Improve the medical follow-up of women and children in rural areas of Mali by computerizing health facilities
Main beneficiary country:Mali
Country of origin: France
Healthcare themes targeted
Stage of development:
Area where initiative is utilised
Initiative start date
In Mali, more than 1000 health facilities, managed by Communitarian Health associations, faith-based and associative centers, medical and care offices, from the first level of the country’s healthcare system. Within a 15 kilometers radius, health facilities deliver individual and collective health care services, including curative, preventive, immunization, child growth follow-up and family planning services, to the 10 000 to 15 000 inhabitants of their health area. It is rare to see an individual patient file in a health facility in Mali, including for women (besides for the limited time of a pregnancy) and children. The information system of the health center is based on many paper-based registers in which are written every consultancy in chronological order. A register exists for curative care, another one for children immunization, another one for pregnancies follow-up, another for prescriptions, etc. The frequent lack of an individual patient file gathering information on all care services provided by different practitioners in the facility (doctors, midwives, matrons, nurses, health workers), makes it impossible to ensure a global medical follow-up of a patient. The parceling of cares impairs their quality, especially regarding women or children for whom curative and preventive cares, as well as follow-up activities (pregnancy, immunization) are also provided. The lack of an individual medical file doesn’t allow medical workers to analyze the health center’s activity, nor the creation or monitoring of care protocols and the search for an improvement in the quality of services provided to the population.
The DATASANTE MALI initiative intends to improve the quality of health care provided in rural areas in Mali, by implementing a computerized (mobile and connected) system in health facilities, fostering team work around prevention and curative activities. This system of computerized individual health records is implemented in 27 health facilities directed by community general practitioners. This initiative enables rural and isolated populations, as well as health professionals working in those areas, to benefit from the use of new information and communication technologies applied to the health sector. The individual health record enables the personalized follow-up of each patient (diagnosis and treatments history, family planning, immunization, nutrition, chronic diseases and pregnancy follow-up…), with quantitative and qualitative data disaggregated by sex and age for women, men, children under five and persons living with chronic or serious diseases. An alert system inserted in the database enables health professionals to list and contact all patients who need a follow-up consultation. Disaggregating quantitative and qualitative data by age and sex allows studying women and children access to health services. The initiative also provides health professionals with diagnostic and prescription assistance, gravity alarms and continuing education tools. Sensitization and communication activities towards local communities, leaders, health professionals and traditional health providers intend to foster behavior changes in terms of nutritional care andreproductive health and to improve early access to health services.
Health professional training - Patient monitoring and medical data
790235 Number of beneficiaries since launch
auto-evaluated or evaluated by a related organization