摘要
Introduction: Despite progress in universal health coverage, maternal mortality remains a concern for developing countries, including Mali. The problem is not due only to a lack of health services but to a combination of factors that need to be identified to give hope to women of childbearing age. Objective: Determine the factors associated with maternal mortality in the Timbuktu region of Mali. Methodology: Retrospective, descriptive, cross-sectional and analytical study from January 1, 2018 to December 31, 2022 using a questionnaire and an interview guide to determine the factors associated with maternal mortality in the Timbuktu region of Mali. Results: A total of 112 maternal deaths were recorded between 2018 and 2022. The average age of the women who died was 26 years (standard deviation 7.6 years). The 14 – 23-year-old age group is the most affected (43.8%). 66.1% of women came from rural areas. Illiteracy (77.7%), lack of ANC (54.5%), distance of households from health facilities (76%) and insecurity (52.7%) have been identified as factors contributing to maternal mortality. Conclusion: This study reported a high prevalence of maternal mortality rates that may be associated with women’s socioeconomic conditions. Actions must be developed to integrate CPN into an advanced strategy for women living in rural areas in Mali.
Introduction: Despite progress in universal health coverage, maternal mortality remains a concern for developing countries, including Mali. The problem is not due only to a lack of health services but to a combination of factors that need to be identified to give hope to women of childbearing age. Objective: Determine the factors associated with maternal mortality in the Timbuktu region of Mali. Methodology: Retrospective, descriptive, cross-sectional and analytical study from January 1, 2018 to December 31, 2022 using a questionnaire and an interview guide to determine the factors associated with maternal mortality in the Timbuktu region of Mali. Results: A total of 112 maternal deaths were recorded between 2018 and 2022. The average age of the women who died was 26 years (standard deviation 7.6 years). The 14 – 23-year-old age group is the most affected (43.8%). 66.1% of women came from rural areas. Illiteracy (77.7%), lack of ANC (54.5%), distance of households from health facilities (76%) and insecurity (52.7%) have been identified as factors contributing to maternal mortality. Conclusion: This study reported a high prevalence of maternal mortality rates that may be associated with women’s socioeconomic conditions. Actions must be developed to integrate CPN into an advanced strategy for women living in rural areas in Mali.
作者
Coulibaly Moussa
Kassogué Djibril
Samaké Alou
Sy Ousmane
Poda Ghislain
Dolo Akoro
Sogoba Seydou
Cissouma Assetou
Kassogué Abdoulaye
Maiga Mariam
Mariko Souleymane
Ongoiba Oumar
Traoré Bassirima
Kané Babou
Traoré Halima
Coulibaly Moussa;Kassogué Djibril;Samaké Alou;Sy Ousmane;Poda Ghislain;Dolo Akoro;Sogoba Seydou;Cissouma Assetou;Kassogué Abdoulaye;Maiga Mariam;Mariko Souleymane;Ongoiba Oumar;Traoré Bassirima;Kané Babou;Traoré Halima(Taoudeni Regional Health Directorate, Tombouctou, Mali;Department of Pediatrics, Timbuktu Hospital, Timbuktu, Mali;Department of Pediatrics, District Hospital Commune VI, Bamako, Mali;WHO, Bamako, Mali;Department of Pediatrics, CHU Point G, Bamako, Mali;Department of Pediatrics, Sikasso Hospital, Sikasso, Mali;Department of Pediatrics, Nianankoro Fomba Sgou Hospital, Segou, Mali)
