% de leurs enfants avaient présenté au moins un épisode de diarrhée dans les deux semaines ayant précédé l'enquête. Presque toutes les mères (94%) se lavaient les...
Mali Santé Publique, 2019
Introduction : La vaccination est une mesure efficace pour prévenir les maladies infectieuses che... more Introduction : La vaccination est une mesure efficace pour prévenir les maladies infectieuses chez les enfants. L'objectif de cette recherche était d'étudier les facteurs communautaires influençant la déperdition entre le Pentavalent1 et le Pentavalent2 chez les enfants de 0-11 mois dans le district sanitaire de la commune IV (Bamako). Matériels et Méthodes : Une étude transversale, descriptive et analytique a été menée. Selon la formule de Schwartz 360 tuteurs d'enfants de 0 à 11 mois ont été sélectionnés par sondage en grappes à deux degrés et 20 agents de santé impliqués dans les activités de vaccination sélectionnés par un choix raisonné ont été interviewé à l'aide d'un questionnaire. Une analyse de régression logistique multi-variée a été faite pour les variables ayant obtenu une valeur p ˂ 0,05 à l'analyse bi-variée en utilisant le logiciel SPSS 21. Résultats : Le taux de déperdition Pentavalent1- Pentavalent3 était de 24,44%. La régression logistique m...
PubMed, 2009
Mali makes left of the 26 important countries in the world of which 18 in Africa for the eliminat... more Mali makes left of the 26 important countries in the world of which 18 in Africa for the elimination of tetanus neonatal. The plan of action conceived to this effect doesn't keep the District of Bamako like zone of intervention, had consideration to the sanitary conditions judged among best in the country. However, the district of Bamako arranges today of a number important of peripheral districts whose isolated sanitary realities can generate some indicators different of the middle indicators of the District. It is for this reason that we undertook this work, while using the LQAS method separately in each of the six communes of the district of Bamako, for i) to determine the percentage of mothers of children of 15 at 49 years having received at least two doses of antitetanus vaccine at the time of their last pregnancy in each of the six communes of the district, ii) to identify the non effective zones of the district concerning vaccination of mothers of children of less than 23 months. It was about an investigation of antitetanus vaccinal coverage of mothers of children of less than 23 months by gone residents since at least 3 months in the six communes of the district of Bamako in April 2004. The vaccinal status of targets of the survey was established from the card of vaccination or the notebook of health delivered at the time of the prenatal consultations. In the first five communes, for topics not having card or notebook of health us established the vaccinal status also by cross-examination, what has been qualified of determination of the statute by " history ", Of the survey it comes out again that the rates of cover in at least two doses of antitetanus antigen of mothers of children of less than 23 months vary from 17.6 ± 7.2% (Commune V ) to 78.4 ± 7.0% (Commune II) according to the card. In the first five townships these rates go from 46.3 ± 9.5 % (commune V) to 94.01 ± 3.4% (commune IV) according to the card and history. According to the card, the communes I, IV and V, didn't record any zone of cover of the CSCOMS concerning vaccinations where the rate of mothers having received the VAT2 reaches 80%, in reference to the value of decision (6) either vaccinated at least 13 topics (68,4%) by lot. The assessment of the coverage according to the card and history improves this weak performance noted in certain zones of cover (communes I, III, IV). Results of this survey put as it was always the case the problem of data compilation concerning assessment of the vaccinal coverage. And for reasons of efficiency, an approach associating the backing of the routine’s vaccination, of countries of mass magazines and a highly efficient surveillance of tetanus neonatal is to consider.
Human Resources for Health
Background In 2015, the Ministry of Health in Mali included the treatment of severe acute malnutr... more Background In 2015, the Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into the package of activities of the integrated Community Case Management (iCCM). This paper aims to analyze the impact of including community health workers (CHWs) as treatment providers outside the Health Facilities (HFs) on the coverage of SAM treatment when scaling up the intervention in the three largest districts of the Kayes Region in Mali. Methods A baseline coverage assessment was conducted in August 2017 in the three districts before the CHWs started treating SAM. The end-line assessment was conducted one year later, in August 2018. Coverage was assessed by the standardized methodology called Semi-Quantitative Evaluation of Access and Coverage (SQUEAC). The primary outcome was treatment coverage and other variables evaluated were the geographical distribution of the HFs, CHW’s sites and overlapping between both health providers, the estimation of children with geog...
International Journal of Women’s Health Care, 2021
Background: Stillbirths remain a major public health problem in sub-Saharan Africa and Mali. Acco... more Background: Stillbirths remain a major public health problem in sub-Saharan Africa and Mali. According to routine data collected from 2008 to 2016 in Sikasso, the health district of Sélingué had the highest stillbirth rate in the region (51.7 (‰) births) and that of Yorosso had the lowest (13.7 (‰) births). This led us to initiate this study to study the determinants of stillbirths in the Reference Health Centers of the two districts from January 1, 2015, to December 31, 2017. Methods: It was a case-control study of 440 cases including 110 cases and 330 controls in each of the Health Centers. The statistical analysis was done on SPSS version 20 and the writing was done on Word. The value of p<0.05 was found to be statistically significant. Result: The prevalence’s of stillbirths were 28, 6 ‰ in Sélingué and 140 ‰ in Yorosso. The Multivariate Analysis Yielded the Following Results: 1. Women who have not had an antenatal care have a 3 to 4 times higher risk of stillbirths than thos...
BMJ Global Health
IntroductionThere are concerns about the impact of the COVID-19 pandemic on the continuation of e... more IntroductionThere are concerns about the impact of the COVID-19 pandemic on the continuation of essential health services in sub-Saharan Africa. Through the Countdown to 2030 for Women’s, Children’s and Adolescents’ Health country collaborations, analysts from country and global public health institutions and ministries of health assessed the trends in selected services for maternal, newborn and child health, general service utilisation.MethodsMonthly routine health facility data by district for the period 2017–2020 were compiled by 12 country teams and adjusted after extensive quality assessments. Mixed effects linear regressions were used to estimate the size of any change in service utilisation for each month from March to December 2020 and for the whole COVID-19 period in 2020.ResultsThe completeness of reporting of health facilities was high in 2020 (median of 12 countries, 96% national and 91% of districts ≥90%), higher than in the preceding years and extreme outliers were few...
Global Reproductive Health
Revue Malienne de Science et de Technologie, Nov 20, 2020
Introduction Despite its effectiveness, the optimal use of the combination of insecticide treated... more Introduction Despite its effectiveness, the optimal use of the combination of insecticide treated nets (ITN) and intermittent preventive treatment during pregnancy with sulfadoxine-pyrimethamine (TPIg-SP) remains low in malaria endemic areas. Therefore, we studied its variations and predictors in Guinea.MethodsWe conducted a secondary analysis of the 2012 and 2018 Guinea Demographic and Health Surveys (DHS). It included women who had given birth in the 3 years before each DHS, slept on ITN and took at least one dose of SP. Moran indices were used to determine spatial autocorrelation. A logistic regression and classification and regression tree (CART) identified the predictors of malaria preventive measures (MPM).ResultsIn 2012, 60.88% of pregnant women used MPM incompletely compared with 79.11% in 2018. Associated factors with incomplete MPM in 2012 were as follows: having an indirect link with the head of household (AOR = 2.23, 95% CI 1.08–4.61) and performing at least 4 ANCs (AOR ...
Introduction: Identifying and understanding the factors associated with homebirths can contribute... more Introduction: Identifying and understanding the factors associated with homebirths can contribute to improving maternal and child health and achieving the Sustainable Development Goals (SDGs). This study aimed to perform a comparative analysis of the factors associated with homebirths in Benin and Mali. Method: This study is based on the most recent data from the Demographic Health Surveys conducted in Mali and Benin in 2018. The dependent variable was homebirth, and the explanatory variables were the individual characteristics of the woman, the distance to the health center, the place of residence, the number of prenatal consultations had, the frequency of media exposure, and the use of the Internet. The primary survey unit (PSU) was considered in the analysis to measure the effect of context on the choice of the place of delivery. Further, descriptive statistics and multilevel logistic regression analysis were used in the study. Results: Educational level was associated with homebirth in Benin and Mali; Women with either no education or primary education are more likely to give birth at home. Women who didn't live close to a health facility were more likely to give birth at home than those who didn't face this problem in both countries. Not making visits for antenatal care (ANC) increases the odds of having a homebirth by 31.3 times (CI = 24.10-40.70) in Benin and 12.91 times (CI = 10.21-16.33) in Mali. Similarly, women who went on 1-2 ANC visits were more likely to give birth at home compared with women who made five or more ANC visits in both countries. The number of children per woman was also a significant factor in both countries. Women who often or regularly paid attention to the media messages were less likely to give birth at home compared with those who did not follow relevant media inputs (aOR = 0.42 [CI = 0.26-0.67] in Benin and aOR = 0.65 [CI = 0.50-0.85] in Mali). Bado et al. Determinants of Home Births in Benin and Mali Conclusion: Increasing the demand and uptake of women's health services by improving the availability and quality of services and establishing community health centers could help reduce the incidence of homebirths that can be risky and, thus, combat maternal and infant mortality.
www.africa-rising.net Characterization of food consumption patterns in southern Mali
The opinions expressed in this report are those of the consultant and do not necessarily reflect ... more The opinions expressed in this report are those of the consultant and do not necessarily reflect the views of AVRDC-The World Vegetable Center. Acknowledgement Our thanks go to: AVRDC for its efforts in supporting and assisting agriculture and nutrition in Mali. The residents of the three villages of the district of Bougouni: Dieba, Madina, Flola, and the three villages of the district of Koutiala: Nampossela, Sirakélé and M'Pessoba. The health teams of the districts of Bougouni and Koutiala.
In Mali, 56% of children under 5 deaths are associated with malnutrition in 2006. The center of g... more In Mali, 56% of children under 5 deaths are associated with malnutrition in 2006. The center of gravity of malnutrition appears to move from rural to urban areas. It is in this context that a study of factors associated with malnutrition among children aged 6 to 59 months was conducted in 2012 in two common Bamako district. A cross-sectional cluster sample survey was conducted from September 2012 to February 2013 with 470 children aged 6 to 59 months. Collection tools were tested and the protocol approved by the ethics committee of the INRSP. The chi-square test of Pearson 2, Fisher's exact test and multiple logistic regression were used for analysis. The prevalence of wasting was 10.9% [8.4-14.0] and 18.9% of children were at risk of wasting. Factors associated with wasting were age 12-23 months (OR = 0.36 [0.14-0.90]) and 48-59 months (OR = 0.26 [0.08-0, 80]), parity ≥ 5 (OR = 0.34 [0.12-0.95]), the family meal (OR = 4.47 [1.95- 10.26]), the special meal (OR = 3.85 [1.79-8.30]). These results could towards more effective strategies against malnutrition.
Introduction : The area of Sikasso although it is overall surplus with an agricultural level of p... more Introduction : The area of Sikasso although it is overall surplus with an agricultural level of production knew in 2010 connait a level of prevalence of malnutrition. Vis-a-vis this paradox, the present study on the level of knowledge, the attitudes and the practices of the households as regards health, nutrition was carried out in order to reduce the prevalency of malnutrition in the area. Materials and methods: A cross-sectional study by cluster sampling was carried out of June 3 at July 16, 2010 in six communes of the circle of Sikasso (Dioumatene, Finkolo, Klela, Pimperna, Socourani, Sikasso) composed of 38 producing potato villages. The level of knowledge, the attitudes and the practices of 1182 mothers of children from 6 to 59 months on health and the nutrition were carried out. Results : Nearly 60% of the children from 6 to 59 months had been sick. The fever (35,1%), the diarrhoea (27,9%) and cough (21,2%) were the principal symptoms observed. In the event of disease nearly 33,5% of households had against recourse to the traditional care 25,3% for the modern care. Approximately 52 % of mothers had stated to know the signs of paludism and 63% the causes of the diarrhoea. L has pump was the principal source D ' supply out of drink water of the households as well in of dry season (49,3%) as in rainy season (48,3%). Nearly 87 % of households had latrines traditional or improved which were into bad in 54% of the cases. The washing of the hands was done collectively in 86,3% of the cases in the same container. The breast feeding was practised by more than 70% of the mothers with a setting with the immediate centre E D years 51,2%. It was exclusive in 54,7% of the cases. The levels of prevalence of the three forms of malnutrition were very high with respectively 11,1 % of emaciation, 51,5 % of delay of growth and 34,6% of underweight. The children from 12 to 23 month were touched by the emaciation and the delay of growth whereas the underweight struck more the age bracket 36 to 47 months. Conclusion : The low level of knowledge and practice of the mothers hygiene cleansing, the ignorance of the signs of diarrhoea make that the nutritional situation of the children from 6 to 59 months was alarming. Required to develop publicity campaigns integrated in a program of multisector development could contribute to the improvement of the medical and nutritional state of the populations concerned.
Sikasso, in spite of its strong cereal and animal production, remains one of the areas of Mali th... more Sikasso, in spite of its strong cereal and animal production, remains one of the areas of Mali the most touched by the malnutrition which constitutes a problem of public health. This paradox, was at the base of our study of which the goal aimed at evaluating the food practices and the nutritional follow-up of the children malnutris 6-59 month in the rural communes of Klela and Fama in the Circle of Sikasso. An exhaustive exhaustive study near all children 6 to 59 months of the two communes whose 1248 detected children malnutris had been followed every month for 6 January at June 2011. The prevalence of the emaciation was 14,5% with a prevalence in the children from 6 to 23 month with 9,5%. Close to a child on two (48,5%) a delay of growth presented was 37% with a ponderal insufficiency against. The basic food in the children malnutris primarily consisted of cereals (24%). C ertains produced local like the tubers, the fruits and vegetables were consumed on the other hand little. The nutritional indicators of the children from 06 to 59 months of the surveyed villages thus remained alarming, in spite of the noted improvements these last years. In conclusion, our study showed that the strategies and actions for the follow-up and the improvement of the nutritional state of the children should include the contributions of the whole of the disciplines or sectors associated (nutritional safety, agriculture, health for the nutrition, crop…). It formulated for this purpose of the recommendations which will make it possible to the various actors (State, local authorities, engineering departments decentralized, research, ONG, trade associations, mediae…) to intervene effectively against malnutrition in the area of Sikasso, in particular.
Revue Mali Santé Publique, Dec 31, 2019
Introduction Le faible poids de naissance (FPN) est un indicateur important de la santé infantile... more Introduction Le faible poids de naissance (FPN) est un indicateur important de la santé infantile en raison de son poids à la morbidité et mortalité infantiles. Objectif Etudier les facteurs de risque et les complications néonatales précoces de faible poids à la naissance. Méthode Nous avons mené une étude cas-témoins dans le district de santé de Douentza de janvier 2015 à décembre 2016, Pour chaque cas du couple mèreenfant, un contrôle du couple mère-enfant et de l'enfant de poids normal a été sélectionné. Les données ont été saisies sur EpiData 3.1 et analysées sur SPSS 20. Des régressions logistiques simples et multiples ont été utilisées et des cotes pour mesurer la force de l'association. Résultat La prévalence de l'insuffisance pondérale à la naissance (FPN) était de 9,2%. Dans l'analyse univariée, Plusieurs variables ont été associés à l'insuffisance pondérale à la naissance avec un OR≥2. Dans l'analyse multivariée, seules les variables comme la faible dose de SEP (p = 0,005) et de déficit en HU (p = 0,0001) étaient associées au FPN. Conclusion Une étude prospective s'avère nécessaire pour mieux élucider les autres facteurs de risque et les mécanismes par lesquels les différents facteurs sont liés.
Revue Malienne de Science et de Technologie, Dec 28, 2018
Revue Malienne de Science et de Technologie, 2020
Mali méd. (En ligne), 2020
Mali Santé Publique, Jun 30, 2014
Etude des déterminants de la mortalité périnatale suite aux complications obstétricales dans le d... more Etude des déterminants de la mortalité périnatale suite aux complications obstétricales dans le district sanitaire de kéniéba (kayes). Study of the determinants of perinatal mortality from obstetric complications in the health district Kéniéba (Kayes).
Mali Santé Publique, 2018
Les diarrhées demeurent un véritable problème de santé publique par qu'elles constituent la d... more Les diarrhées demeurent un véritable problème de santé publique par qu'elles constituent la deuxième cause de mortalité des moins de 5 ans. En milieu tropical, des études montrent plusieurs facteurs concourent à la fréquence et à la gravité des diarrhées. C'est dans un tel contexte que la présente étude des facteurs favorisants les maladies diarrhéiques chez les enfants de 0 à 5 ans en commune II du district de Bamako a été réalisée. Matériels et méthodes : Une étude transversale par sondage en grappe ayant concerné 200 mères d'enfant de 0-5 ans, de novembre 2015 à octobre 2016. Le test de Chi² de Pearson a été utilisé pour avec un niveau de confiance de 95%. Résultats: Les femmes mariées représentaient 85,5% de notre échantillon dont 47% n'avaient reçu aucune instruction. Parmi les mères interrogées, 17% de leurs enfants avaient présenté au moins un épisode de diarrhée dans les deux semaines ayant précédé l'enquête. Presque toutes les mères (94%) se lavaient les...
Mali Santé Publique, 2019
Introduction : La vaccination est une mesure efficace pour prévenir les maladies infectieuses che... more Introduction : La vaccination est une mesure efficace pour prévenir les maladies infectieuses chez les enfants. L'objectif de cette recherche était d'étudier les facteurs communautaires influençant la déperdition entre le Pentavalent1 et le Pentavalent2 chez les enfants de 0-11 mois dans le district sanitaire de la commune IV (Bamako). Matériels et Méthodes : Une étude transversale, descriptive et analytique a été menée. Selon la formule de Schwartz 360 tuteurs d'enfants de 0 à 11 mois ont été sélectionnés par sondage en grappes à deux degrés et 20 agents de santé impliqués dans les activités de vaccination sélectionnés par un choix raisonné ont été interviewé à l'aide d'un questionnaire. Une analyse de régression logistique multi-variée a été faite pour les variables ayant obtenu une valeur p ˂ 0,05 à l'analyse bi-variée en utilisant le logiciel SPSS 21. Résultats : Le taux de déperdition Pentavalent1- Pentavalent3 était de 24,44%. La régression logistique m...
PubMed, 2009
Mali makes left of the 26 important countries in the world of which 18 in Africa for the eliminat... more Mali makes left of the 26 important countries in the world of which 18 in Africa for the elimination of tetanus neonatal. The plan of action conceived to this effect doesn't keep the District of Bamako like zone of intervention, had consideration to the sanitary conditions judged among best in the country. However, the district of Bamako arranges today of a number important of peripheral districts whose isolated sanitary realities can generate some indicators different of the middle indicators of the District. It is for this reason that we undertook this work, while using the LQAS method separately in each of the six communes of the district of Bamako, for i) to determine the percentage of mothers of children of 15 at 49 years having received at least two doses of antitetanus vaccine at the time of their last pregnancy in each of the six communes of the district, ii) to identify the non effective zones of the district concerning vaccination of mothers of children of less than 23 months. It was about an investigation of antitetanus vaccinal coverage of mothers of children of less than 23 months by gone residents since at least 3 months in the six communes of the district of Bamako in April 2004. The vaccinal status of targets of the survey was established from the card of vaccination or the notebook of health delivered at the time of the prenatal consultations. In the first five communes, for topics not having card or notebook of health us established the vaccinal status also by cross-examination, what has been qualified of determination of the statute by " history ", Of the survey it comes out again that the rates of cover in at least two doses of antitetanus antigen of mothers of children of less than 23 months vary from 17.6 ± 7.2% (Commune V ) to 78.4 ± 7.0% (Commune II) according to the card. In the first five townships these rates go from 46.3 ± 9.5 % (commune V) to 94.01 ± 3.4% (commune IV) according to the card and history. According to the card, the communes I, IV and V, didn't record any zone of cover of the CSCOMS concerning vaccinations where the rate of mothers having received the VAT2 reaches 80%, in reference to the value of decision (6) either vaccinated at least 13 topics (68,4%) by lot. The assessment of the coverage according to the card and history improves this weak performance noted in certain zones of cover (communes I, III, IV). Results of this survey put as it was always the case the problem of data compilation concerning assessment of the vaccinal coverage. And for reasons of efficiency, an approach associating the backing of the routine’s vaccination, of countries of mass magazines and a highly efficient surveillance of tetanus neonatal is to consider.
Human Resources for Health
Background In 2015, the Ministry of Health in Mali included the treatment of severe acute malnutr... more Background In 2015, the Ministry of Health in Mali included the treatment of severe acute malnutrition (SAM) into the package of activities of the integrated Community Case Management (iCCM). This paper aims to analyze the impact of including community health workers (CHWs) as treatment providers outside the Health Facilities (HFs) on the coverage of SAM treatment when scaling up the intervention in the three largest districts of the Kayes Region in Mali. Methods A baseline coverage assessment was conducted in August 2017 in the three districts before the CHWs started treating SAM. The end-line assessment was conducted one year later, in August 2018. Coverage was assessed by the standardized methodology called Semi-Quantitative Evaluation of Access and Coverage (SQUEAC). The primary outcome was treatment coverage and other variables evaluated were the geographical distribution of the HFs, CHW’s sites and overlapping between both health providers, the estimation of children with geog...
International Journal of Women’s Health Care, 2021
Background: Stillbirths remain a major public health problem in sub-Saharan Africa and Mali. Acco... more Background: Stillbirths remain a major public health problem in sub-Saharan Africa and Mali. According to routine data collected from 2008 to 2016 in Sikasso, the health district of Sélingué had the highest stillbirth rate in the region (51.7 (‰) births) and that of Yorosso had the lowest (13.7 (‰) births). This led us to initiate this study to study the determinants of stillbirths in the Reference Health Centers of the two districts from January 1, 2015, to December 31, 2017. Methods: It was a case-control study of 440 cases including 110 cases and 330 controls in each of the Health Centers. The statistical analysis was done on SPSS version 20 and the writing was done on Word. The value of p<0.05 was found to be statistically significant. Result: The prevalence’s of stillbirths were 28, 6 ‰ in Sélingué and 140 ‰ in Yorosso. The Multivariate Analysis Yielded the Following Results: 1. Women who have not had an antenatal care have a 3 to 4 times higher risk of stillbirths than thos...
BMJ Global Health
IntroductionThere are concerns about the impact of the COVID-19 pandemic on the continuation of e... more IntroductionThere are concerns about the impact of the COVID-19 pandemic on the continuation of essential health services in sub-Saharan Africa. Through the Countdown to 2030 for Women’s, Children’s and Adolescents’ Health country collaborations, analysts from country and global public health institutions and ministries of health assessed the trends in selected services for maternal, newborn and child health, general service utilisation.MethodsMonthly routine health facility data by district for the period 2017–2020 were compiled by 12 country teams and adjusted after extensive quality assessments. Mixed effects linear regressions were used to estimate the size of any change in service utilisation for each month from March to December 2020 and for the whole COVID-19 period in 2020.ResultsThe completeness of reporting of health facilities was high in 2020 (median of 12 countries, 96% national and 91% of districts ≥90%), higher than in the preceding years and extreme outliers were few...
Global Reproductive Health
Revue Malienne de Science et de Technologie, Nov 20, 2020
Introduction Despite its effectiveness, the optimal use of the combination of insecticide treated... more Introduction Despite its effectiveness, the optimal use of the combination of insecticide treated nets (ITN) and intermittent preventive treatment during pregnancy with sulfadoxine-pyrimethamine (TPIg-SP) remains low in malaria endemic areas. Therefore, we studied its variations and predictors in Guinea.MethodsWe conducted a secondary analysis of the 2012 and 2018 Guinea Demographic and Health Surveys (DHS). It included women who had given birth in the 3 years before each DHS, slept on ITN and took at least one dose of SP. Moran indices were used to determine spatial autocorrelation. A logistic regression and classification and regression tree (CART) identified the predictors of malaria preventive measures (MPM).ResultsIn 2012, 60.88% of pregnant women used MPM incompletely compared with 79.11% in 2018. Associated factors with incomplete MPM in 2012 were as follows: having an indirect link with the head of household (AOR = 2.23, 95% CI 1.08–4.61) and performing at least 4 ANCs (AOR ...
Introduction: Identifying and understanding the factors associated with homebirths can contribute... more Introduction: Identifying and understanding the factors associated with homebirths can contribute to improving maternal and child health and achieving the Sustainable Development Goals (SDGs). This study aimed to perform a comparative analysis of the factors associated with homebirths in Benin and Mali. Method: This study is based on the most recent data from the Demographic Health Surveys conducted in Mali and Benin in 2018. The dependent variable was homebirth, and the explanatory variables were the individual characteristics of the woman, the distance to the health center, the place of residence, the number of prenatal consultations had, the frequency of media exposure, and the use of the Internet. The primary survey unit (PSU) was considered in the analysis to measure the effect of context on the choice of the place of delivery. Further, descriptive statistics and multilevel logistic regression analysis were used in the study. Results: Educational level was associated with homebirth in Benin and Mali; Women with either no education or primary education are more likely to give birth at home. Women who didn't live close to a health facility were more likely to give birth at home than those who didn't face this problem in both countries. Not making visits for antenatal care (ANC) increases the odds of having a homebirth by 31.3 times (CI = 24.10-40.70) in Benin and 12.91 times (CI = 10.21-16.33) in Mali. Similarly, women who went on 1-2 ANC visits were more likely to give birth at home compared with women who made five or more ANC visits in both countries. The number of children per woman was also a significant factor in both countries. Women who often or regularly paid attention to the media messages were less likely to give birth at home compared with those who did not follow relevant media inputs (aOR = 0.42 [CI = 0.26-0.67] in Benin and aOR = 0.65 [CI = 0.50-0.85] in Mali). Bado et al. Determinants of Home Births in Benin and Mali Conclusion: Increasing the demand and uptake of women's health services by improving the availability and quality of services and establishing community health centers could help reduce the incidence of homebirths that can be risky and, thus, combat maternal and infant mortality.
www.africa-rising.net Characterization of food consumption patterns in southern Mali
The opinions expressed in this report are those of the consultant and do not necessarily reflect ... more The opinions expressed in this report are those of the consultant and do not necessarily reflect the views of AVRDC-The World Vegetable Center. Acknowledgement Our thanks go to: AVRDC for its efforts in supporting and assisting agriculture and nutrition in Mali. The residents of the three villages of the district of Bougouni: Dieba, Madina, Flola, and the three villages of the district of Koutiala: Nampossela, Sirakélé and M'Pessoba. The health teams of the districts of Bougouni and Koutiala.