The aim was to assess maternal and neonatal deaths. Materials and Methods: This was a cross-sectional retro-prospective study on the evolution of the trend of maternal and neonatal deaths in the fana health district from 01 January 2018 to 31 December 2022. Results: We recorded the following assisted delivery rates: 69.19% in 2018; 74.44% in 2019; 73.35% in 2020; 80.47% in 2021 and 79.13% in 2022. The maternal death rates in the fana health district from 2018 to 2022 are 0.20, 0.26, 0.44, 0.43 and 0.47 per 1000 live births, respectively. Theneonatal death rate in the Fana Health District from 2018 to 2022 is 1.9; 1.7; 1.1; 1.4 and 1.0 per 1,000 live births. Maternal death rates in the Koulikoro region and Mali from 2018 to 2022 evolved as follows: 0.28; 0.26; 0.32; 0.32 and 0.32 costs 0.48; 0.43; 0.48; 0.49 and 0.42 per 1000 live births, respectively. Neonatal death rates in the Koulikoro region and Mali from 2018 to 2022 evolved as follows: 1.8, 1.6, 1.6; 2.2 and 2.4 co n tre 2.4; 2.3; 2.2; 2.3 and 2.2 per 1000 live births, respectively. Conclusion: Maternal and neonatal mortality rates remain a priority problem in developing countries, including ours, but we believe that the creation of the SO NUB and SONUC structures and the recruitment of qualified personnel could really reduce the rates obtained.
Caesarean section is a procedure allowing the extraction of the fetus and its appendages after surgical opening of the uterus by transabdominal rarely vaginally. Objective: To study the practice of caesarean section in a context of free education in the Fana health district. Methodology: This is a cross-sectional retro-prospective study on the evolution of the caesarean section trend in a context of free in the health district of fana from 01 January 2020 to 31 December 2022. Results: We recorded: 1303 caesarean sections distributed as suites: 363 in 2020 (2.26%); 481 in 2021 (2.93%) and 459 in 2022 (2.72%). 10,686 assisted deliveries in 2020 or 73.35%; 12,779 assisted deliveries in 2021 or 80.47% against 11,348 assisted deliveries in 2022 or 79.13%. The 20-2-9 age group was the most represented, i.e. 4-2.90% with extremesof 14 a n s and 45 a ns. 81.43% of patient nosinthe fana health district. The majority of our patients are married women, i.e. 93.48%. 85.42% of caesarized women are housewives. Caesarean section completion rates evolved as follows from 2020 to 2022: 2.26%; 2.93% and 2.72%. At the same time the Koulikoro region obtained rates of 2.25%; 2.33% and 2.46% against 3.06%; 3.48% and 3.29% as national rates respectively in 2020; 2021 and 2022. Conclusion: Free caesarean section has led to anupward trend in the number of caesarean sections even if the objective national is not reached.
Background: Child malnutrition remains a real public health problem in developing countries, including Mali. Several studies have been conducted to assess the prevalence of malnutrition and food security (EDS, ENSAN, SMART etc.) but to our knowledge no study has focused on assessing the impact of food security on the nutritional status of children under 5 in the Bandiagara district. Objective: To assess the impact of food security on the nutritional status of children under 5 in the Bandiagara circle in Mali. Methodology: This study is cross-sectional, descriptive and quantitative, using a questionnaire to assess the impact of food security on the nutritional status of children aged 6-59 months in the Bandiagara circle. It took place from August 1, 2021 to July 31, 2022. Results: A total of 378 children under 5 years old were surveyed, including 26.5% MAM and 9.5% SAM with a low SCAM of 18.5% and an average of 10.1%. Child gender, mother's education, low income, and household size were identified as the most contributing factors to child malnutrition and food insecurity. Conclusions: Malnutrition constitutes a form of synthesis of the results obtained in the management of the four dimensions of food security (availability, accessibility, stability and use) and in the management of the interactions of the contributing factors.
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