DOI: https://doi.org/10.36347/sjmcr.2025.v13i12.020

Pages: 2971-2974

Under-attendance of health services prevents children from being monitored continuously for the first five years. Our purpose was to study the socio-demographic and cultural factors associated with under-attendance of preventive services for children aged 12 to 59 months. A cross-sectional cluster survey of 180 mothers of children was conducted between May and July 2019 in commune IV of Bamako. The information was collected during the individual interview. The Pearson chi-square test or Fisher exact was used with a significance level p <0.05. The free, verbal informed consent and confidentiality of the data have been respected. Among the factors; the lack of knowledge of the existence of the preventive services of the children from 12 to 59 months (p = 0.001, OR = 4.70 IC95% [1.29 - 17.10]), the non-knowledge of the moment of stoppage of the Preventive Surveillance Service (PSS) at 5 years (p = 0.009, OR = 5.75 95% CI [1.71 - 19.29]) and no knowledge of preventive service activities (p = 0.008, OR = 3.80 95% CI [1, 33 - 10.84]), only the first two remained significant after multiple logistic regression. In our study, the prevalence of under-attendance of preventive services of children aged 12 to 59 months in commune IV of Bamako was high. This under-attendance was statistically associated with the lack of awareness of the 5-year downtime and the lack of awareness of the preventive service activities. This implies a lack of communication between mothers of children aged 12 to 59 months and health workers.