60 research outputs found
De fortes baisses des prix des céréales sÚches en perspectives
The 2006 â 2007 agricultural campaign was characterized by a good rainfall. As a result, cereal production has increased according to the survey conducted by CPS/DNSI.. The prices of cereals reflect this increase in production. To keep producers from selling their products at lower prices, it is recommended to constitute the national food security stock and cereal banks at commune level in December 2006, lift measures forbidding the exports of cereals, and put in place overdraft facilities for producers and traders for cereals storage.food security, food policy, Mali, Crop Production/Industries, Q18,
THE REFORM OF RICE MILLING AND MARKETING IN THE OFFICE DU NIGER: CATALYST FOR AN AGRICULTURAL SUCCESS STORY IN MALI
This chapter focuses on how changes in the rules regarding who could compete in rice milling in the ON combined with technological change in rice production and new macro-economic policies (particularly the CFA franc devaluation) to lead to a transformation of rice production and marketing in the ON. The chapter also pays particular attention to the synergies between technological changes in rice production, the introduction of new marketing and macroeconomic policies, and the evolution of institutions governing rice production in the ON on the transformation of agriculture in this region of Mali.Crop Production/Industries, Marketing,
LâImplĂ©mentation des 5S Ă lâHĂŽpital de SĂ©gou au Mali, un Projet Ă Achever
Introduction
Les 5S en milieu hospitalier sont une approche simple, peu couteuse, mais trĂšs efficace pour amĂ©liorer la qualitĂ© des soins de santĂ© par un meilleur environnement de travail. Le prĂ©sent article a pour objectif de dĂ©terminer le niveau dâadhĂ©sion aux exigences des 5S Ă lâhĂŽpital de SĂ©gou mais aussi dâidentifier les facteurs expliquant les Ă©carts.
MĂ©thodologie
Il sâagissait dâune Ă©tude descriptive, transversale qui a portĂ© sur le leadership, Seiri, Seiton, Seiso, Seiketsu et Shitsuke. LâapprĂ©ciation a consistĂ© Ă
dĂ©terminer le niveau de satisfaction des exigences de chaque composante. Pour cela la grille dĂ©veloppĂ©e pour lâĂ©valuation interne a Ă©tĂ© utilisĂ©e. Les techniques de collecte de donnĂ©es Ă©taient lâobservation, lâexploitation documentaire, lâentretien individuel.
RĂ©sultats
Le niveau dâadhĂ©sion global aux exigences des 5S a Ă©tĂ© estimĂ© Ă 52%, donc insuffisant. Hormis la composante leadership, jugĂ© acceptable avec 70% de conformitĂ©, toutes les autres composantes Ă©taient insuffisantes. Ce faible niveau de performance contraste avec celui de la rĂ©alisation des objectifs des 5S qui a Ă©tĂ© jugĂ© bon avec un score de 82%.
Conclusion
LâadhĂ©sion des trois services pilotes aux exigences des 5S a Ă©tĂ© jugĂ©e faible selon nos critĂšres. Ce faible niveau de performance nâĂ©tait pas favorable Ă lâextension Ă dâautres services, voire dâĂ©tendre Ă dâautres hĂŽpitaux 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 SĂ©gou 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
LâImplĂ©mentation des 5S Ă lâHĂŽpital de SĂ©gou au Mali, un Projet Ă Achever
Introduction
Les 5S en milieu hospitalier sont une approche simple, peu couteuse, mais trĂšs efficace pour amĂ©liorer la qualitĂ© des soins de santĂ© par un meilleur environnement de travail. Le prĂ©sent article a pour objectif de dĂ©terminer le niveau dâadhĂ©sion aux exigences des 5S Ă lâhĂŽpital de SĂ©gou mais aussi dâidentifier les facteurs expliquant les Ă©carts.
MĂ©thodologie
Il sâagissait dâune Ă©tude descriptive, transversale qui a portĂ© sur le leadership, Seiri, Seiton, Seiso, Seiketsu et Shitsuke. LâapprĂ©ciation a consistĂ© Ă
dĂ©terminer le niveau de satisfaction des exigences de chaque composante. Pour cela la grille dĂ©veloppĂ©e pour lâĂ©valuation interne a Ă©tĂ© utilisĂ©e. Les techniques de collecte de donnĂ©es Ă©taient lâobservation, lâexploitation documentaire, lâentretien individuel.
RĂ©sultats
Le niveau dâadhĂ©sion global aux exigences des 5S a Ă©tĂ© estimĂ© Ă 52%, donc insuffisant. Hormis la composante leadership, jugĂ© acceptable avec 70% de conformitĂ©, toutes les autres composantes Ă©taient insuffisantes. Ce faible niveau de performance contraste avec celui de la rĂ©alisation des objectifs des 5S qui a Ă©tĂ© jugĂ© bon avec un score de 82%.
Conclusion
LâadhĂ©sion des trois services pilotes aux exigences des 5S a Ă©tĂ© jugĂ©e faible selon nos critĂšres. Ce faible niveau de performance nâĂ©tait pas favorable Ă lâextension Ă dâautres services, voire dâĂ©tendre Ă dâautres hĂŽpitaux 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 SĂ©gou 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
Management de la QualitĂ© Ă lâHĂŽpital de SĂ©gou en 2018 (Mali)
Introduction : Les ââ5S-Kaizen-TQMââ sont une dĂ©marche dâAssurance QualitĂ© simple, peu onĂ©reuse, innovante. Cette dĂ©marche initiĂ©e dans les services de PĂ©diatrie, de GynĂ©co-ObstĂ©trique et Accueil des Urgences Ă lâHĂŽpital de SĂ©gou en 2009, a ciblĂ© Ă lâaide des 5S lâenvironnement de travail, le comportement du personnel, la satisfaction des clients, les indicateurs de soins. Le prĂ©sent article vise Ă Ă©valuer lâefficacitĂ© du management Ă travers la planification, lâorganisation des ressources, la direction, le contrĂŽle de la qualitĂ©. MĂ©thodologie : Il sâagissait dâune Ă©tude transversale, descriptive. Les techniques de collecte de donnĂ©es ont Ă©tĂ© lâentretien individuel, lâobservation et lâexploitation documentaire.
RĂ©sultats : Les fonctions Ă©valuĂ©es du Management ont Ă©tĂ© jugĂ©e satisfaisante avec 94% pour la planification, lâorganisation des ressources (81%), la direction (88%), le contrĂŽle (82%). Ces diffĂ©rentes composantes ont permis dâapprĂ©cier lâefficacitĂ© du Management Ă lâhĂŽpital de SĂ©gou, qui avec un score de 86,25% a Ă©tĂ© jugĂ© efficace selon nos critĂšres. Cependant, quelques insuffisances dont lâabsence dâengagement formel, de document de politique de qualitĂ©, de mĂ©canisme formel dâĂ©coute du client, la faible fonctionnalitĂ© des organes consultatifs, la longue file dâattente au bureau des entrĂ©es ont Ă©tĂ© notĂ©es.
Conclusion : Face aux insuffisances constatĂ©es et en vue de pĂ©renniser les acquis, il a Ă©tĂ© suggĂ©rĂ© de renforcer lâeffectif du personnel, Ă©laborer une politique qualitĂ©, rĂ©duire le temps dâattente, instituer des mĂ©canismes dâĂ©coute des clients, renforcer les mesures de contrĂŽle de la qualitĂ© Ă lâHĂŽpital de SĂ©gou.
Introduction: "5S-Kaizen-TQM" is a simple, inexpensive and innovative Quality Assurance approach. Initiated in the Paediatrics, Gynaecology and Obstetrics and Emergency Departments at SĂ©gouâs Hospital in 2009, this approach uses 5S to target the working environment, staff behaviour, customer satisfaction and care indicators. The aim of this article is to assess the effectiveness of management through planning, resource organisation, leadership and quality control.
Methodology: This was a cross-sectional, descriptive study. Data collection techniques included individual interviews, observation and documentary analysis.
Results: The management functions assessed were judged to be satisfactory, with 94% for planning, organisation of resources (81%), direction (88%) and control (82%). These different components made it possible to assess the effectiveness of management at SĂ©gou Hospital, which, with a score of 86.25%, was judged to be effective according to our criteria. However, a number of shortcomings were noted, including the absence of a formal commitment, a quality policy document, a formal mechanism for listening to customers, the poor functioning of consultative bodies, and long queues at the admissions office.
Conclusion: In view of the shortcomings identified, and with a view to sustaining the gains made, it was suggested that the number of staff should be increased, a quality policy should be developed, waiting times should be reduced, mechanisms for listening to customers should be introduced, and quality control measures at SĂ©gou Hospital should be strengthened
Management de la QualitĂ© Ă lâHĂŽpital de SĂ©gou en 2018 (Mali)
Introduction : Les ââ5S-Kaizen-TQMââ sont une dĂ©marche dâAssurance QualitĂ© simple, peu onĂ©reuse, innovante. Cette dĂ©marche initiĂ©e dans les services de PĂ©diatrie, de GynĂ©co-ObstĂ©trique et Accueil des Urgences Ă lâHĂŽpital de SĂ©gou en 2009, a ciblĂ© Ă lâaide des 5S lâenvironnement de travail, le comportement du personnel, la satisfaction des clients, les indicateurs de soins. Le prĂ©sent article vise Ă Ă©valuer lâefficacitĂ© du management Ă travers la planification, lâorganisation des ressources, la direction, le contrĂŽle de la qualitĂ©. MĂ©thodologie : Il sâagissait dâune Ă©tude transversale, descriptive. Les techniques de collecte de donnĂ©es ont Ă©tĂ© lâentretien individuel, lâobservation et lâexploitation documentaire.
RĂ©sultats : Les fonctions Ă©valuĂ©es du Management ont Ă©tĂ© jugĂ©e satisfaisante avec 94% pour la planification, lâorganisation des ressources (81%), la direction (88%), le contrĂŽle (82%). Ces diffĂ©rentes composantes ont permis dâapprĂ©cier lâefficacitĂ© du Management Ă lâhĂŽpital de SĂ©gou, qui avec un score de 86,25% a Ă©tĂ© jugĂ© efficace selon nos critĂšres. Cependant, quelques insuffisances dont lâabsence dâengagement formel, de document de politique de qualitĂ©, de mĂ©canisme formel dâĂ©coute du client, la faible fonctionnalitĂ© des organes consultatifs, la longue file dâattente au bureau des entrĂ©es ont Ă©tĂ© notĂ©es.
Conclusion : Face aux insuffisances constatĂ©es et en vue de pĂ©renniser les acquis, il a Ă©tĂ© suggĂ©rĂ© de renforcer lâeffectif du personnel, Ă©laborer une politique qualitĂ©, rĂ©duire le temps dâattente, instituer des mĂ©canismes dâĂ©coute des clients, renforcer les mesures de contrĂŽle de la qualitĂ© Ă lâHĂŽpital de SĂ©gou.
Introduction: "5S-Kaizen-TQM" is a simple, inexpensive and innovative Quality Assurance approach. Initiated in the Paediatrics, Gynaecology and Obstetrics and Emergency Departments at SĂ©gouâs Hospital in 2009, this approach uses 5S to target the working environment, staff behaviour, customer satisfaction and care indicators. The aim of this article is to assess the effectiveness of management through planning, resource organisation, leadership and quality control.
Methodology: This was a cross-sectional, descriptive study. Data collection techniques included individual interviews, observation and documentary analysis.
Results: The management functions assessed were judged to be satisfactory, with 94% for planning, organisation of resources (81%), direction (88%) and control (82%). These different components made it possible to assess the effectiveness of management at SĂ©gou Hospital, which, with a score of 86.25%, was judged to be effective according to our criteria. However, a number of shortcomings were noted, including the absence of a formal commitment, a quality policy document, a formal mechanism for listening to customers, the poor functioning of consultative bodies, and long queues at the admissions office.
Conclusion: In view of the shortcomings identified, and with a view to sustaining the gains made, it was suggested that the number of staff should be increased, a quality policy should be developed, waiting times should be reduced, mechanisms for listening to customers should be introduced, and quality control measures at SĂ©gou Hospital should be strengthened
Ăvaluation de la Satisfaction des Usagers du Service des Urgences de l'HĂŽpital MĂšre-Enfant le Luxembourg de Bamako au Mali, en 2019
Introduction : LâĂ©valuation de lasatisfaction des usagers est un Ă©lĂ©ment essentiel de la qualitĂ© des soins et prestation dâun hĂŽpital. Cette Ă©tude visait Ă Ă©valuer la satisfaction des usagers du service des urgences au Centre Hospitalier Universitaire le Luxembourg de Bamako, Mali, en 2019 en vue dâamĂ©liorer la qualitĂ© de la prise en charge. MĂ©thodes : Il sâagissait dâune Ă©tude descriptive, transversaleayant ciblĂ© les patients ou accompagnants en consultation ouhospitalisĂ© dans ledit service. La collecte des donnĂ©es, rĂ©alisĂ©e du 02 mai au 23 aoĂ»t 2019, a utilisĂ© un questionnaire administrĂ© auxusagers dans le service ou Ă la sortie, en mode face Ă face, aprĂšs leur consentement Ă©clairĂ©. RĂ©sultats : Sur les 138 usagers enquĂȘtĂ©s, 68,84 Ă©tait de sexe fĂ©minin, 73,19% avait plus de 50 ans, 96,38% scolarisĂ©s et 35,51% Ă©taient des mĂ©nagĂšres. Ils Ă©taient satisfaits Ă 72,97% des prestations reçues.Le principal motif de satisfaction Ă©tait la rapiditĂ© de la prise en charge(p=0,037). Chez les non satisfaits (27,03%), les motifs incriminĂ©s Ă©taient le long temps dâattente (63,37%), la non disponibilitĂ© des mĂ©dicaments (30,43%), le coĂ»t Ă©levĂ© des prestations (28,99%) et lâexiguĂŻtĂ© des locaux (26,21%). Conclusion : MalgrĂ© certaines insuffisances du service des urgences du CHU le Luxembourg, le bon accueil et la prise en charge rapide sont les Ă©lĂ©ments clĂ©s associĂ©s Ă 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
Ăvaluation de la Satisfaction des Usagers du Service des Urgences de l'HĂŽpital MĂšre-Enfant le Luxembourg de Bamako au Mali, en 2019
Introduction : LâĂ©valuation de lasatisfaction des usagers est un Ă©lĂ©ment essentiel de la qualitĂ© des soins et prestation dâun hĂŽpital. Cette Ă©tude visait Ă Ă©valuer la satisfaction des usagers du service des urgences au Centre Hospitalier Universitaire le Luxembourg de Bamako, Mali, en 2019 en vue dâamĂ©liorer la qualitĂ© de la prise en charge. MĂ©thodes : Il sâagissait dâune Ă©tude descriptive, transversaleayant ciblĂ© les patients ou accompagnants en consultation ouhospitalisĂ© dans ledit service. La collecte des donnĂ©es, rĂ©alisĂ©e du 02 mai au 23 aoĂ»t 2019, a utilisĂ© un questionnaire administrĂ© auxusagers dans le service ou Ă la sortie, en mode face Ă face, aprĂšs leur consentement Ă©clairĂ©. RĂ©sultats : Sur les 138 usagers enquĂȘtĂ©s, 68,84 Ă©tait de sexe fĂ©minin, 73,19% avait plus de 50 ans, 96,38% scolarisĂ©s et 35,51% Ă©taient des mĂ©nagĂšres. Ils Ă©taient satisfaits Ă 72,97% des prestations reçues.Le principal motif de satisfaction Ă©tait la rapiditĂ© de la prise en charge(p=0,037). Chez les non satisfaits (27,03%), les motifs incriminĂ©s Ă©taient le long temps dâattente (63,37%), la non disponibilitĂ© des mĂ©dicaments (30,43%), le coĂ»t Ă©levĂ© des prestations (28,99%) et lâexiguĂŻtĂ© des locaux (26,21%). Conclusion : MalgrĂ© certaines insuffisances du service des urgences du CHU le Luxembourg, le bon accueil et la prise en charge rapide sont les Ă©lĂ©ments clĂ©s associĂ©s Ă 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
Persistent Submicroscopic Plasmodium falciparum Parasitemia 72 Hours after Treatment with Artemether-Lumefantrine Predicts 42-Day Treatment Failure in Mali and Burkina Faso.
A recent randomized controlled trial, the WANECAM (West African Network for Clinical Trials of Antimalarial Drugs) trial, conducted at seven centers in West Africa, found that artemether-lumefantrine, artesunate-amodiaquine, pyronaridine-artesunate, and dihydroartemisinin-piperaquine all displayed good efficacy. However, artemether-lumefantrine was associated with a shorter interval between clinical episodes than the other regimens. In a further comparison of these therapies, we identified cases of persisting submicroscopic parasitemia by quantitative PCR (qPCR) at 72 h posttreatment among WANECAM participants from 5 sites in Mali and Burkina Faso, and we compared treatment outcomes for this group to those with complete parasite clearance by 72 h. Among 552 evaluable patients, 17.7% had qPCR-detectable parasitemia at 72 h during their first treatment episode. This proportion varied among sites, reflecting differences in malaria transmission intensity, but did not differ among pooled drug treatment groups. However, patients who received artemether-lumefantrine and were qPCR positive at 72 h were significantly more likely to have microscopically detectable recurrent Plasmodium falciparum parasitemia by day 42 than those receiving other regimens and experienced, on average, a shorter interval before the next clinical episode. Haplotypes of pfcrt and pfmdr1 were also evaluated in persisting parasites. These data identify a possible threat to the parasitological efficacy of artemether-lumefantrine in West Africa, over a decade since it was first introduced on a large scale
- âŠ