Analyse des données de surveillance du Paludisme au Mali de 2017 à 2019

Abstract

Introduction: Five Francophone Africa countries, including Mali, bear a quarter of the global malaria burden where a child dies every two minutes. An analysis of malaria surveillance data was conducted to describe the characteristics, diagnostic capabilities, trends and data quality.
Methods: We conducted a descriptive cross-sectional study on malaria surveillance data in Mali from 2017 to 2019. All cases recorded in district health software version2 were included. Proportions and ratios were calculated using Epi-Info 7.2.
Results: The national prevalence of malaria was 9.53%, respectively; 8.96% and 10.05% in 2017, 2018, 2019. The male / female ratio was 0.97. The rapid diagnostic test was the most used with 80.31%, 64.97%, 79.48% respectively in 2017, 2018, 2019. Morbidity decreased from 36.23% to 31.95% and mortality 78.35% to 71.18% in children under 5 years old. The low malaria confirmation rates were recorded in 2017 in Taoudénit (32%), in 2018 in Koulikoro and Ménaka with 36%, in 2019 in Kidal and Taoudénit with 32%. High lethalities were observed in Sikasso (73‱), Mopti (66‱) and Timbuktu (94‱) in 2017, 2018, 2019.
Conclusion: A reduction in malaria morbidity and mortality in children under five years old and an inappropriate use of antimalarial inputs were reported. We recommend strengthening the monitoring of malaria control activities at all levels of the health pyramid.