L’Implémentation des 5S à l’Hôpital de Ségou au Mali, un Projet à Achever

Introduction  Les 5S en milieu hospitalier sont une approche simple, peu couteuse, mais très efficace pour améliorer la qualité des soins de santé par un meilleur environnement de travail. Le présent article a pour objectif de déterminer le niveau d’adhésion aux exigences des 5S à l’hôpital de Ségou mais aussi d’identifier les facteurs expliquant les écarts. Méthodologie Il s’agissait d’une étude descriptive, transversale qui a porté sur le leadership, Seiri, Seiton, Seiso, Seiketsu et Shitsuke. L’appréciation a consisté à déterminer le niveau de satisfaction des exigences de chaque composante. Pour cela la grille développée pour l’évaluation interne a été utilisée. Les techniques de collecte de données étaient l’observation, l’exploitation documentaire, l’entretien individuel. Résultats  Le niveau d’adhésion global aux exigences des 5S a été estimé à 52%, donc insuffisant. Hormis la composante leadership, jugé acceptable avec 70% de conformité, toutes les autres composantes étaient insuffisantes. Ce faible niveau de performance contraste avec celui de la réalisation des objectifs des 5S qui a été jugé bon avec un score de 82%. Conclusion L’adhésion des trois services pilotes aux exigences des 5S a été jugée faible selon nos critères. Ce faible niveau de performance n’était pas favorable à l’extension à d’autres services, voire d’étendre à d’autres hôpitaux du Mali. Introduction 5S in hospitals is a simple, low-cost but highly effective approach to improving the quality of healthcare by improving the working environment. The aim of this article is to determine the level of adherence to 5S requirements at Ségou Hospital, and also to identify the factors explaining the gaps. Methodology This was a descriptive, cross-sectional study that looked at leadership, Seiri, Seiton, Seiso, Seiketsu and Shitsuke. The assessment consisted of determining the level of satisfaction of the requirements of each component. The grid developed for the internal assessment was used. Data collection techniques included observation, documentary analysis and individual interviews. Results The overall level of adherence to the 5S requirements was estimated at 52%, which is insufficient. Apart from the leadership component, which was deemed acceptable with 70% compliance, all the other components were inadequate. This low level of performance contrasts with the achievement of the 5S objectives, which was judged to be good with a score of 82%. Conclusion The adherence of the three pilot departments to the 5S requirements was judged to be low according to our criteria. This low level of performance was not conducive to extension to other departments, or even to other hospitals in Mali

L’Implémentation des 5S à l’Hôpital de Ségou au Mali, un Projet à Achever

Introduction  Les 5S en milieu hospitalier sont une approche simple, peu couteuse, mais très efficace pour améliorer la qualité des soins de santé par un meilleur environnement de travail. Le présent article a pour objectif de déterminer le niveau d’adhésion aux exigences des 5S à l’hôpital de Ségou mais aussi d’identifier les facteurs expliquant les écarts. Méthodologie Il s’agissait d’une étude descriptive, transversale qui a porté sur le leadership, Seiri, Seiton, Seiso, Seiketsu et Shitsuke. L’appréciation a consisté à déterminer le niveau de satisfaction des exigences de chaque composante. Pour cela la grille développée pour l’évaluation interne a été utilisée. Les techniques de collecte de données étaient l’observation, l’exploitation documentaire, l’entretien individuel. Résultats  Le niveau d’adhésion global aux exigences des 5S a été estimé à 52%, donc insuffisant. Hormis la composante leadership, jugé acceptable avec 70% de conformité, toutes les autres composantes étaient insuffisantes. Ce faible niveau de performance contraste avec celui de la réalisation des objectifs des 5S qui a été jugé bon avec un score de 82%. Conclusion L’adhésion des trois services pilotes aux exigences des 5S a été jugée faible selon nos critères. Ce faible niveau de performance n’était pas favorable à l’extension à d’autres services, voire d’étendre à d’autres hôpitaux du Mali. Introduction 5S in hospitals is a simple, low-cost but highly effective approach to improving the quality of healthcare by improving the working environment. The aim of this article is to determine the level of adherence to 5S requirements at Ségou Hospital, and also to identify the factors explaining the gaps. Methodology This was a descriptive, cross-sectional study that looked at leadership, Seiri, Seiton, Seiso, Seiketsu and Shitsuke. The assessment consisted of determining the level of satisfaction of the requirements of each component. The grid developed for the internal assessment was used. Data collection techniques included observation, documentary analysis and individual interviews. Results The overall level of adherence to the 5S requirements was estimated at 52%, which is insufficient. Apart from the leadership component, which was deemed acceptable with 70% compliance, all the other components were inadequate. This low level of performance contrasts with the achievement of the 5S objectives, which was judged to be good with a score of 82%. Conclusion The adherence of the three pilot departments to the 5S requirements was judged to be low according to our criteria. This low level of performance was not conducive to extension to other departments, or even to other hospitals in Mali

Évaluation de la Satisfaction des Usagers du Service des Urgences de l'Hôpital Mère-Enfant le Luxembourg de Bamako au Mali, en 2019

Introduction : L’évaluation de lasatisfaction des usagers est un élément essentiel de la qualité des soins et prestation d’un hôpital. Cette étude visait à évaluer la satisfaction des usagers du service des urgences au Centre Hospitalier Universitaire le Luxembourg de Bamako, Mali, en 2019 en vue d’améliorer la qualité de la prise en charge. Méthodes : Il s’agissait d’une étude descriptive, transversaleayant ciblé les patients ou accompagnants en consultation ouhospitalisé dans ledit service. La collecte des données, réalisée du 02 mai au 23 août 2019, a utilisé un questionnaire administré auxusagers dans le service ou à la sortie, en mode face à face, après leur consentement éclairé. Résultats : Sur les 138 usagers enquêtés, 68,84 était de sexe féminin, 73,19% avait plus de 50 ans, 96,38% scolarisés et 35,51% étaient des ménagères. Ils étaient satisfaits à 72,97% des prestations reçues.Le principal motif de satisfaction était la rapidité de la prise en charge(p=0,037). Chez les non satisfaits (27,03%), les motifs incriminés étaient le long temps d’attente (63,37%), la non disponibilité des médicaments (30,43%), le coût élevé des prestations (28,99%) et l’exiguïté des locaux (26,21%).  Conclusion : Malgré certaines insuffisances du service des urgences du CHU le Luxembourg, le bon accueil et la prise en charge rapide sont les éléments clés associés à la satisfaction du patient.   Introduction:The evaluation of user satisfaction is an essential element of the quality of care and delivery of a hospital. This study aimed to assess the satisfaction of users of the emergency department at the Center Hospitalier Universitaire le Luxembourg in Bamako, Mali, in 2019 with a view to improving the quality of care. Methods:This was a descriptive, cross-sectional study that targeted patients or caregivers in consultation or hospitalized in the said service. Data collection, carried out from May 2 to August 23, 2019, used a questionnaire administered to users in the service or at the exit, in face-to-face mode, after their informed consent. Results:Of the 138 users surveyed, 68.84 were female, 73.19% were over 50 years old, 96.38% were educated and 35.51% were housewives. They were 72.97% satisfied with the services received. The main reason for satisfaction was the speed of treatment (p=0.037). Among those not satisfied (27.03%), the reasons incriminated were the long waiting time (63.37%), the unavailability of drugs (30.43%), the high cost of services (28.99%) and the small size of the premises (26.21%). Conclusion:Despite certain shortcomings of the emergency department of the CHU Luxembourg, good reception and rapid treatment are the key elements associated with patient satisfaction

Évaluation de la Satisfaction des Usagers du Service des Urgences de l'Hôpital Mère-Enfant le Luxembourg de Bamako au Mali, en 2019

Introduction : L’évaluation de lasatisfaction des usagers est un élément essentiel de la qualité des soins et prestation d’un hôpital. Cette étude visait à évaluer la satisfaction des usagers du service des urgences au Centre Hospitalier Universitaire le Luxembourg de Bamako, Mali, en 2019 en vue d’améliorer la qualité de la prise en charge. Méthodes : Il s’agissait d’une étude descriptive, transversaleayant ciblé les patients ou accompagnants en consultation ouhospitalisé dans ledit service. La collecte des données, réalisée du 02 mai au 23 août 2019, a utilisé un questionnaire administré auxusagers dans le service ou à la sortie, en mode face à face, après leur consentement éclairé. Résultats : Sur les 138 usagers enquêtés, 68,84 était de sexe féminin, 73,19% avait plus de 50 ans, 96,38% scolarisés et 35,51% étaient des ménagères. Ils étaient satisfaits à 72,97% des prestations reçues.Le principal motif de satisfaction était la rapidité de la prise en charge(p=0,037). Chez les non satisfaits (27,03%), les motifs incriminés étaient le long temps d’attente (63,37%), la non disponibilité des médicaments (30,43%), le coût élevé des prestations (28,99%) et l’exiguïté des locaux (26,21%).  Conclusion : Malgré certaines insuffisances du service des urgences du CHU le Luxembourg, le bon accueil et la prise en charge rapide sont les éléments clés associés à la satisfaction du patient.   Introduction:The evaluation of user satisfaction is an essential element of the quality of care and delivery of a hospital. This study aimed to assess the satisfaction of users of the emergency department at the Center Hospitalier Universitaire le Luxembourg in Bamako, Mali, in 2019 with a view to improving the quality of care. Methods:This was a descriptive, cross-sectional study that targeted patients or caregivers in consultation or hospitalized in the said service. Data collection, carried out from May 2 to August 23, 2019, used a questionnaire administered to users in the service or at the exit, in face-to-face mode, after their informed consent. Results:Of the 138 users surveyed, 68.84 were female, 73.19% were over 50 years old, 96.38% were educated and 35.51% were housewives. They were 72.97% satisfied with the services received. The main reason for satisfaction was the speed of treatment (p=0.037). Among those not satisfied (27.03%), the reasons incriminated were the long waiting time (63.37%), the unavailability of drugs (30.43%), the high cost of services (28.99%) and the small size of the premises (26.21%). Conclusion:Despite certain shortcomings of the emergency department of the CHU Luxembourg, good reception and rapid treatment are the key elements associated with patient satisfaction

Screening for Acute Childhood Malnutrition during the National Nutrition Week in Mali Increases Treatment Referrals

OBJECTIVE: To evaluate a pilot intervention designed to integrate mid-upper arm circumference (MUAC) screening for acute malnutrition into the semi-annual Child Nutrition Week (Semaine d'Intensification des Activités de Nutrition, or "SIAN") activities carried out in June 2008. DESIGN: A cross-sectional survey was conducted in Kolokani and Nara, two health districts in the Koulikoro region of Mali, 4-5 months after the SIAN, using a population-proportionate, multi-stage random sample of: 1) health centers, and 2) households in communities linked to each of the selected health centers. Caregivers of 1543 children who were 6-59 months of age at the time of the SIAN, 17 community-based volunteers and 45 health center staff members were interviewed. RESULTS: A total of 1278 children 6-59 months (83% of those studied) reportedly participated in SIAN. Of the participating children, 1258 received vitamin A (98% of SIAN participants; 82% of all eligible children), 945 received anti-helminth tablets (84% of participants; 71% of eligibles), and 669 were screened for acute malnutrition (52% of participants; 43% of eligibles). 186 of the children screened (27%) were reportedly identified as acutely malnourished. SIAN screening covered a significantly greater proportion of children than were examined in both community-based (22% of children) and health center-based screening activities (5% of children) combined during the 4-5 months after the SIAN (P<0.0001). In general, community volunteers and health personnel positively evaluated their experience adding MUAC screening to SIAN. CONCLUSION: Integrating MUAC screening for acute malnutrition in SIAN permits the assessment of a large number of children for acute malnutrition, and should be continued

Peoples’ attitude toward COVID-19 vaccine, acceptance, and social trust among African and Middle East countries

Background: To end the COVID-19 pandemic, a large part of the world must be immune to the virus by vaccination. Therefore, this study aimed to gauge intent to be vaccinated against COVID-19 among ordinary people and to identify attitudes towards vaccines and barriers for vaccine acceptance. Methods: The study population comprises 1880 people residing in different countries that answer a prepared questionnaire. The questionnaire topics are demographics, historical issues, participants’ attitudes and beliefs regarding vaccines, concerns, and vaccine hesitancy. Results: Attitudes and beliefs relating to vaccines in general, and the COVID-19 vaccine, were ascertained. Overall, 66.81% of the contributors would like to be vaccinated against COVID-19, while %33.19 did not intend to be vaccinated. Reasons for COVID-19 vaccine hesitancy included concern regarding vaccine side effects, fear of getting sick from the uptake of the vaccine, and the absence of accurate vaccine promotion news. Individuals with higher education believe that India (68.6%) produces the best vaccine (P&lt;0.001), while healthcare workers think the Chinese vaccine (44.2%) is the best (P=0.020). Individuals with higher education have not been vaccinated, not be healthcare workers, and females were the most contributors to effective of the vaccine in reducing mortality from COVID-19 disease. Conclusion: Given the degree of hesitancy against COVID-19 vaccination, a multifaceted approach to facilitate vaccine uptake that includes vaccine education, behavioral change strategies, and health promotion, is paramount

Screening for acute malnutrition at the health center.

<p>Screening for acute malnutrition at the health center.</p

Description of the study children 6–59 months.

<p>Description of the study children 6–59 months.</p

Factors associated with participation in SIAN.

<p>Reference: *<20 years old.</p>†<p>6–11 months; child age group is the age at the time of the SIAN. BCC-Behavior change communication in nutrition.</p