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Health dataThe Kedougou Medical Region comprises the health districts of Kedougou, Salemataand Saraya. According to World Health Organization (WHO) recommended standardsfor health infrastructure coverage, the Kedougou Region presents a reasonablysatisfactory rate (see tables 2 and 5).Table 2Main health infrastructure ratiosInfrastructureWHO Standard(WHO 2005)National Data(PNDS)KedougouRegion DataHospital 1:150,000 inh. 1:150,000 inh. 1:141,846 inh.Health centre 1:50,000 inh. 1:100,000 to 1:47,267 inh.150,000 inh.Health post 1:10,000 inh. 1:5,000 inh. 1:5,672 inh.Source: Kedougou Health Centre (2011 data)This apparently satisfactory coverage rate, however, masks many disparities anddifficulties of access to health services. In fact, there is an unequal distribution ofhealth infrastructure in the region, where mountainous terrain also makes accessdifficult for the population.Outside Kedougou, no district level health centre has a cold chain storage.Medical imaging services in Saraya and Salemata health centres are also devoid ofsuch technical equipment as radiology, ultrasound and odonto-stomatology, anddo not have staff specialized in these areas.The region has 176 basic healthcare centres, 46 (26%) of which are not operational.These facilities have just seen the addition of a private clinic and two privatedispensaries in Kedougou town and a pharmacy in Saraya.Table 3Distribution of the population by distance from health facilitiesBackgroundDistance (km)DistrictKedougou Saraya SalemataUnder 5 km 45% 29% 42%5-10 km 25% 33% 31%Over 10 km 30% 38% 27%Total 100% 100% 100%Source: Kedougou Health Centre (2011 data)Table 4Condition of health facilitiesDistrict(Area coveredby district)HealthCentresHealth PostsUrbanareaRuralareaNo. of villagescovered bydistrictKedougou 1 1 9 163 77,652(9 984 km²)Salemata1 0 5 70 23,248(1 970 km²)Saraya1 0 10 102 41,326(6 837 km²)Total 3 1 24 335 141,846Source: Kedougou Health Centre (2011 data)25No. of inhabitantscovered by district(2013)13

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