Vaccination is one of the most efficient public health interventions in developing countries with epidemiological facies dominated by communicable diseases. Objective: To evaluate the efficiency of the logistical management of routine EPI vaccines and consumables in the Fana health district from 01 December 2018 to 30 November 2019. Results: The efficiency of the health areas in monitoring the storage temperature of vaccines (+2°c to +8°c) was 94.54%. The district obtained a rate of 100% in the management of stocks of vaccines and consumables. As for the quality of the cold chain equipment, the average rate obtained by the health district was 96.81%. The rate obtained by the district was 100% in relation to the maintenance of the cold chain equipment. In stock management, the average rate recorded in the district was 97.27%. The district obtained a rate of 100% in the efficiency of the vaccine management system. The average rate obtained by the district was 96.59% in the correct use of diluents. In the implementation of the Policy on opened vials (PFE), the rate obtained by the district was 90.81%. During the period, the management is 89.18% for the control of vaccine losses. Conclusion: All the cold chain equipment used for vaccine storage (Churchill solar fridges and vaccine carriers) comply with World Health Organization standards.

Road traffic accidents are the second cause of mortality between 30 and 40 years worldwide. They are 1,2 million injured or disabled person. It was a prospective and descriptive study of 223 cases of road accidents, occurring from 01 January to 31 December 2020 and consulted at the CSREF of FANA, of which. Objective was to study the trauma caused by the public road accidents at the FANA reference health center. Results: During our study period we have completed 13471 Curative consultations, 6130 Emergency Home Consultations, 45.5% of which 223 AVP cases are 3.64%. The frequency of road accidents in the FANA CSREF is 3.64%. The average age observed in our sample was 27.51 ± 15.57 with extremes ranging from 4 to 70 years. A male predominance, 72.6% and a 2.65 ratio sex. The most represented socioprofessional layer is students and students with 34.5% case. The wound lesion is the most observed 63.2%. Cases of type ski-type accident accounted for 36, 8% of the cases. Conclusion: traffic accidents nowadays constitute a growing threat of precious losses in human life and disabilities for our populations, which constitutes a potential waste human resources and economic growth.

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.