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.

The level of use of MCMs remains low in our country. The objective of this study was to analyze the factors associated with the low use of modern contraceptive methods in the Diamarabougou health area. It was a cross-sectional study with an analytical focus conducted among 150 PAFs selected through random sampling. The study established the following: -Modern contraceptive prevalence was 35%. -The majority of women knew about family planning (99%). -The main source of information was health personnel (34.7%). -The reasons for the low use of MCM were The low level of education of the woman and/or her spouse, the desire to have many children and the unfavorable opinion of the spouse. -Both men and women believe that lack of control over the menstrual cycle, jealousy, and lack of distraction are the reasons for many unplanned pregnancies; - The main disadvantage of contraception is infertility. -The main disadvantage of contraception is sterility. For the ATRs, contraception is an effective way to fight against maternal and infant mortality. They also believe that the use of contraception and the choice of a smaller family are also accompanied by significant economic and material advantages, as expenses related to health, education and family maintenance are reduced. Conclusion : The use of modern contraceptive methods remains low in the Diamarabougou health area. The correct information to women and the identification of associated factors: the low level of education of the woman and her spouse, the desire to have many children, insufficient discussion with the spouse and the lack of involvement of traditional birth attendants in family planning programs.