Problems of Contraception in Commune IV of the District of Bamako about 109 Cases

In Mali, the low utilization of reproductive health services in general and family planning (FP) particular contributes strongly to illnesses or deaths women during and/or after childbirth children under age one year. This situation is, among other things, logical consequence harmful practices, including closely spaced pregnancies, early clandestine abortions, access difficulties lack adequate obstetric neonatal care. Objective: The objective our study was contraception district commune IV. Methodology: a descriptive multicenter prospective cross-sectional study, carried out reference center IV Bamako, ten (10) CSCOMs RENEE CISSE maternity hospital (MRC). Study appalled from June 1 December 30, 2019. Two subgroups population were involved study: Service providers; Users (clients) made up childbearing (13 - 45 years old). premises FP units, service providers, clients who answered questionnaires constituted sample; interviewed providers also evaluated for their capacity Counseling with different methods used. variables retained analysis concerned: provision contraceptive products; as well user files characteristics. Results: result survey reveals that method most used at time Norplant 49.5% least is pill 1.8; some products, such diaphragm, cervical cap, female condom spermicide, are not available various units. Side effects cause discontinuation 17.9% clients; 50% against husband; 10.7% no reason; 21.4% desire children. 87.2% satisfied delivery compared 12.8%. 79.8% say cost products affordable 20.2%. Clients attend unit partner’s consent accounted 21.1% versus 78.9%. All female. They only resort Doctors case tubal ligation resection. preference provider explained by: Religion: “For Muslims, it preferable have provider”; Personal convenience: “some don’t want be examined by man”; Convenience: “Women feel more comfortable each other”. Providers thought opposition husband prevents practicing 50%; 33.4% attribute high 8.3% them rather religion.