Role of Matrons in the use of IPTp-SP among women of childbearing age in Mali, Household survey in the Health District of Sélingue

Abstract

Introduction: Malaria in pregnancy is a major public health problem with high risk for the mother, fetus and newborn. The World Health Organization recommends a schedule of at least four prenatal consultations during pregnancy. Our study was easily removed from the role analysis objective in the TPI in rural Sélingué in Mali. Methods: We performed an analysis of the role of midwifes in TPI-SP from ANC. Indeed, the midwifes were identified by the investigators who had the list of all the personnel of the different Health Community Centers, and as soon as the women surveyed quoted the name of the one who had done their CPN, the investigator immediately verified his qualification on the form which had been given to him. Results: In total for a population of 1021 women, out of 896 CPN, the midwifes performed 691 (99.5%), for 798 CPN 3 or more performed the midwifes arrive with 635 (89.1%) against 163 women for other staff (P ​​<0.05). TPI done by the midwifes gives us almost in the same proportion TPI-SP1 (591/772) 86.3% to arrive to TPI-SP3 or more a (368/455) 61.7% against 78 with the other staff (P <0.05). Conclusion: In view of our findings, it is necessary to take into account in national surveys data from rural midwifes activities where they still play an important role in most maternal health care activities. Capabilities by bringing skills to all levels of the health pyramid especially at the rural level. Further studies will integrate all community actors related to TPI-SP.