Community case management to accelerate access to healthcare in Mali: a realist process evaluation nested within a cluster randomized trial.

The Proactive Community Case Management (ProCCM) trial in Mali reinforced the health system across both arms with user fee removal, professional community health workers (CHWs) and upgraded primary health centres (PHCs)-and randomized village-clusters to receive proactive home visits by CHWs (intervention) or fixed site-based services by passive CHWs (control). Across both arms, sick children's 24-hour treatment and pregnant women's four or more antenatal visits doubled, and under-5 mortality halved, over 3 years compared with baseline. In the intervention arm, proactive CHW home visits had modest effects on children's curative and women's antenatal care utilization, but no effect on under-5 mortality, compared with the control arm.

Effect of community health worker home visits on antenatal care and institutional delivery: an analysis of secondary outcomes from a cluster randomised trial in Mali.

Introduction: Though community health workers (CHWs) have improved access to antenatal care (ANC) and institutional delivery in different settings, it is unclear what package and delivery strategy maximises impact.

Methods: This study reports a secondary aim of the Proactive Community Case Management cluster randomised trial, conducted between December 2016 and April 2020 in Mali. It evaluated whether proactive home visits can improve ANC access at a population level compared with passive site-based care.

[Radiochemotherapy for the treatment ofmuscle invasive bladder tumors in a west african radiotherapy service].

Objectif: The aim of this study was to describe the results of radiochemotherapy in patients after transurethral resection of muscle invasive bladder tumors.

Material And Methods: A retrospective study from May 2014 to May 2016 in the radiotherapy department of the Mali Hospital. Have been included, all patients with bladder cancer infiltrating the muscle.

Two-Year Scale-Up of Seasonal Malaria Chemoprevention Reduced Malaria Morbidity among Children in the Health District of Koutiala, Mali.

Background: Previous controlled studies demonstrated seasonal malaria chemoprevention (SMC) reduces malaria morbidity by >80% in children aged 3-59 months. Here, we assessed malaria morbidity after large-scale SMC implementation during a pilot campaign in the health district of Koutiala, Mali.

Methods: Starting in August 2012, children received three rounds of SMC with sulfadoxine-pyrimethamine (SP) and amodiaquine (AQ).

[Urological Complications of Pelvic Surgery at Point-G Hospital, About 23 Cases].

Introduction: Bladder and ureteral lesions are the most common urologic complications occurring during pelvic surgery with 1% and 0.5% to 3%, respectively. These lesions are rarely recognized intraoperatively and pose a major problem to urologists, gynecologists, and general surgeons.

Seasonal Malaria Chemoprevention with Sulphadoxine-Pyrimethamine and Amodiaquine Selects Pfdhfr-dhps Quintuple Mutant Genotype in Mali.

Background: Seasonal malaria chemoprevention (SMC) with sulphadoxine-pyrimethamine (SP) plus amodiaquine (AQ) is being scaled up in Sahelian countries of West Africa. However, the potential development of Plasmodium falciparum resistance to the respective component drugs is a major concern.

Methods: Two cross-sectional surveys were conducted before (August 2012) and after (June 2014) a pilot implementation of SMC in Koutiala, Mali.

[Clinical and therapeutic aspects of pyelo-ureteral junction abnormalities at the University Hospital of Point G].

This study is meant to analyze the clinical and therapeutic aspects of abnormalities ureteropelvic junction. Cross-sectional and descriptive study on 35 cases of abnormalities of the AUPJ collected the Urology Department of the University Hospital of Point G for a period of 4 years (January 2010 to December 2014). Data were collected on the survey forms, medical records and records of the block.

[Clinical, paraclinical and epidemiological profile of erectile dysfunction in consultation at the urology department of the Point G University Hospital].

Objective: To study the epidemiological, clinical and paraclinical profile of erectile dysfunction in outpatient urology.

Material And Methods: It was a prospective longitudinal study from January to August 2012 (8 months) in the urology department of the Point G University Hospital. 72 patients were involved, and were consulting for erectile dysfunction.

Sexuality and fertility of women operated for obstetric urogenital fistulae.

Objectifs: To study, sexuality of women victims of OUGF after surgical management in the urology department of the University Hospital Center (CHU) Point G Bamako/Mali. MéTHODES: Our study is conducted in the urology department of CHU Point G Bamako/Mali devoted for treatment of the patients affected by OUGF. It's a prospective study done over 13 months period from June 2008 to June 2009.

[Some reflections on the classification of African obstetric fistulas].

Unlabelled: While the English-speaking world may have reached a consensus about Kees Waaldjik's classification of obstetric fistulas, no unanimity around this classification exists among French-speaking medical workers. The objective of this review is to propose a classification, based on long experience in the care of these women, by setting up a comparison with Waaldjik's. Our classification takes two criteria into account: (1) the environment of the fistula, that is: (a) fistula with a soft (relatively unscarred) vagina, b) fistula with vaginal sclerosis (bands or adhesions, vaginal stenosis or atresia), (c) vesicovaginal fistula associated with a (high or low) rectovaginal fistula or perineal lacerations (first, second or third degree); (2) the anatomical site of fistula, of which there are five types: (a) type I: fistula of the vesicovaginal wall, (b) type II: vesico-cervico-urethral fistula, with two major subgroups: type IIA (without destruction of the urethra) and type IIB (with destruction of the urethra), type IIA being subdivided in three subgroups: IIAa, IIAB and cIAI, (c) type III fistulae trigono-Neck utero-vaginal, (d) type IV: complex mixed fistula, (e) type V, high fistulas: the vesico-cervical-uterine fistula and classical vesicouterine.

[Study of factors influencing clinical outcomes of obstetric urogenital fistula surgery at the Point G University Hospital of Bamako, Mali].

The aim of this study was to identify factors influencing the clinical outcomes of surgery of obstetric urogenital genital fistula. This was a cross sectional study, which focused on factors influencing results in the treatment of urogenital fistula, from January 2011 to January 2012 at the urology department of the Point-G University Hospital. This study involved 115 patients suffering from urogenital fistula.

[Social integration of women operated for obstetric urogenital fistula].

Objective: To study the social integration of women supported in the urology department of the University Hospital of Point G for obstetric urogenital fistula.

Patients And Method: Prospective study conducted over a period of 13 months from June 2008 to June 2009 in the Department of Urology at the University Hospital of Point G. The study included all patients who have been operated on at least twice for obstetric fistula genitourinary.

[Cystic lymphangioma of the scrotum].

The cystic lymphangioma is a relatively frequent affection. The scrotum is the least common sites. It is a benign tumor discovered during an examination or in a fortuitous way.

[Bladder rhabdomyosarcoma apropos of a case in the Urology Service, University Hospital Center du Point G].

The bladder rhabdomyosarcoma in children is a rare tumor. We report a case of bladder rhabdomyosarcoma in a child 3 years, who consulted for more dysuria hematuria. The aim of this work is to remind the symptomatology and clinical aspects of para-clinical examinations of this disease in children after a review of the literature of this disease and discuss treatment options.

[Contribution to the classification of obstetrical vesicovaginal fistula].

Unlabelled: Our study was made with the C.H.U of the hospital of the Point G in the Service of Urology in Bamako in Mali.

[The diverticulum of the female urethra. Clinical aspects, paracliniques and therapeutiques. In connection with ten cases].

Objective: To specify the aspects clinical, para-private clinics and therapeutic of the diverticulum of the female urethra in the services of Urology of the CHU of the Point G.

Patients And Methods: Il acts of a retrospective study relating to ten patients having been hospitalized with the diagnosis of urethral diverticulum in the service of urology of the hospital of the Point G. The clinical examination of our patients, the examinations Para biological private clinics and of medical imagery made it possible to pose the operational indication.

[Clinical aspects, paraclinics and therapeutics of uro-genital tuberculosis].

Objective: To specify the clinical, paraclinic and therapeutic aspects of urogenital tuberculosis in the services of Urology and Nephrology of the CHU of the Point G.

Patients And Methods: From January 2005 to November 2006, six patients reached of urogenital tuberculosis were seen. The initial evaluation comprised an interrogation in the search of antecedents of urinary extra tuberculosis, a creatinemy, a urogenital echography and an intravenous urography.

[Skin gangrene].

Object: The cutaneous gangrenes, in particular those of Fournier are described like evolving/moving often in a way striking down. We report, over a study period of 10 months, the clinical and therapeutic characteristics of the lesions observed thus that their evolution in a context of developing country.

Patients And Method: it is about an exploratory study running 2005 in the service of surgery "A" of the hospital of the Point G and of urology.

[Not Available].

Summary The urethral duplication in the child is has very rare congenital malformation which is more often seen At the servant boy many anatomical forms are described. The authors carryforward has box of urethral duplication one-eved with constitution of has mass will will intra scotale taking the form of one 2nd testicle At has 7 year old servant boy. The clinical observation, radiological investigation, and the treatment are described.

[Lung diseases complicating acute poisoning with psychotropic drugs].

474 patients admitted in ICU between 1976 and 1981 were retrospectively analysed. Pneumonia (P) was assessed by condensation on chest X ray. P developed in 14,3%.