Publications by authors named "Sekou Drame"
Article Synopsis
- The Government of Mali initiated the Expanded Program on Immunization in 1986, aiming to vaccinate 80% of children under five against six diseases, but by 2001, only 13% had received all vaccinations in the Kita Circle.
- A survey conducted in July 2006 after a priority program was implemented showed that vaccination coverage had increased significantly, with 59.9% of children fully vaccinated according to cards, and 74.1% based on maternal reports.
- The study highlighted that the immunization rate was higher among children whose mothers received an anti-tetanus vaccine, and it identified lack of information as a key reason for some children not being vaccinated.
Objective: To evaluate the effect of a national referral system that aims to reduce maternal mortality rates through improving access to and the quality of emergency obstetric care in rural Mali (sub-Saharan Africa).
Methods: A maternity referral system that included basic and comprehensive emergency obstetric care, transportation to obstetric health services and community cost-sharing schemes was implemented in six rural health districts in Kayes region between December 2002 and November 2005. In an uncontrolled 'before and after' study, we recorded all obstetric emergencies, major obstetric interventions and maternal deaths during a 4-year observation period (1 January 2003 to 30 November 2006): the year prior to the intervention (P-1); the year of the intervention (P0), and 1 and 2 years after the intervention (P1 and P2, respectively).