[Quality of health services in hospital nurseries in commune II of the district of Bamako].
Despite the tremendous efforts undertaken by the government of Mali, health indicators for morbidity and mortality are still high. The global mortality rate of 13 per thousand and the low life expectancy are the main enhancing factors for such phenomenon. This study was undertaken in public, private and Para-public and community health structures as well as confessional and faith-based health organizations in commune II of the district of Bamako. Our evaluation was based on the Avedis Donavedian method for health services quality. It was a transversal study based on nursery care in the structures above cited. The procedures for this study consisted of passive observance of nursery care with retrospective collection of data on the technical practices of the health workers in the services offered. The results showed a higher deficit in term of incomplete technical practice, physical and psychic respect of patients in faith-based organizations than in other health structures. There were no written guidelines for preventing nosocomial infections, injections security, management of waste and hazards, prevention and treatment of wounds. There was a lack of adapted sterilization materials in most of the CSCOM and private structures. Most of the injections and treatment of wounds were done by assistant nurses and midwives. Moreover, the utilization rate of nonsterile syringes and pins between 5.3 and 13.6% in the population studied. In conclusion, there is no security in nursery care in most of the health structures of the Commune II in the district of Bamako.
Direction Nationale Sante, Bamako Mali, France.
S O
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Maïgo
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Poudiougou
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Sacko
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Ronse
D003428:Cross Infection / Q000517:prevention & control*; D004866:Equipment Contamination; D006779:Hospitals, Public; D016519:Hospitals, Religious; D008302:Mali; D009725:Nurseries, Hospital / Q000592:standards*; D009726:Nurses; D009728:Nursing Assistants; D019370:Observation; D017410:Practice Guidelines as Topic; D011785:Quality Assurance, Health Care; D013242:Sterilization / Q000592:standards*