2017; 02(04): 078-084 cdr/17/1720/gmj

Original Research Article

Audit of Child Mortality in Mali: Case Study of Finkolo Ac/Sikasso and Massantola-Sabougou/Kolokani Rural Areas

Daou P1, Diakite C1, Willcox M2,3, Traore A4, Bamba D1, Sidibe K1, Berthe D5, Traore S.O6, Coulibaly E7, Diarra D7, Dembele M.E8, Sangare A9, Guindo I10, Diallo D1, Traore M6
1*1Department of Traditional Medicine / National Institute for Public Health Research, Bamako, Mali
2Nuffield Department of Primary Care Health Sciences, Oxford University, England
3Department of Primary Care and Population Sciences, University of Southampton, UK
4University of Ségou, Mali
5Sociologist, Sikasso, Mali
6Health Referral Centre, Municipality 5, Bamako, Mali
7Health Referral Centre, Kolokani, Mali
8Paediatrician, Sikasso Hospital, Mali
9Paediatrician (retired) Sikasso, Mali
10Chief Medical Officer, Health Referral Centre, Sikasso, Mali

Correspondence to
Dr Pierre DAOU, Department of Traditional Medicine / National Institute for Public Health Research, Bamako, Mali

First Published Online 02 May 2017

ABSTRACT

Aim: Contribute to a reduction in child mortality (children less than 5 years of age). Materials and methods: The investigators were informed by community representatives who subsequently conducted interviews. They frequently consulted Traditional Health Practitioners and went to Community Health Centres if a patient had been treated there. A report was submitted to a technical committee each month. Results: During the 12 months of the study, 152 cases at Finkolo AC and 68 in Massantola-Sabougou were identified. Mortality peaked in September with 35% in the Massantola-Sabougou area and with 16% in the Finkolo AC area. Malaria was the leading cause of death with Finkolo AC at 41% and Massantola-Sabougou at 67%. About 69% of fathers and 76% of mothers at Finkolo AC and 71% of fathers and 85% of mothers in the Massantola-Sabougou areas were illiterate. Mothers were most commonly aged between 20 and 30. Conclusion: The audit highlighted certain shortcomings. However, increasing community awareness and developing and validating traditional medicine resources could help reduce the rate of child mortality.

Keywords: Audit; child mortality; self-medication; Health Center.

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