In Mali, the low utilization
of reproductive health services in general and family planning (FP) in
particular contributes strongly to illnesses or deaths of women during and/or
after childbirth and of children under the age of one year. This situation is,
among other things, the logical consequence of harmful practices, including
closely spaced pregnancies, early pregnancies, clandestine abortions, access
difficulties and the lack of adequate obstetric and neonatal care. Objective: The objective of our study was to study the difficulties of access to
contraception in the health district of commune IV. Methodology: This
was a descriptive and multicenter prospective cross-sectional study, carried
out in the reference health center of commune IV in the district of Bamako, in
the ten (10) CSCOMs and the RENEE CISSE maternity hospital (MRC). Study appalled
from June 1 to December 30, 2019. Two subgroups of the study population were
involved in the study: Service providers; Users (clients) made up of women of
childbearing age (13 - 45 years old). The premises of the FP units, the service
providers, the clients who answered our questionnaires constituted our sample;
the interviewed providers were also evaluated for their capacity in Counseling
with the different methods used. The variables retained for the analysis
concerned: the provision of contraceptive products; as well as user files and
their characteristics. Results: The result of our survey reveals that
the method most used at the time of our survey was Norplant 49.5% and the least
used is the pill 1.8; some products, such as the diaphragm, cervical cap,
female condom and spermicide, are not available in the various FP units. Side
effects were the cause of discontinuation for 17.9% of our clients; 50% against
the husband; 10.7% for no reason; 21.4% for desire for children. 87.2% of
clients are satisfied with the service delivery compared to 12.8%. 79.8% of
clients say that the cost of contraceptive products is affordable compared to
20.2%. Clients who attend the FP unit with their partner’s consent accounted for
21.1% versus 78.9%. All providers were female. They only resort to Doctors in
case of tubal ligation and resection. The preference of the female provider was
explained by: Religion: “For Muslims, it is preferable
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