8 research outputs found

    Outils technologiques de gestion dans les officines de Bamako au Mali

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    La pharmacie joue un rôle important dans la continuité de la prise en charge des patients. Elle développe des stratégies d’optimisation de son travail avec des logiciels de gestion. L’objectif de cette recherche était d’étudier les outils technologiques de gestion pharmaceutique dans les officines de Bamako. Notre étude était transversale descriptive auprès de 93 officines tirés au sort. Les pharmaciens ou assistant –pharmaciens ont été interrogés pour collecter les informations sur les logiciels utilisés, leurs fonctionnalités et le niveau de satisfaction des utilisateurs. Nous avons utilisé un questionnaire pour collecter les données. La saisie et l’analyse ont été faites sur le logiciel SPSS18. Le score des fonctionnalités était le rapport du nombre de fonctionnalités disponibles sur le total identifiées. L’échantillon comportait 62,4% d’hommes et 50,5% de pharmaciens. Les logiciels recensés étaient au nombre de neuf. WIN PHARMA était utilisé par 77,4% des officines. Il avait un score de fonctionnalité de 0,9 sur 1. La satisfaction moyenne globale des utilisateurs était d’environ 37%. L’approvisionnement (53%) et la clôture de la session (62%) étaient les fonctionnalités beaucoup appréciées. WIN PHARMA était le logiciel le plus utilisé. Il avait un bon score de fonctionnalités et une satisfaction d’environ deux fois le niveau moyen.Mots-clés: Logiciel de gestion, officines, Bamako, MaliEnglish Title: Pharmacies management technology tools in Bamako in MaliEnglish AbstractPharmacy plays an important role in the continuity of patient care. It develops strategies to optimize its work with management software. The objective of this study was to assess the technological tools of pharmaceutical management in the pharmacies in Bamako. A descriptive cross sectional survey involving 93 randomly selected pharmacies was carried out in Bamako, Mali. A questionnaire was used to collect the data. Data entry and analysis were done using SPSS (version 18) software. The functionality score was calculated as the ratio of the number of available functionalities to the total number of functionalities identified. The sample interviewed was 62.4% male and 50.5% were pharmacists. A total of nine software was identified. WIN PHARMA was used by 77.4% of pharmacies. Its functionality score was 0.9 for a maximum of 1. Overall average user satisfaction was about 37%. Supplying (53%) and closing of the session (62%) were the most appreciated features. WIN PHARMA was the software the most commonly used. It had a good score and approximately twice the average level of satisfaction.Keywords: Management software, pharmacies, Bamako, Mal

    Measuring malaria diagnosis and treatment coverage in population-based surveys: a recall validation study in Mali among caregivers of febrile children under 5 years

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    Abstract Background Nationally-representative household surveys are the standard approach to monitor access to and treatment with artemisinin-based combination therapy (ACT) among children under 5 years (U5), however these indicators are dependent on caregivers’ recall of the treatment received. Methods A prospective case–control study was performed in Mali to validate caregivers’ recall of treatment received by U5s when seeking care for fever from rural and urban public health facilities, community health workers and urban private facilities. Clinician-recorded consultation details were the gold standard. Consenting caregivers were followed-up for interview at home within 2 weeks using standard questions from Demographic and Health Surveys and Malaria Indicator Surveys. Results Among 1602 caregivers, sensitivity of recalling that the child received a finger/heel prick was 91.5%, with specificity 85.7%. Caregivers’ recall of a positive malaria test result had sensitivity 96.2% with specificity 59.7%. Irrespective of diagnostic test result, the sensitivity and specificity of caregivers’ recalling a malaria diagnosis made by the health worker were 74.3% and 74.9%, respectively. Caregivers’ recall of ACT being given had sensitivity of 43.2% and specificity 90.2%, while recall that any anti-malarial was given had sensitivity 59.0% and specificity 82.7%. Correcting caregivers’ response of treatment received using a combination of a visual aid with photographs of common drugs for fever, prescription documents and retained packaging changed ACT recall sensitivity and specificity to 91.5% and 71.1%, respectively. Conclusions These findings indicate that caregivers’ responses during household surveys are valid when assessing if a child received a finger/heel prick during a consultation in the previous 2 weeks, and if the malaria test result was positive. Recall of ACT treatment received by U5s was poor when based on interview response only, but was substantially improved when incorporating visual aids, prescriptions and drug packaging review
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