Weber Medicine & Clinical Case Reports

November 2016, Vol. 2 (2), ISSN:2449-1624

© Author(s) 2016. This work is distributed under the Creative Commons Attribution 3.0 License.

Research Article

Quantitative Study of Health Care Human Resources in Mali

P. Daou 1, C. Diakite 1, M.willcox 2, D. Diallo 1 & S. Doumbia 3

1 Department of Traditional Medicine, National Institute of Public Health Research. BP 1746.
Tel: (00223) 65 05 66 73, (00223) 76 45 08 07. Bamako, Mali.

2 University of Oxford,  England.

3 Department of Public Health.
Faculty of Medicine and Dentistry, Bamako, Mali.

Accepted 6th November, 2016; Available Online 10th November, 2016.


Materials and Method: We visited health care structures in Bamako to assess health care resources and to look at relevant records. The data was collected electronically and / or in hardcopy. We also looked at documents via the internet. Results: Ministry of Health data showed 9,583 available health care agents in the public sector in October 2010 and 1,671 in the private sector in 2009. The Bamako district has 32.6% of available health care agents as against the eight regions which have 67.4%. According to the population density, the Mopti region was the least disadvantaged with 0.22 health care agents per 1,000 inhabitants. There is also a shortage of health care personnel in the rural areas with 29% of health care agents available. This shortage is seen across several categories of personnel. The most important shortages were in the organisations that serve as the first point of contact; that is the community health care centres (CSCOM). This was evident especially in CSCOM located within the interior areas of the country. Of the 1,070 CSCOM for the whole country, 1,053 were functional with 53 of these in Bamako. The 1,000 functional CSCOM in the interior areas comprised 70.6% of doctors, whereas 187 doctors were in Bamako, 78 doctors cover the 53 CSCOM, about 1.5 doctors per CSCOM. For other qualified agents such as nurses (state registered nurses and first level / enrolled nurses), the midwives and obstetric nurses numbered 1,534; 267 were in Bamako and the remaining personnel in other centres within the country. Conclusion: The Malian health care system suffers from a shortage of health care personnel. This shortage is accentuated by the unequal distribution between the Bamako district and all other regions and also between rural and urban zones. This can be seen in terms of numbers within the personnel categories for many varying reasons. The CSCOM were the most disadvantaged with the major share in Bamako. In many assisted birthing centres, the deliveries were performed by health care assistants or by retrained traditional birthing assistants (ATR) due to the low incomes of many community health care associations (ASACO) who struggle to recruit qualified health care personnel. .

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