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[Problem of the referral-for-referral system of obstetrical emergencies and the community involvement in the Bamako district].

AIMS
This study aims to evaluate the difficulties of the referral-for-referral system in the V municipality sanitary district of Bamako.


PATIENTS AND METHOD
A descriptive cross-sectional study was carried out from 5th September to 5th November 2011 in the sanitary district of the V municipality in Bamako. Included in the study were patients referred or evacuated for obstetrical care in the health center during the period of study. Not included were the patients referred or evacuated from other sanitary districts and patients referred or evacuated or self-referred for no obstetrical reasons. Data was recorded on the Excel 8.0 software and analyzed on the software packages Epi info 3.5.3 and STATA.


RESULTS
During the period of study we recorded 1824 deliveries among which 180 fit the inclusion criteria. During our study 92.2% of references were adequate; 78.3% were justified and 72.2% were opportune. Only the sanitary district of the V Municipality had paid its quotation due at the time of the study.


CONCLUSION
Our study showed that inadequate logistics and the lack of involvement of communities hamper the proper functioning of the referral system.