Pediatric anesthesia is a sensitive area of medicine, particularly in low-resource countries where infrastructure, staff qualifications, and care organization challenges are significant. This study aimed to assess the quality of anesthesia care in pediatric surgery at the Gabriel Touré University Hospital (CHU) in Bamako, Mali. A cross-sectional, mixed-methods descriptive study was conducted from January 2022 to February 2023. It included 70 patients aged 0 to 15 years who underwent surgery under anesthesia and 7 anesthesiologists from the department. The tools used included closed-ended questionnaires, semi-structured interviews, and direct observations. The analysis focused on adverse events, companion satisfaction, pain management, and organization of care. The results revealed a male predominance (63%). Emergency interventions accounted for 94% of cases, highlighting gaps in planning. Urological surgery and neurosurgery were the most frequent specialties (21.4% each). Intraoperative complications were noted in 44% of children, reflecting organizational vulnerability. Despite this, 73% of accompanying persons reported overall satisfaction with anesthesia care. However, postoperative pain management and infrastructure hygiene remained insufficiently satisfactory (40% and 36% respectively). These results highlight major structural and human challenges. Improving quality requires strengthening staff skills, improving communication with families, and sustained investment in infrastructure and equipment. A patient-centered approach, incorporating ongoing assessment and professional training, is essential for safe and effective pediatric anesthesia in Mali.
| Published in | American Journal of Health Research (Volume 13, Issue 4) |
| DOI | 10.11648/j.ajhr.20251304.13 |
| Page(s) | 226-230 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Pediatric Anesthesia, Quality of Care, Patient Satisfaction, Intraoperative Complications, Gabriel Touré University Hospital
Type of surgery | Frequency | Percentage |
|---|---|---|
Urology | 15 | 21.4 |
Neurosurgery | 15 | 21.4 |
Visceral | 12 | 17.1 |
Digestive | 10 | 14.3 |
ENT | 6 | 8.6 |
Trauma | 1 | 1.4 |
Others | 11 | 15.7 |
Total | 70 | 100.0 |
CHU | University Hospital Center |
EIG | Serious Adverse Event |
ENT | Ear, Nose and Throat |
WHO | World Health Organization |
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APA Style
Traoré, N., Tall, M. M., Kamissoko, C. O., Konaté, A., Tapily, H., et al. (2025). Evaluation of the Quality of Care Related to Anesthesia in Pediatric Surgery at the Gabriel Touré University Hospital (CHU), Mali, 2024. American Journal of Health Research, 13(4), 226-230. https://doi.org/10.11648/j.ajhr.20251304.13
ACS Style
Traoré, N.; Tall, M. M.; Kamissoko, C. O.; Konaté, A.; Tapily, H., et al. Evaluation of the Quality of Care Related to Anesthesia in Pediatric Surgery at the Gabriel Touré University Hospital (CHU), Mali, 2024. Am. J. Health Res. 2025, 13(4), 226-230. doi: 10.11648/j.ajhr.20251304.13
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Download@article{10.11648/j.ajhr.20251304.13,
author = {Nourou Traoré and Mohamed Modibo Tall and Cheick Oumar Kamissoko and Aboubacary Konaté and Hassana Tapily and Kaly Keita and Bassy Coulibaly and Ibrahima Diarra and Youssouf Diam Sidibe and Yakaria Coulibaly},
title = {Evaluation of the Quality of Care Related to Anesthesia in Pediatric Surgery at the Gabriel Touré University Hospital (CHU), Mali, 2024
},
journal = {American Journal of Health Research},
volume = {13},
number = {4},
pages = {226-230},
doi = {10.11648/j.ajhr.20251304.13},
url = {https://doi.org/10.11648/j.ajhr.20251304.13},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajhr.20251304.13},
abstract = {Pediatric anesthesia is a sensitive area of medicine, particularly in low-resource countries where infrastructure, staff qualifications, and care organization challenges are significant. This study aimed to assess the quality of anesthesia care in pediatric surgery at the Gabriel Touré University Hospital (CHU) in Bamako, Mali. A cross-sectional, mixed-methods descriptive study was conducted from January 2022 to February 2023. It included 70 patients aged 0 to 15 years who underwent surgery under anesthesia and 7 anesthesiologists from the department. The tools used included closed-ended questionnaires, semi-structured interviews, and direct observations. The analysis focused on adverse events, companion satisfaction, pain management, and organization of care. The results revealed a male predominance (63%). Emergency interventions accounted for 94% of cases, highlighting gaps in planning. Urological surgery and neurosurgery were the most frequent specialties (21.4% each). Intraoperative complications were noted in 44% of children, reflecting organizational vulnerability. Despite this, 73% of accompanying persons reported overall satisfaction with anesthesia care. However, postoperative pain management and infrastructure hygiene remained insufficiently satisfactory (40% and 36% respectively). These results highlight major structural and human challenges. Improving quality requires strengthening staff skills, improving communication with families, and sustained investment in infrastructure and equipment. A patient-centered approach, incorporating ongoing assessment and professional training, is essential for safe and effective pediatric anesthesia in Mali.
},
year = {2025}
}
TY - JOUR T1 - Evaluation of the Quality of Care Related to Anesthesia in Pediatric Surgery at the Gabriel Touré University Hospital (CHU), Mali, 2024 AU - Nourou Traoré AU - Mohamed Modibo Tall AU - Cheick Oumar Kamissoko AU - Aboubacary Konaté AU - Hassana Tapily AU - Kaly Keita AU - Bassy Coulibaly AU - Ibrahima Diarra AU - Youssouf Diam Sidibe AU - Yakaria Coulibaly Y1 - 2025/07/09 PY - 2025 N1 - https://doi.org/10.11648/j.ajhr.20251304.13 DO - 10.11648/j.ajhr.20251304.13 T2 - American Journal of Health Research JF - American Journal of Health Research JO - American Journal of Health Research SP - 226 EP - 230 PB - Science Publishing Group SN - 2330-8796 UR - https://doi.org/10.11648/j.ajhr.20251304.13 AB - Pediatric anesthesia is a sensitive area of medicine, particularly in low-resource countries where infrastructure, staff qualifications, and care organization challenges are significant. This study aimed to assess the quality of anesthesia care in pediatric surgery at the Gabriel Touré University Hospital (CHU) in Bamako, Mali. A cross-sectional, mixed-methods descriptive study was conducted from January 2022 to February 2023. It included 70 patients aged 0 to 15 years who underwent surgery under anesthesia and 7 anesthesiologists from the department. The tools used included closed-ended questionnaires, semi-structured interviews, and direct observations. The analysis focused on adverse events, companion satisfaction, pain management, and organization of care. The results revealed a male predominance (63%). Emergency interventions accounted for 94% of cases, highlighting gaps in planning. Urological surgery and neurosurgery were the most frequent specialties (21.4% each). Intraoperative complications were noted in 44% of children, reflecting organizational vulnerability. Despite this, 73% of accompanying persons reported overall satisfaction with anesthesia care. However, postoperative pain management and infrastructure hygiene remained insufficiently satisfactory (40% and 36% respectively). These results highlight major structural and human challenges. Improving quality requires strengthening staff skills, improving communication with families, and sustained investment in infrastructure and equipment. A patient-centered approach, incorporating ongoing assessment and professional training, is essential for safe and effective pediatric anesthesia in Mali. VL - 13 IS - 4 ER -
Anesthesia and Resuscitation Department, Gabriel Touré University Hospital, Bamako, Mali
Sélingué Reference Health Center, Sikasso, Mali
Figure 1. Patient sex.
Figure 2. Distribution of patients according to admission method.
Figure 3. Distribution of patients according to complications during intraoperative anesthesia.
Figure 4. Overall satisfaction of escorts with the quality of care.
Figure 5. Distribution of stakeholders according to pain management during anesthesia.
Figure 6. Distribution of providers according to patient pain management after anesthesia 40% of our respondents reported being satisfied with pain management.
