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

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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Perinatal Deaths in Rural a health Area, Case of the health District of kadiolo, Mali

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Surgical Science 2019年第11期10卷 385-397页

作者： Seydou Fané Amadou Bocoum Youssouf Traoré Abdoulaye Sissoko Ibrahima Tegueté Mamadou Sima Mamadou Salia Traoré Tiounkani Augustin Thera Yaya Sylla Alassane Traoré Soumana Oumar Traoré Aminata Kouma Niani Mounkoro Gabriel Toure Teaching Hospital center-Gynecology-Obstetrical Service Bamako Mali Hospital mère enfant le Luxembourg Bamako Mali Point G Teaching Hospital center of Bamako Bamako Mali referral health center of kadiolo Sikasso Mali Mali Hospital Bamako Mali Reference health center of Commune 6 of Bamako District Bamako Mali Kati Hospital Kati Mali.

The perinatal mortality is a public health issue in developing countries. In fact, the perinatal death rate seems the highest in a Malian rural area. The objective of this work was to study the perinatal mortality in a rural area of Mali (kadiolo). Methodology: It was a cross-sectional descriptive study conducted in kadiolo over 12 months. The study took place from April 1, 2016 to March 31, 2017. We have included in our study all dead fetuses in gestational age ≥ 28 weeks of amenorrhea (WA) or weight ≥ 500 grams (g) and infants died during the first week of life. Mothers who have experienced a perinatal death were included. Results: During the 12 months of study period, we have recorded a total of 2212 births out of which we have collected 205 perinatal deaths, a perinatal mortality rate of 205/2212 with 93 per 1000. The stillbirth rate was 152/2212 with 69‰ and the early neonatal mortality rate was 53/2212 with 24‰. The sociodemographic characteristic of the patients was: patient who has been evacuated 71.70%, unschooled 77.1%, coming out of the city kadiolo 76%, young women 65% and patient who did not receive antenatal care 35%. Conclusion: Our study confirms the high rates of perinatal deaths in rural areas. The implementation of a coherent and efficient care strategy should help in reducing the still high rates.

关键词： Perinatal Deaths Dystocia Rural Environment Mali

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Performance of New Lines from Anther Culture, Mutation Breeding and Interspecific Crosses, under Lowland and Irrigated Condition in Mali

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Journal of Food Science and Engineering 2020年第1期10卷 11-23页

作者： Fousseyni Cisse Jean R.Sangare Medoune P.Khouma Kang Kyung Ho Baboucarr Manneh Institut d’Economie Rurale B.P.258Rue Mohamed VBamakoMali AfricaRice Senegal Regional center B.P.96Saint-LouisSénégal

Rice productivity is still low in Mali due to many factors such biotic and abiotic stresses,and the immense rice-growing potential is *** is a need to enhance rice productivity through a development of new varieties more productive and *** the partnership between the Institute of Rural Economy,AfricaRice and Korea-Africa Food and Agriculture Cooperation Initiative(KAFACI)nine new lines selected among 300 fixed lines were evaluated in 8 sites under irrigated and lowland *** plant material included 4 KAFACI lines derived from Anther culture(series K),2 lines from interspecific crosses(series DKA),one line(DKA-M50)from induced mutation on wild rice(Oryza longistaminata),and other lines from simple *** objective of the study is to identify genotypes adapted to irrigated,or lowland and/or both *** of variance revealed the genotypes differed significantly(pkadiolo,Longorola and Manikoura,which implies that the geno types constitute a pool of germplasm with adequate genetic *** was high with 0.76 suggesting high component of heritable portion,therefore selection for the improvement for this trait can be achieved directly based on their phenotypic *** combined analysis of variance indicated significant effects of environment(p<000.1),genotype(p<000.1)and genotype×environment interaction(GEI)(p<000.1)on grain *** significance of genotype and environment interaction suggests that genotypes behaved differently in different environment and demonstrated that GEI had remarkable effect on genotypic performance in different *** highest environment mean grain yield was observed in San(5,197 kg/ha),followed by Baguineda(4,960 kg/ha).The genotype SIK 442-2-2 was identified as genotype adapted to wider environments,and hereby recommended for cultivation in *** rice derivative genotypes DKA 42,DKA-M50 and DKA 37 exhibited low yield and h

关键词： Adaptability rice stability yield

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