Factors hindering health care delivery in nomadic communities: a cross-sectional study in Timbuktu, Mali
Abstract Background In Mali, nomadic populations are spread over one third of the territory. Their lifestyle, characterized by constant mobility, excludes them from, or at best places them at the edge of, health delivery services. This study aimed to describe nomadic populations’ characteristics, de...
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2021-02-01
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Online Access: | https://doi.org/10.1186/s12889-021-10481-w |
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language |
English |
format |
Article |
sources |
DOAJ |
author |
Moussa Sangare Yaya Ibrahim Coulibaly Siaka Yamoussa Coulibaly Housseini Dolo Abdoul Fatao Diabate Kueshivi Midodji Atsou Abdoul Ag Souleymane Youssouf Ag Rissa Dada Wallet Moussa Fadimata Wallet Abdallah Massitan Dembele Mahamadou Traore Tieman Diarra William R. Brieger Sekou Fantamady Traore Seydou Doumbia Samba Diop |
spellingShingle |
Moussa Sangare Yaya Ibrahim Coulibaly Siaka Yamoussa Coulibaly Housseini Dolo Abdoul Fatao Diabate Kueshivi Midodji Atsou Abdoul Ag Souleymane Youssouf Ag Rissa Dada Wallet Moussa Fadimata Wallet Abdallah Massitan Dembele Mahamadou Traore Tieman Diarra William R. Brieger Sekou Fantamady Traore Seydou Doumbia Samba Diop Factors hindering health care delivery in nomadic communities: a cross-sectional study in Timbuktu, Mali BMC Public Health Nomadic Access Healthcare Delivery Timbuktu Mali |
author_facet |
Moussa Sangare Yaya Ibrahim Coulibaly Siaka Yamoussa Coulibaly Housseini Dolo Abdoul Fatao Diabate Kueshivi Midodji Atsou Abdoul Ag Souleymane Youssouf Ag Rissa Dada Wallet Moussa Fadimata Wallet Abdallah Massitan Dembele Mahamadou Traore Tieman Diarra William R. Brieger Sekou Fantamady Traore Seydou Doumbia Samba Diop |
author_sort |
Moussa Sangare |
title |
Factors hindering health care delivery in nomadic communities: a cross-sectional study in Timbuktu, Mali |
title_short |
Factors hindering health care delivery in nomadic communities: a cross-sectional study in Timbuktu, Mali |
title_full |
Factors hindering health care delivery in nomadic communities: a cross-sectional study in Timbuktu, Mali |
title_fullStr |
Factors hindering health care delivery in nomadic communities: a cross-sectional study in Timbuktu, Mali |
title_full_unstemmed |
Factors hindering health care delivery in nomadic communities: a cross-sectional study in Timbuktu, Mali |
title_sort |
factors hindering health care delivery in nomadic communities: a cross-sectional study in timbuktu, mali |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2021-02-01 |
description |
Abstract Background In Mali, nomadic populations are spread over one third of the territory. Their lifestyle, characterized by constant mobility, excludes them from, or at best places them at the edge of, health delivery services. This study aimed to describe nomadic populations’ characteristics, determine their perception on the current health services, and identify issues associated with community-based health interventions. Methods To develop a better health policy and strategic approaches adapted to nomadic populations, we conducted a cross-sectional study in the region of Timbuktu to describe the difficulties in accessing health services. The study consisted in administering questionnaires to community members in the communes of Ber and Gossi, in the Timbuktu region, to understand their perceptions of health services delivery in their settings. Results We interviewed 520 individuals, all members of the nomadic communities of the two study communes. Their median age was 38 years old with extremes ranging from 18 to 86 years old. Their main activities were livestock breeding (27%), housekeeping (26.4%), local trading (11%), farming (6%) and artisans (5.5%). The average distance to the local health center was 40.94 km and 23.19 km respectively in Gossi and Ber. In terms of barriers to access to health care, participants complained mainly about the transportation options (79.4%), the quality of provided services (39.2%) and the high cost of available health services (35.7%). Additionally, more than a quarter of our participants stated that they would not allow themselves to be examined by a health care worker of the opposite gender. Conclusion This study shows that nomadic populations do not have access to community-based health interventions. A number of factors were revealed to be important barriers per these communities’ perception including the quality of services, poverty, lifestyle, gender and current health policy strategies in the region. To be successful, future interventions should take these factors into account by adapting policies and methods. |
topic |
Nomadic Access Healthcare Delivery Timbuktu Mali |
url |
https://doi.org/10.1186/s12889-021-10481-w |
work_keys_str_mv |
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doaj-23490450beda4eab86a693d0a30babf82021-03-11T11:15:07ZengBMCBMC Public Health1471-24582021-02-012111810.1186/s12889-021-10481-wFactors hindering health care delivery in nomadic communities: a cross-sectional study in Timbuktu, MaliMoussa Sangare0Yaya Ibrahim Coulibaly1Siaka Yamoussa Coulibaly2Housseini Dolo3Abdoul Fatao Diabate4Kueshivi Midodji Atsou5Abdoul Ag Souleymane6Youssouf Ag Rissa7Dada Wallet Moussa8Fadimata Wallet Abdallah9Massitan Dembele10Mahamadou Traore11Tieman Diarra12William R. Brieger13Sekou Fantamady Traore14Seydou Doumbia15Samba Diop16Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)General Directorate of Health and Public Hygiene, Ministry of Health and Social Affairs of MaliGeneral Directorate of Health and Public Hygiene, Ministry of Health and Social Affairs of MaliWorld Health Organization (WHO), Regional Office for AfricaDepartment of International Health, Health System Program, The Johns Hopkins Bloomberg School of Public HealthMali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Mali International Center for Excellence in Research (ICER), University of Sciences, Techniques, and Technologies of Bamako (USTTB)Abstract Background In Mali, nomadic populations are spread over one third of the territory. Their lifestyle, characterized by constant mobility, excludes them from, or at best places them at the edge of, health delivery services. This study aimed to describe nomadic populations’ characteristics, determine their perception on the current health services, and identify issues associated with community-based health interventions. Methods To develop a better health policy and strategic approaches adapted to nomadic populations, we conducted a cross-sectional study in the region of Timbuktu to describe the difficulties in accessing health services. The study consisted in administering questionnaires to community members in the communes of Ber and Gossi, in the Timbuktu region, to understand their perceptions of health services delivery in their settings. Results We interviewed 520 individuals, all members of the nomadic communities of the two study communes. Their median age was 38 years old with extremes ranging from 18 to 86 years old. Their main activities were livestock breeding (27%), housekeeping (26.4%), local trading (11%), farming (6%) and artisans (5.5%). The average distance to the local health center was 40.94 km and 23.19 km respectively in Gossi and Ber. In terms of barriers to access to health care, participants complained mainly about the transportation options (79.4%), the quality of provided services (39.2%) and the high cost of available health services (35.7%). Additionally, more than a quarter of our participants stated that they would not allow themselves to be examined by a health care worker of the opposite gender. Conclusion This study shows that nomadic populations do not have access to community-based health interventions. A number of factors were revealed to be important barriers per these communities’ perception including the quality of services, poverty, lifestyle, gender and current health policy strategies in the region. To be successful, future interventions should take these factors into account by adapting policies and methods.https://doi.org/10.1186/s12889-021-10481-wNomadicAccessHealthcareDeliveryTimbuktuMali |