TITLE:
Community-Based Diagnosis for the Improvement of Maternal and Child Protection in the ASACOSEKASI Health Area in the Urban Area of Bamako (Mali)
AUTHORS:
Fane Seydou, Simpara Nouhoum, Camara Daouda, Sima Mamadou, Kanté Ibrahim, Bocoum Amadou, Sylla Cheickna, Traoré Oumar Soumana, Abdoul Razak Dicko, Ahmed Diallo, Bokary Diallo, Sissoko Abdoulaye, Kanté Ibrahim, Tegueté Ibrahima, Traoré Youssouf
KEYWORDS:
Community Diagnosis, Reproductive Health, Local Solutions, ASACOSEKASI, Bamako, Mali
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.13 No.11,
November
23,
2023
ABSTRACT: The community diagnosis is an essential
approach to the resolution of health problems with the involvement of the
communities concerned who become object and subject. Improvingmaternal
and child health is a health priority for many developing countries, including
Mali. The objective was to study the role of community-based diagnosis in
improving maternal and child protection in a vulnerable urban community
in a developing country. Methodology: This was a research-action integrating a community diagnosis
conducted in March 2023. The involvement of several stakeholders, including
social actors including ASACO, membership card holders, district chiefs,
neighborhood delegates, local authorities, and health professionals, made it
possible to provide curative, preventive and promotional care. The ASACOSEKA Health Area was
used as a setting for the study. The methodology
was the indicator approach, contact, document review, interview of CSCOM
patients, observation of the structure, prioritization of problems, development
of an action plan and restitution of the report. Results: The
monograph consisted of describing the characteristics of the study setting.
Indeed, the ASACOSEKASI area is located on the left bank of the Niger River,
with a population of 34,497 inhabitants.
The CSCOM presented to describe a medical unit, a maternity unit, a laboratory
unit, an ultrasound room and a medication storage room. The main pathologies
found were confirmed simple malaria (45.08%), high AKI: 20.43%, confirmed
severe malaria: 19.85%, suspected diarrhoea: 3.43%, trauma related to
road accidents: 3.36%, pregnancy-related disorders (1%). BCG, Penta3, VAR, and
yellow fever vaccination rates were above 100%. It reflects the fact that the
doses administered were higher than the target population. This was related to
out-of-area vaccination and lost doses. CPN1, CPN4, tetanus vaccination (VAT2)
and family planning (FP) consultations all have a proportion above 100%.
Maternal care is increased by out-of-area patients, particularly from Guinea.
NPC3 and CPON have a proportion of less than 100%. The target population did
not follow policies, standards and procedures. Postpartum, women rarely came to
the CPON. Local actions to combat malaria included cleaning up plots and
neighbourhoods, weeding families and streets, cleaning gutters, spraying the
roosts of the female Anopheles Beetle, sleeping in LLINs, organising
chemoprophylaxis days, promoting the use of MS, and using curtains against
vectors. Conclusion: The community was involved at all stages of this
diagnosis, from design to implementation, as well as to the restitution of
local solutions. Indeed, the community diagnosis has led to a resolution plan
related to reproductive health.