Availability of Drugs for Mothers and Children in Community Health Centers in Commune VI of the Bamako Health District

Introduction: Improving maternal and child health is a worldwide priority. An estimated 8.1 million children under five die each year. Approximately 1,000 women, most of whom live in developing countries, die every day from complications of pregnancy or childbirth. The objective of this work was to assess the availability of mother's and child's medicines at the level of the community health center VI of the Bamako district, Mali. Materials and methods: This were a prospective cross-sectional study which was took place in Bamako in the community health center VI in 12 months over the period from November 2019 to October 2020. We carried out a survey in the 11 community health center VI. Data entry and analysis were performed using SPSS version 21.0 software. Results: In this study, the sex ratio was 2.66. Half of the people surveyed were doctors (50%) who assumed the role of DTC (Technical Director of the Center). As for the profiles of managers, in our sample, accountants were the most represented with a rate of 31.82%. Almost all depot managers have received training in logistics management (86% of cases). 73.00% of Community health centers correctly followed the SDADME (drug supply and distribution master plan). The Community health centers were supplied by other suppliers in the event of a shortage at the PPM (Popular Pharmacy of Mali) with a rate of 86.40%. The total availability rate of medicines for mothers and children was 60%. Breaks were recorded for eight (08) products. The causes mentioned in relation to drug breaks were, among others: non-ordering of drugs, non-availability at the PPM and non-prescription of drugs by providers. Conclusion: This study revealed a good availability of drugs for mother and child. However, we found that some of these drugs were out of stock. These shortages were due either to the non-availability of the PPM store, or to the non-ordering of these products by the Community health centers. Keywords: management, medicine, CSComs, mothers and children, Bamako