Structures, Deformation Mechanisms and Tectonic Phases, Recorded in Paleoproterozoic Granitoids of West African Craton, Southern Part: Example of Kan’s Complex (Central of Côte d’Ivoire)

The granito-gneissic complex of Kan is located in the central part of the Paleoproterozoic domain of Côte d’Ivoire. It consists essentially of migmatitic and mylonitic gneisses with basic intrusions and xenoliths. This Proterozoic domain belongs to the Man Leo shield, southern part of West African craton (WAC). The present study, essentially based on a structural analysis at outcrop scale, aims to identify deformation mechanisms and tectonic phasesrecorded in the granito-gneissic complex of Kan. Deformation mechanisms include: (1) flattening, (2) constriction, (3) simple shear (4), rotation (5), brittle shear, and (6) extension. The Kan complex deformation occurred during four major tectonic phases named D1, D2, D3 and D4. D1 corresponds to WNW-ESE compression. It led to the formation of NS to NNE-SSW foliation, of stretching lineation, and of folds with sub-horizontal axes. It is accompanied by N170° and N10° sinistral shear zones, which constitute globally a NS major transcurrent shear zone in the central part of Côte d’Ivoire. D1 is also marked by N90° dextral shear zones. Tectonic phase D2 is associated with EW compression. It is marked by N50° dextral and N110° sinistral transcurents shear zones. D3 corresponds to NNE-SSW compressive phase and is responsible of N110° crenulation cleavage formation. (D4) constitutes a brittle deformation phase. It correspondsto posteburnean deformation in the Proterozoic crust of Côte d'Ivoire. Generally, these deformation phases are similar to D2 and D3 reported in the Man-Leo shield and that are part of regional collisional phase referred to as Eburnean orogeny in the WAC

Appropriate training and retention of community doctors in rural areas: a case study from Mali

Background While attraction of doctors to rural settings is increasing in Mali, there is concern for their retention. An orientation course for young practicing rural doctors was set up in 2003 by a professional association and a NGO. The underlying assumption was that rurally relevant training would strengthen doctors' competences and self-confidence, improve job satisfaction, and consequently contribute to retention. Methods Programme evaluation distinguished trainees' opinions, competences and behaviour. Data were collected through participant observation, group discussions, satisfaction questionnaires, a monitoring tool of learning progress, and follow up visits. Retention was assessed for all 65 trainees between 2003 and 2007. Results and discussion The programme consisted of four classroom modules – clinical skills, community health, practice management and communication skills – and a practicum supervised by an experienced rural doctor. Out of the 65 trained doctors between 2003 and 2007, 55 were still engaged in rural practice end of 2007, suggesting high retention for the Malian context. Participants viewed the training as crucial to face technical and social problems related to rural practice. Discussing professional experience with senior rural doctors contributed to socialisation to novel professional roles. Mechanisms underlying training effects on retention include increased self confidence, self esteem as rural doctor, and sense of belonging to a professional group sharing a common professional identity. Retention can however not be attributed solely to the training intervention, as rural doctors benefit from other incentives and support mechanisms (follow up visits, continuing training, mentoring...) affecting job satisfaction. Conclusion Training increasing self confidence and self esteem of rural practitioners may contribute to retention of skilled professionals in rural areas. While reorientations of curricula in training institutions are necessary, other types of professional support are needed. This experience suggests that professional associations dedicated to strengthening quality of care can contribute significantly to rural practitioners' morale