title: [Management of sickle cells disease by households in Bamako].
abstract: The sickle cell disease constitutes a major problem of public health. We find 5% to 20% of carriers of this disease in West Africa and 40% among some populations in central Africa (Congo, Zaire) and Nigeria (Beguè). In Mali prevalence is estimated to 12% with 3% for the homozygote form. It is a known disease and well documented on the scientific plan and its management is better and better codified nowadays, which contributes to the improvement of life quality. For this reason, Centre for Research and Documentation on Child Survival (CREDOS) lead this study. The aim was to assess the knowledge of the mothers for a best management of sickle cell disease in the households. We conducted a cross-sectional study with single passage realized in the households in 6 communes of Bamako district. We inquired 360 parents of children less than 5 years, according to the method of cluster sampling. The study found that 95.8% of mothers know the sickle cell disease. In addition 63.9% of the mothers didn't know the complications of the sickle cell disease and 58% the causes. In the event of discovered sickle cell disease, 58.3% of the mothers stated to want to resort to a medical structure in first intention, 18.3% with self medication and 13.9% with the traditional practitioner. In front of a sickle cell disease crisis, 56% stated to have recourse to modern medicine against 15.2% with the traditional practitioner. Household's implication in the management of the child sickle cell disease suffers a low knowledge of cause, clinical signs, and complications of this disease by the parents. For a better knowledge of this pathology by the families, information and education of the populations through messages BCC are necessary.
authors.affiliation: Centre de Recherche d’Etude et de Documentation pour la Survie de l’Enfant (CREDOS), Service d’Hématologie Oncologie Médicale et Faculté de Médecine, de Pharmacie et d’Odontostomatologie, Direction Nationale de la Santé (DNS), BP E5675 Bamako, Mali. credos@afribonemali.net
authors.forename: Hamadoun
authors.initials: H
authors.lastname: Sangho
authors.forename: Haoua Dembélé
authors.initials: HD
authors.lastname: Keïta
authors.forename: Assan Sidibé
authors.initials: AS
authors.lastname: Keïta
authors.forename: Fatoumata Y
authors.initials: FY
authors.lastname: Diarra
authors.forename: Boureyma
authors.initials: B
authors.lastname: Belemou
authors.forename: Amadou
authors.initials: A
authors.lastname: Dia
authors.forename: Mahamadou
authors.initials: M
authors.lastname: Traoré
authors.forename: Fatoumata Danfaga
authors.initials: FD
authors.lastname: Keïta
authors.forename: Assa
authors.initials: A
authors.lastname: Diarra
authors.forename: Baye
authors.initials: B
authors.lastname: Diakité
authors.forename: Dapa
authors.initials: D
authors.lastname: Diallo
authors.forename: Toumani
authors.initials: T
authors.lastname: Sidibé
mesh_terms: D000755:Anemia, Sickle Cell / Q000628:therapy; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D008302:Mali; D009035:Mothers