Patients’ Perception of Health Care Services in Malaria Endemic Area in Mali: Villages with Health Care Services Versus villages Without Health Care Services

Main Article Content

Mariama Kaba Combasseré- Cherif
Daniel Amoako- Sakyi
Boubacar Maiga
Samba Diop
Amagana Dolo
Issa Nébié
Marita Troye -Blomberg


Aims: To assess the distribution of diseases and the reality of health service by taking the patients ‘perception in villages with health center versus those without health center.

Study Design: The assessment of distribution of diseases was done through a retrospective study from January 2010 to October 2011. The patients‘ perception of health care service was done through a prospective descriptive study conducted from September to October 2011.

Methodology: Five hundred fifty eight (558) patients from Bacoumana health district register database were included in the study for the assessment of malaria and other infectious diseases parameters using data already collected and recorded in the register. In additional, 464 adults living for at least 6 months in the rural community of Bancoumana located 60 km from Bamako (the capital of Mali) in the health district of Kati were included in the study during malaria transmission season to check their perception about health care service via the interview technique.

Results: Malaria was the most prevalent disease with 43.4% of cases. Plasmodium falciparum was the most prevalent with 97.6% of malaria cases. There was a statistical significant negative association between age and malaria (P= .007) and respiratory infections (P = .04). The village with health center rated significant interpersonal communication higher than those without health center such as compassion and support patients, reception of patients and quality of clinical examination and diagnosis.

Conclusion: Malaria remain a public health problem especially Plasmodium falciparum, the most parasite causing malaria. The study contributes for better understanding of the behaviors and the relationships between patients and health care service workers, which has a practical value for designing personalized health care services in Mali and provides a more accurate way to reflect public’s opinion in reality of health care service.

Malaria, health care services, perception and access.

Article Details

How to Cite
Cherif, M. K. C.-, Sakyi, D. A.-, Maiga, B., Diop, S., Dolo, A., Nébié, I., & -Blomberg, M. T. (2021). Patients’ Perception of Health Care Services in Malaria Endemic Area in Mali: Villages with Health Care Services Versus villages Without Health Care Services. Asian Journal of Medicine and Health, 18(11), 91-99.
Original Research Article


Baltussen RM, et al. Perceived quality of care of primary health care services in Burkina Faso. Health Policy Plan. 2002; 17(1):42-8.

Baltussen R, Ye Y. Quality of care of modern health services as perceived by users and non-users in Burkina Faso. Int J Qual Health Care. 2006;18(1):30-4.

Haddad S, Fournier P, Potvin L. Measuring lay people's perceptions of the quality of primary health care services in developing countries. Validation of a 20-item scale. Int J Qual Health Care. 1998;10(2):93-104.

Turkson PK. Perceived quality of healthcare delivery in a rural district of ghana. Ghana Med J. 2009;43(2):65-70.

Tuncalp O, et al., Listening to women's voices: the quality of care of women experiencing severe maternal morbidity, in Accra, Ghana. PLoS One. 2012;7(8): e44536.

Ndiaye P, et al. [Socio-cultural determinants of the lateness of the first prenatal consultation in a health district in Senegal]. Sante Publique. 2005;17(4): 531-8.

Taffa N, Chepngeno G. Determinants of health care seeking for childhood illnesses in Nairobi slums. Trop Med Int Health. 2005;10(3):240-5.

Develay A, Sauerborn R, Diesfeld HJ. Utilization of health care in an African urban area: results from a household survey in Ouagadougou, Burkina-Faso. Soc Sci Med. 1996;43(11):1611-9.

Mugisha F, et al. The two faces of enhancing utilization of health-care services: determinants of patient initiation and retention in rural Burkina Faso. Bull World Health Organ. 2004;82(8):572-9.

Onwujekw O, Hanson K, Fox-Rushby JA. Who buys insecticide-treated nets? Implications for increasing coverage in Nigeria. Health Policy Plan. 2003;18(3): 279-89.

Newman RD, et al. Satisfaction with outpatient health care services in Manica Province, Mozambique. Health Policy Plan. 1998;13(2):174-80.

Van Duong D, et al., Measuring client-perceived quality of maternity services in rural Vietnam. Int J Qual Health Care. 2004;16(6):447-52.

Mamdani M, Bangser M. Poor people's experiences of health services in Tanzania: A literature review. Reprod Health Matters. 2004;12(24):138-53.

Pretorius CF, Greeff M. Health-service utilization by pregnant women in the greater Mafikeng-Mmabatho district. Curationis. 2004;27(1):72-81.

Stekelenburg J, et al., Waiting too long: low use of maternal health services in Kalabo, Zambia. Trop Med Int Health. 2004;9(3):390-8.

Yip, W.C., H. Wang, and Y. Liu, Determinants of patient choice of medical provider: a case study in rural China. Health Policy Plan. 1998;13(3):311-22.

Mali PN.d.L.c.l.P.a., Rapport. Mali. French. 2006:4-6.

Santé OM dl. Promouvoir l’utilisation généralisée des combinaisons thérapeutiques à base d’artémisinine pour le traitement du paludisme simple au Mali : note technique. French. 2010;4-10.

Connaissances SD. Attitudes et pratiques des populations face au paludisme dans l’aire de santé de Finkolo (Région de Sikasso). Thèse: Médecine: Bamako: FMPOS (N°195). French; 2005.

Connaissances AG. Attitudes et pratiques des populations face au paludisme dans l’aire de santé de Baguinéda (Cercle de Kati). Thèse: Médecine: Bamako: FMPOS, (N°466). French; 2010.

locales M. d.l.A.T.e.d.C., Plan de développement economique, social et culturel de la commune rurale de Bancoumana. Rapport. Bancoumana: PDESC; 2005-2009. French.

Yaya S, Bishwajit G, Ekholuenetale M, Shah V, Kadio B, Udenigwe O. Knowledge of prevention, cause, symptom and practices of malaria among women in Burkina Faso. PLoS ONE. 2017; 12:e0180508.

Olayemi I, Omalu I, Abolarinwa S, Mustapha O, Ayanwale V, Mohammed A, et al. Knowledge of malaria and implications for control in an endemic urban area of north central Nigeria. Asian J Epidemiol. 2012;5:42–49.

Houmsou R, Amuta E, Wama B, Hile T, Bingbeng J. Occurrence of malaria in children under five years: knowledge, attitudes and perceptions among mothers in a Nigerian semi-urban area. J Sci Res Rep. 2014;3:1127–1134.

Bright Adu, Mariama K Cherif, Samuel Bosomprah, Amidou Diarra, Fareed KN Arthur, Emmanuel K Dickson, Giampietro Corradin, David R Cavanagh; Michael Theisen, Sodiomon B Sirima; Issa Nebie and Daniel Dodoo : Antibody levels against GLURP R2, MSP1 block 2 hybrid and AS202.11 and the risk of malaria in children living in hyperendemic (Burkina Faso) and hypo-endemic (Ghana) areas. Malar J. 2016;15:123.

Mariama Cherif, Daniel Amoako-Sakyi, Amagana Dolo, Jan-Olov Pearson, Ben Gyan, Dorcas Obiri Yeboah, Issa Nebié, Sodiomon B. Sirima, Ogobara Doumbo, Marita Troye-Blomberg and Maiga Bakary: Distribution of FcγR gene polymorphisms among two sympatric populations in Mali: differing allele frequencies, associations with malariometric indices and implication for genetic susceptibility to malaria. Malar J. 2016;15:29.

Mariama K. Cherif, Guillaume S. Sanou, Edith C. Bougouma, Amidou Diarra, Alphonse Ouédraogo, Amagana Dolo, Marita Troye-Blomberg, David R. Cavanagh, Michael Theisen, David Modiano, Sodiomon B. Sirima, Issa Nébié: Is Fc Gamma Receptor IIA (FcγRIIA) polymorphism associated with clinical malaria and Plasmodium falciparum specific antibody levels in children from Burkina Faso? Acta Tropica. 2015;142:41-46.