Recherche formative sur l'enregistrement d'évènements vitaux en milieu communautaire au Mali

Translated title of the contribution: Formative research on community-based vital events registration in Mali

Hamadoun Sangho, Mariam Guindo Traoré, Olga Joos, Haoua Dembélé Keita, Assa Sidibé Keita, Melinda K. Munos

Research output: Contribution to journalArticlepeer-review

Abstract

Objectives: The under-five mortality rate in Mali is high, with most deaths occurring in the community where there is noreliable vital events registration. The objective of this study was to collect data on community-based vital events registration in the Niono and Barouéli districts of the Ségou region, in order to improve the community-based vital events registration system. Methods: Data collection for this cross-sectional, descriptive, and qualitative study was conducted in May 2010. Participants included healthand administrativeworkers, communitymembers, women's associations, and non-governmental organizations. Data collection methods included individual interviews and focus groups, as well as document review. Data were entered and codified withModalisa version 5.1. Results: Pregnancy registration was performed exclusively by health workers in health facilities and was not performed before the third month of pregnancy due to concerns about losing the pregnancy (due to sorcery or spells). Birth registration was performed in administrative and health structures and at the community level, but after an interval of about 7 days. Childhood deaths were rarely registered because the community did not understand the importance of this registration, and because of problems accessing the structures in which deaths are registered. Community opinions were favourable to the implementation of an improved system involving relays (community-based volunteers). Conclusion: Improvements to vital events registration in this setting should make use of relays by increasing the awareness and involvement of the population.

Translated title of the contributionFormative research on community-based vital events registration in Mali
Original languageFrench
Pages (from-to)565-574
Number of pages10
JournalSante Publique
Volume28
Issue number4
DOIs
StatePublished - 2015

Keywords

  • Cross-sectional studies
  • Data collection
  • Death
  • Mali
  • Parturition
  • Pregnancy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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