Gestion de la qualité des soins au service d'acceuil des urgences (SAU) de l'hôpital du Mali: enjeux et perspectives / Management of the quality of care at the emergency reception service (SAU) of the hospital of Mali : challenges et perspectives

Introduction : La Neurochirurgie au Mali reste une discipline relativement jeune par rapport aux autres spécialités chirurgicales. Le but de ce travail est de décrire le parcours des urgences neurochirurgicales admises au SAU de l'hôpital du Mali.Patient et méthodes : C'est une étude prospective transversale analytique qui s'est déroulée au SAU de l'hôpital du Mali sur une durée de 02 mois. Sont inclus dans cette étude, tous les patients admis au SAU et dont on a eu recours à un avis neurochirurgical. Nous avons recensé et analysé les données épidémiologiques, cliniques, paracliniques et thérapeutiques chez 82 patients. Résultats : Sur un total de 152 patients admis au SAU, il y'avait 82 cas pour lesquels un avis neurochirurgical a été demandé soit 53, 95 % des admissions. Parmi ces 82 patients, il y avait 50 cas de traumatismes crâniens, 20 cas de traumatismes du rachis, 08 cas d'accident vasculaire cérébral hémorragique (AVCH), 03 cas de suppurations intracrâniennes et 01 cas de tumeur cérébrale. Nous avons opéré 41 patients (50%) et mis en observation 32 patients (39,02%). Malgré nos efforts, 09 patients sont sortis contre avis médical ou par faute de moyens. Nous avons noté 03 cas de décès. Conclusion : La qualité des soins et l'accès aux soins sont très souvent considérés par les patients comme les éléments essentiels de la performance d'un système de santé. En tant que Etablissement Public Hospitalier (EPH) de niveau 3, il doit bénéficier d'un plateau technique adéquat et d'un personnel médical et paramédical suffisant afin d'assurer une prise en charge correcte des patients

Introduction : Neurosurgery in Mali remains a relatively young discipline compared to other surgical specialties.The aim of this study is to describe the course of neurosurgical emergencies in "Hôpital du Mali". Patients and methods: This is a prospective cross-sectional analytical study that took place at the emergency department of "hôpital du Mali" over a period of 02 months. Are included in this study, all the patients admitted in emergency for whom neurosurgical advice was sought. We identified and analyzed epidemiological, clinical, paraclinical and therapeutic data in 82 patients.Results: Out of a total of 152 patients admitted to our emergency unit, there were 82 cases for which a neurosurgical opinion was requested, ie 53.95% of admissions. Among these 82 patients, there were 50 cases of head trauma, 20 cases of spinal trauma, 08 cases of brain stroke, 03 cases of intracranial suppurations and 01 case of brain tumor. We operated on 41 patients (50%) and observed 32 patients (39.02%). Despite our efforts, 09 patients were released against medical advice or for lack of funds. We noted 03 cases of death. Conclusion: The quality of care and access to care are very often seen by patients as essential elements of the performance of a health system. As a level 3 public hospital, it must have an adequate technical platform and sufficient medical and paramedical staff to ensure correct patient care

Oral Health-Related Knowledge, Attitude and Practices Among Trainee Community Health Officers in A Nigerian Tertiary Health Institution

To evaluate the oral health-related knowledge and practices of trainee Community Health Officers. A cross-sectional descriptive study conducted using total population purposive sampling method with a self-administered questionnaire on 70 community health officer's trainees at the centre for training community health officers. Sixty-two trainees (response rate of 88.6%) participated made up of year one (45.2%) and year two 54.8%. %). Mean age of 33.5 years (SD=8.65). By gender, females 90.3% were more than males 9.7% while privately sponsored (53.2%) were more than government-sponsored 38.7% A majority had knowledge of Caries (98.4%), Periodontal disease (93.5%) and Oral cancer (96.8%). Year two trainees had more knowledge about periodontal diseases 54.8% compared to year one 38.5% (p<0.05). Most respondents (91.1%) reported dental visit to be important with 87.1% of the opinion that the visit should not be for pain only; 38.7% felt that dental treatment was expensive. More privately sponsored (51.5%) compared to government-sponsored (20.8%) felt that dental treatment was expensive (p<0.05). only 11.3% had visited the dentist in the past six months with dental experience gum bleeding (8.1%), dental caries (8.1%), and tooth sensitivity (21%). A majority (85.5%) rated their oral health to be good. The study showed that community health officer trainees have a good knowledge of oral diseases with the year two trainees demonstrating a better knowledge of caries, periodontal disease and oral cancer and self-rated oral health. Their role in oral health promotion programs at the Primary Health Care level should be encouraged to reduce the burden of oral health diseases in the community.