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7 results on '"Diakité, Chiaka"'

1. Circumstances of child deaths in Mali and Uganda: a community-based confidential enquiry

Author

Willcox, Merlin L, Kumbakumba, Elias, Diallo, Drissa, Mubangizi, Vincent, Kirabira, Peter, Nakaggwa, Florence, Mutahunga, Birungi, Diakité, Chiaka, Dembélé, Eugene, Traoré, Mamadou, Daou, Pierre, Bamba, Drissa, Traoré, Amadou, Berthé, Diafara, Wooding, Nick, Dinwoodie, Kieran, Capewell, Sarah, Foster, Hamish, Neville, Rowena, Ngonzi, Joseph, Kabakyenga, Jerome, Mant, David, and Harnden, Anthony

Published
2018
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4. Human resources for primary health care in sub-Saharan Africa: progress or stagnation?

Author

Willcox, Merlin L, primary, Peersman, Wim, additional, Daou, Pierre, additional, Diakité, Chiaka, additional, Bajunirwe, Francis, additional, Mubangizi, Vincent, additional, Mahmoud, Eman Hassan, additional, Moosa, Shabir, additional, Phaladze, Nthabiseng, additional, Nkomazana, Oathokwa, additional, Khogali, Mustafa, additional, Diallo, Drissa, additional, De Maeseneer, Jan, additional, and Mant, David, additional

Published
2015
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6. [Untitled]

Author

Willcox, Merlin L, Peersman, Wim, Daou, Pierre, Diakité, Chiaka, Bajunirwe, Francis, Mubangizi, Vincent, Mahmoud, Eman Hassan, Moosa, Shabir, Phaladze, Nthabiseng, Nkomazana, Oathokwa, Khogali, Mustafa, Diallo, Drissa, De Maeseneer, Jan, and Mant, David

Subjects
Economic growth, STRATEGIES, Public Administration, Health Personnel, Review, Mali, Human resources for health, Health administration, Sudan, South Africa, Residence Characteristics, parasitic diseases, Health care, Medicine and Health Sciences, Global health, Humans, Medicine, Uganda, Health Workforce, 10. No inequality, Africa South of the Sahara, Health policy, Primary health care, Botswana, Primary Health Care, business.industry, 1. No poverty, Public Health, Environmental and Occupational Health, Health services research, 3. Good health, Vital Statistics, Health promotion, Socioeconomic Factors, 8. Economic growth, Community health, Rural area, business, LAW, ENOUGH
Abstract

BACKGROUND: The World Health Organization defines a "critical shortage" of health workers as being fewer than 2.28 health workers per 1000 population and failing to attain 80% coverage for deliveries by skilled birth attendants. We aimed to quantify the number of health workers in five African countries and the proportion of these currently working in primary health care facilities, to compare this to estimates of numbers needed and to assess how the situation has changed in recent years. METHODS: This study is a review of published and unpublished "grey" literature on human resources for health in five disparate countries: Mali, Sudan, Uganda, Botswana and South Africa. RESULTS: Health worker density has increased steadily since 2000 in South Africa and Botswana which already meet WHO targets but has not significantly increased since 2004 in Sudan, Mali and Uganda which have a critical shortage of health workers. In all five countries, a minority of doctors, nurses and midwives are working in primary health care, and shortages of qualified staff are greatest in rural areas. In Uganda, shortages are greater in primary health care settings than at higher levels. In Mali, few community health centres have a midwife or a doctor. Even South Africa has a shortage of doctors in primary health care in poorer districts. Although most countries recognize village health workers, traditional healers and traditional birth attendants, there are insufficient data on their numbers. CONCLUSION: There is an "inverse primary health care law" in the countries studied: staffing is inversely related to poverty and level of need, and health worker density is not increasing in the lowest income countries. Unless there is money to recruit and retain staff in these areas, training programmes will not improve health worker density because the trained staff will simply leave to work elsewhere. Information systems need to be improved in a way that informs policy on the health workforce. It may be possible to use existing resources more cost-effectively by involving skilled staff to supervise and support lower level health care workers who currently provide the front line of primary health care in most of Africa.

7. Malaria treatment in remote areas of Mali: use of modern and traditional medicines, patient outcome

Author

Diallo, Drissa, Graz, Bertrand, Falquet, Jacques, Traoré, Abdel Kader, Giani, Sergio, Mounkoro, Pakuy Pierre, Berthé, Adama, Sacko, Massambou, Diakité, Chiaka, Diallo, Drissa, Graz, Bertrand, Falquet, Jacques, Traoré, Abdel Kader, Giani, Sergio, Mounkoro, Pakuy Pierre, Berthé, Adama, Sacko, Massambou, and Diakité, Chiaka

Abstract

Use of official health services often remains low despite great efforts to improve quality of care. Are informal treatments responsible for keeping a number of patients away from standard care, and if so, why? Through a questionnaire survey with proportional cluster samples, we studied the case histories of 952 children in Bandiagara and Sikasso areas of Mali. Most children with reported uncomplicated malaria were first treated at home (87%) with modern medicines alone (40%), a mixture of modern and traditional treatments (33%), or traditional treatment alone (27%). For severe episodes (224 cases), a traditional treatment alone was used in 50% of the cases. Clinical recovery after uncomplicated malaria was above 98% with any type of treatment. For presumed severe malaria, the global mortality rate was 17%; it was not correlated with the type of treatment used (traditional or modern, at home or elsewhere). In the study areas, informal treatments divert a high proportion of patients away from official health services. Patients' experience that outcome after standard therapeutic itineraries is not better than after alternative care may help to explain low use of official health services. We need to study whether some traditional treatments available in remote villages should be considered real, recommendable first aid

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