|
Authors:
Samou Diarra, Issa Goïta, Awa Diallo, Balan Macalou, Yiriba Diarra, Florent Dakouo, Souleymane Sidibé, Mohamed Cissé, Check Tidiane Koné, Inhissa B. Bengaly, Seydou Doumbia, Youssouf Traore, Ibrahim Fall, Thierno A. Dia, Souleymane Coulibaly., Mali
|
|
Abstract:
In
Mali, the management of acute malnutrition has been carried out for several
years in public health establishments on the basis of the national protocol of
the PCIMA (Integrated Management of Acute Malnutrition). The patients are
treated in different units which are: URENAM, URENAS and URENI.
The
URENI of the Kayes CSRéf (referral health center) regularly faces peak
admissions of up to 19 patients in these periods for a capacity of eight beds,
four nurses and a support doctor.
In
2018, some health districts in Mali were trained on a new approach applied to
the management of peaks of malnutrition called PCIMA Surge, the outcome of
which is the strengthening of the health system. After this training, the
district decided to implement the approach in 30 health centers and the URENI
of the CSRéf. In the establishment, particularities appeared between the health
centers and the URENI. As the surge approach is new, this work deals with these
particularities with a view to sharing with the surge actors the experience of
the Kayes health district in the matter. The particularities encountered are
found at all stages of the implementation. They are especially accentuated at
the level of the actors involved, the determination of thresholds, the
identification of surge actions and the monitoring of thresholds. The
implementation of the surge approach in health centers does not follow the same
dynamic as in a URENI. The details must be known and highlighted to improve the
implementation of URENI.
|
