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Risk Factors and Syndromic Management of Sexually Transmitted Infections among Sex Workers in the kadiolo Circle

Advances in Infectious Diseases 2021年第2期11卷 95-103页

作者： Diarra Aminta Cissoko Yacouba Konate Issa Matchim Kouam Clemence Samake Dramane Traore Madou Daou Sounkalo Support and Counseling Care Unit for People Living with HIV/AIDS Dermatology Hospital Bamako Mali Infectious and Tropical Diseases Department of the University Hospital of Point G Bamako Mali Mopti Regional Hospital Mopti Mali Sikasso Regional Hospital Sikasso Mali

Sexually transmitted infections constitute a gateway for the human immunodeficiency virus by the presence of ulcerations and local inflammatory manifestations, thus increasing the risk of transmission. The aim of the study was to assess the sexual behavior and syndromic management of sexual infections among female sex workers in the kadiolo circle. Material and method: This was a descriptive cross-sectional study carried out in the kadiolo circle from January 1 to December 31, 2014. It focused on clandestine or posted sex workers, aged 15 and over. Results: We collected 465 sex workers aged 15 and 49, aged 26.6 on average and from Ivory Coast 52%, Nigeria 26.2% and Mali 9.7%. Educational attainment was higher with 2.4%. Posted sex workers represented 92.5% and housed in brothels with a stay of 6 months with 53.3%. They were single with 70.8% of cases and about 72.9% lived alone and without a spouse. The age at first sexual intercourse was between 15 - 19 years with 76.6% of cases. The number of first commercial sex was between 15 - 19 years (26%) and 20 - 24 years (45.8%). Usual condom use with regular sex partners was 22.1%. Condom use was almost compulsory at 89.7% with occasional clients or non-regular sexual partners. The average number of clients per day was five (5). The major reason for consultation was vaginal discharge 16.4% followed by abdominal pain. The human immunodeficiency virus test was not compulsory and only 86 workers or 18.5% accepted with a positive result of 11 people or 12.8% of cases. Conclusion: Sexually transmitted infections are common especially as they affect young people.

关键词： Sex Worker kadiolo Infectious Disease

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Evaluation of the Quality of Prenatal Consultation in Rural Area of Mali, Case of kadiolo Health District

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Open Journal of Clinical Diagnostics 2020年第1期10卷 49-64页

作者： Fane Seydou Sissoko Abdoulaye Kanté Ibrahima Bocoum Amadou Sima Mamadou Sanogo Abdoulaye Traore Soumana Oumar Sanogo Siaka Amara Traore Mamadou Salia Traore Alassane Saleck Doumbia Mamadou Keita Salem Yargueit Traore Youssouf Tegueté Ibrahima Mounkoro Niani Gynecology-Obstetrics Service University Teaching Hospital Gabriel Touré Bamako Mali Hospital Mother-Child the Luxembourg Bamako Mali University Teaching Hospital of Point G Bamako Mali Referral Health Center of kadiolo Bamako Mali Referral Health Center of Commune V Bamako Mali Hospital of Mali Bamako Mali Referral Health Center of Commune VI Bamako Mali

Every woman has the right to receive satisfactory quality prenatal care in reproductive health. Giving a life while remaining alive and without sequelae must be the slogan of any gynecologist - obstetrician and midwife, as well as any health worker. It was a descriptive cross-sectional study dealing with the evaluation of the quality of prenatal consultations at the kadiolo referral health center (or RHC). Adevis Donabedian’s model for assessing the quality of care and services served as a benchmark. According to Donabedian quality means good technical care, with good interpersonal relationships, and adequate and comfortable premises. This study took place from April 24 to December 04, 2017 and aimed to assess the current level of the quality of prenatal consultations at the kadiolo referral health center, to study the structures in place including infrastructure and personnel, to specify the procedures and to determine their results. This work has permitted us to classify the RHC of kadiolo at level III with 85%, which means that the references evaluated were satisfactory, with the level of 75% to 94%. In terms of structure, a pricing system was deemed affordable by the opinion of pregnant women. The analysis of the level of the human dimension revealed that the health center was level III. The pregnant women were satisfied with the reception which was good in 76% of the cases, as well as with the quality of the respect of the privacy in 96% and confidentiality in 95%. Despite the satisfaction of pregnant women, gaps remain to be filled in concerning the quality of the services received at the kadiolo referral health center so as to reach level IV.

关键词： Pregnancy Prenatal Consultation Quality of Care and Services Risk Factors kadiolo Referral Health Center Mali

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