In order to assess the care conformity of the new cases of pulmonary tuberculosis with positive s... more In order to assess the care conformity of the new cases of pulmonary tuberculosis with positive smear (TPF+) with the recommendations of the national program of fight against tuberculosis (PNT), a retrospective study on files has been made in January 1st to June 30, 2000 in the reference center of District Center, in Dakar, Senegal. All the new cases of TPF+ were included. Were excluded the relapses, the re treatment after failure or interruption. Were successively studied: the socio-demographic characteristics, the patient's status, and the quality of the bacteriological and the therapeutic follow-up. According to the reports, 115 new cases were counted. In contrary, based on the registers, 109 new cases of TPF+ including 38 women and 71 men were counted. The follow-up gave, at the end, 58% of cure, 4% of finished treatment, 32% of abandon, 4% of failure and 3% of transfer. Discordances of the data between cards, registers and reports/rates are explained by the lack of rigour d...
Malnutrition is an important indicator of development, and its consequences in children and adole... more Malnutrition is an important indicator of development, and its consequences in children and adolescents produce a serious socioeconomic burden. Children living on the street are more vulnerable than others. Thus, our objective was to analyze the nutritional status of children living on the streets of Manga, through a cross-sectional and analytical study. The snowball technique was used for sampling. Data came from individual interviews, blood samples and medical examinations. Of the 237 children studied, 84.8% were boys; the overall mean age was 11.5 years, and 72.6% were adolescents (aged 10 to 17 years). Growth retardation (15.9%) predominated among the children aged 4 to 9 years, while a weight deficit (27.9%) was most common among those aged 10 to 17. Half of the children (50.2%) with blood tests (N = 119) had anemia. There was a link between anemia and underweight (p = 0.0145). Children who ate at least three times a day were 2.63 times less likely to be anemic (p<0.001). Fa...
Médecine tropicale : revue du Corps de santé colonial, 2010
The SESAME plan has been implemented at the Thies Regional Hospital Center (TRHC) for one year. T... more The SESAME plan has been implemented at the Thies Regional Hospital Center (TRHC) for one year. The purpose of this study was to analyze the financial implications of the plan on the hospital budget for the sustainability of care for persons aged 60 and over. This descriptive study included analysis of budget data from October 2006 to September 2007 plus information obtained by interviewing the accountant and head of SESAME plan. The number of patients managed, sources of CHRT funding, grants from various SESAME plan partners, and expenditures for each partner were determined. The weight of the SESAME plan in the CHRT operating budget was determined by calculating the ratio of the overall cost of care for elderly persons in relation to the hospital's revenues and SESAME grants. During the study period, the CHRT received a total of 17375 elderly persons including 89% with no pension or social security. The institute pension scheme (IPRES) covered 21% of the plan as compared to 79...
Maternal mortality and lethality in childhood constitute a major problem in Senegal. These two ra... more Maternal mortality and lethality in childhood constitute a major problem in Senegal. These two rates are often hight in areas off hight birth rate. In the medical district of Kolda (Senegal) no reliable data on reproductive health exists. We report the results of a preliminary investigation of a community based reproductive project. We've used the sisterhood methods reproductive health's indicators. This cross-sectional study was carried out in a sample of 1287 women in age of procreating. An "aggregative" fertility index of 6.59 was found in the "intervention" area as compare to 5,53 in the control area. The maternal death rate was estimated at 1285 per 100.000 alive births [998-1576]. The infant mortality rate was 83 per 1000. These results justify impremantation of a "vigorous" reproductive health policy in this area.
In Senegal, governmental fight plan against malaria emphasizes the need to community actions, par... more In Senegal, governmental fight plan against malaria emphasizes the need to community actions, particularly for early treatment of child malaria at home. So, we carried out a cross sectional survey, to determine factors linked with treatment of child malaria at home. During February 2001, we had an interview with persons taking care of a child under five years. These persons were randomly chosen among population of a rural town. Their median age was 32 years, 90.5% of them were women, 77.8% were the mother of the child. Their level of knowledge about malaria was fair (hightest transmission period, promoting environmental factors); 85.1% quoted children as vulnerable group; for 85%, fever was chief sign of malaria. When the child had fever, 45% of them brought him to a health center and 44% gave him chloroquin; 67.5% related no harmful effects. But at the time of the survey, only 28.8% had chloroquin at home. Literacy was very linked with home care: literate persons knowed most freque...
In the current senegalese context, marked by a political will of autonomisation of health service... more In the current senegalese context, marked by a political will of autonomisation of health services, is proves very important to study the costs of the services provided in hospitals. Our study, which consists in a retrospective analysis of accounting archives of the psychiatric department of Fann Hospital during the year 1998, had the following objectives: determine the costs related to the functioning of the service of psychiatry, according to the source of financing, determine the average cost of the main services provided by the psychiatric department, analyze the recovery of the cost of these services. The operating costs of the psychiatric department came to 86.824.477 FCFA in 1998. 88% of the total amount were brought by the State and the remaining 12% came from community participation. The average cost of hospitalization in Clinique Moussa Diop was 91.398 F CFA. For the former patients the visit cost 6.664 F CFA; for the outpatients the price was 12,886 F CFA. The average cos...
Les conditions d’hygiene de la peche artisanale au Senegal ne respectent pas toujours les normes ... more Les conditions d’hygiene de la peche artisanale au Senegal ne respectent pas toujours les normes de qualite requises. Ce present travail se propose d’etudier la qualite de trois especes de poissons demersaux ; la sole limande ( Syacium guineensis ), le merou a points bleus ( Cephalopholis taeniops ) et le rouget ( Pseudupeneus prayensis ) debarques par la peche artisanale. Ces especes sont suivies depuis la capture jusqu’a leur acheminement en usine. L’evaluation sensorielle de la fraicheur du poisson a consiste a tester la qualite par le toucher, l’odorat, la vue et le gout. Le dosage de l’azote basique volatil total (ABVT) a permis de determiner la teneur totale en azote des bases azotees volatiles resultant de la degradation des composes azotes du poisson lors de l’alteration. La methode d’analyse microbiologique utilisee est celle qui consiste a incorporer un volume donne de la prise d’essai et de ses dilutions dans un milieu de culture solide. A l’analyse sensorielle, les trois...
Introduction : dans le but de contribuer a la lutte contre l’infection a VIH/sida, cette enquete ... more Introduction : dans le but de contribuer a la lutte contre l’infection a VIH/sida, cette enquete a ete menee pour identifier les facteurs limitant l’utilisation du preservatif chez les eleves du college El Mina de Nouakchott, en Republique islamique de Mauritanie. Methode : cette enquete, menee au mois de mai 2004, a porte sur 711 eleves des classes de 6 e a 3 e. Les variables etudiees comprenaient une seule dependante (utilisation ou non du preservatif) les autres, independantes, etant organisees en deux niveaux : le profil sociodemographique et le niveau d’information. Les donnees ont ete saisies puis nettoyees et enfin analysees a l’aide du logiciel Epi Info version 6.04. Resultats : parmi les eleves ayant une activite sexuelle (40 %), le multipartenariat a ete de 41 %, et les rapports non proteges de 38 %. L’utilisation du preservatif a ete statistiquement plus frequente chez les garcons, les marie(e)s ; ceux qui avaient plus de trois annees de sexualite, avaient plus d’un parte...
Introduction Pour contribuer a la lutte contre les violences physiques faites aux femmes, ce trav... more Introduction Pour contribuer a la lutte contre les violences physiques faites aux femmes, ce travail avait pour objectif d’effectuer le bilan decennal des cas traites au tribunal regional de Tambacounda. Methodologie L’etude d’observation, retrospective, descriptive et analytique, a ete menee du 15 octobre 2014 au 15 avril 2015. Elle a porte sur l’ensemble des dossiers judiciaires des victimes de coups et blessures volontaires de 2006 a 2015. Les donnees ont ete saisies et analysees avec le logiciel Epi-Info3.3.2. Resultats Au total, 113 cas ont ete traites. L’âge moyen etait de 26,5 ± (10,08) ans pour les victimes contre 32,5 ± 13,8 ans pour les agresseurs. Les victimes etaient toutes de sexe feminin, et 77,9 % des agresseurs de sexe masculin. Les agressions se deroulaient surtout durant la journee (57,5 %) et surtout au domicile des victimes (61,0 %), dans la rue (16,8 %) et dans la brousse (12,4 %). Le delai de consultation etait inferieur a 24 heures pour 54,9 % des victimes. L’examen clinique differenciait 15 % de fractures, 13,5 % de contusions, 10,6 % de plaies penetrantes, 9,7 % d’hematomes, 7,9 % de traumatismes oculaires, 7,9 % d’avulsions dentaires, 7,1 % d’algies diffuses, 6,2 % de polytraumatisme et 5,3 % de traumatisme sur grossesses. Parmi les violences, 33,6 % etaient conjugales ; 11,5 % etaient associees a un viol, 3,6 % de violences psychologiques, et 1,8 % de viol et menace de mort. Le viol etait statistiquement plus frequent chez les victimes mineures [OR = 10,7 (3,2–35,5)] et/ou instruites [OR = 5,8 (1,7–19,9)] et dans la brousse [OR = 7,5 (2,2–14,2)]. Les agresseurs etaient solitaires et emprisonnes respectivement dans 94,7 % et 73,5 % des cas. Les emprisonnements etaient fermes dans 89,2 % des cas. Conclusion A Tambacounda, les autorites sanitaires et judiciaires devraient renforcer la sensibilisation des populations sur les risques de violences. L’extension d’une telle etude au niveau national aurait mieux oriente les strategies de lutte contre ce fleau.
As a way to prevent maternal mortality and stillbirth, the dystocia risk score includes three com... more As a way to prevent maternal mortality and stillbirth, the dystocia risk score includes three components: a left column provides a list of eight characteristics to check for in the woman; an upper horizontal section provides a checklist of possible outcomes of the pregnancy itself: and a rectangular grid indicates the prognosis in three zones: a large red (dangerous), a medium-sized grey (doubtful) and a small blue (hopeful). The DRS is positive if there is at least one cross in the dangerous zone and/or two crosses in the doubtful zone (it indicates that the woman should be referred to a center specialized in obstetric emergency care); elsewhere, the DRS is negative. The validation test gives good results (sensitivity=83.61%, specificity=90.05%, positive predictive value=72.34%, and negative predictive value=94.04%). Its large-scale use would accelerate the identification of pregnant women with a high risk of dystocia. Their timely referral to specialized emergency obstetrics centers would increase the efficacy of care and reduce the levels of maternal mortality and stillbirth.
... Vous consultezÉvaluation économique des tests de diagnostic rapide dans le traitement du palu... more ... Vous consultezÉvaluation économique des tests de diagnostic rapide dans le traitement du paludisme. AuteursAdama Faye[1] [1] Médecine Préventive/ Santé Publique, UCAD, BP 16390,... suitedu même auteur. et al. ... 13 Muheki CZ, McIntyre D, Barnes KI. ...
Médecine tropicale : revue du Corps de santé colonial, 2010
The purpose of this study was to evaluate collaboration between traditional healers (TH) and regi... more The purpose of this study was to evaluate collaboration between traditional healers (TH) and registered nurses (RN) in the care of people living with HIV (PLHIV) in the health district N'Gourma Fada, Burkina Faso. A survey was conducted among 26 RN, 33 TH working in the health district and 96 PLHIV under treatment at the Fada N'Gourma Regional Hospital. Survey data showed that only 9.1% had sound knowledge about HIV/AIDS and 18.2% about prevention methods. Conversely 84.8% had a good knowledge about clinical manifestations. Among TH, 84.8% claimed to refer patients to health facilities that provided no support for HIV/AIDS, 51.1% called for establishment of a framework of cooperation and 21.2% asked for reciprocity. Among nurses, 85.2% did not consider TH as part of the health community fighting against HIV/AIDS. Proposals focused on association of TH, frameworks of cooperation, and coordination of TH activities in the fight against HIV/AIDS.
To evaluate the quality of malaria prevention during prenatal consultations, this study was carri... more To evaluate the quality of malaria prevention during prenatal consultations, this study was carried out in Niakhar, one sub-prefecture of the Fatick region. It was a matter of a descriptive transverse study, based on the listens and the observation of 60 prenatal consultations carried out within three health posts. The studied variables were related to the criteria of a good quality of prophylaxis at three levels: questioning, examination, and attitude after consultation. Questioning was centred by frequency order on: the pregnancy antecedents (65%), the chloroquine direction for use (34.3%), the fever notion (6%), and the chloroquine secondary effects (3%). During the physical examination, all the providers looked for clinical signs of weakens, blood pressure, and presence of oedemas of the legs; but the temperature was taken only in 8.6% of the cases. At the end of the consultation, the chemoprophylaxis prescription and the next consultation appointment were systematic; the durati...
to evaluate the socio-cultural determinants of the delay in having the first pre-natal exam (CPN)... more to evaluate the socio-cultural determinants of the delay in having the first pre-natal exam (CPN) in order to make recommendations which aim to reduce maternal and fetal morbidity and mortality in the Richard-Toll health district in Senegal. the study was cross-sectional, descriptive and analytical, and was conducted on the entire population of pregnant women who came in for a CPN between March 1st and April 30th, 2003. A questionnaire which was developed on the basis of studied variables steered the interview process which was carried out upon completion of each pregnant woman's CPN in 15 different health facilities. Data were recorded and analysed using Epi Info 6.04d software. The sample population studied included 351 pregnant women. The cultural environment over the unexpected nature of the pregnancy, the discretion surrounding the pregnancy, the ignorance of the risks, and the refusal to be examined by male health workers all have a statistically significant influence on t...
Home birth remains a major cause of maternal and neonatal deaths in Senegal. The objective of thi... more Home birth remains a major cause of maternal and neonatal deaths in Senegal. The objective of this study was to identify the determinants of home birth in women who attended at least one antenatal consultation during their last pregnancy. The study was cross-sectional and analytical. It covered a sample of 380 women selected at random among those who have given birth in the last 12 months in the health district Gossas. Data were collected at home using a questionnaire during an interview after informed consent. Multiple logistic regression was used to explore the determinants of childbirth at home using the Andersen model. The mean age was 26.2 ± 6.1 years. Women were married (97.3%), illiterate (81.8%) and lived in rural areas (78.4%). Available means of transportation at home were car (7.6%), cart (62.9%) or none 29.5%. In addition, 52.2% of the women lived more than 5 km from a health facility. For 59.0% of the women, the prenatal exam was considered satisfactory. The prevalence of home birth was 24%. Factors related to birth at home are polygamous marriage (OR=2.04 [1.13-3.70]), lack of transportation (OR=2.11 [1.13-5.01]) and residence more than 5 km from a health facility (OR=2.68 [1.56-4.16]). Late (3.90 [2.30-6.65]) or low quality (4.27 [2.25-8.10]) prenatal exams were also risk factors. Home birth is linked to access to health facilities but also to the prenatal consultation. Particular emphasis should be placed on training health care providers to improve the quality of the patients in the structures.
In order to assess the care conformity of the new cases of pulmonary tuberculosis with positive s... more In order to assess the care conformity of the new cases of pulmonary tuberculosis with positive smear (TPF+) with the recommendations of the national program of fight against tuberculosis (PNT), a retrospective study on files has been made in January 1st to June 30, 2000 in the reference center of District Center, in Dakar, Senegal. All the new cases of TPF+ were included. Were excluded the relapses, the re treatment after failure or interruption. Were successively studied: the socio-demographic characteristics, the patient's status, and the quality of the bacteriological and the therapeutic follow-up. According to the reports, 115 new cases were counted. In contrary, based on the registers, 109 new cases of TPF+ including 38 women and 71 men were counted. The follow-up gave, at the end, 58% of cure, 4% of finished treatment, 32% of abandon, 4% of failure and 3% of transfer. Discordances of the data between cards, registers and reports/rates are explained by the lack of rigour d...
Malnutrition is an important indicator of development, and its consequences in children and adole... more Malnutrition is an important indicator of development, and its consequences in children and adolescents produce a serious socioeconomic burden. Children living on the street are more vulnerable than others. Thus, our objective was to analyze the nutritional status of children living on the streets of Manga, through a cross-sectional and analytical study. The snowball technique was used for sampling. Data came from individual interviews, blood samples and medical examinations. Of the 237 children studied, 84.8% were boys; the overall mean age was 11.5 years, and 72.6% were adolescents (aged 10 to 17 years). Growth retardation (15.9%) predominated among the children aged 4 to 9 years, while a weight deficit (27.9%) was most common among those aged 10 to 17. Half of the children (50.2%) with blood tests (N = 119) had anemia. There was a link between anemia and underweight (p = 0.0145). Children who ate at least three times a day were 2.63 times less likely to be anemic (p<0.001). Fa...
Médecine tropicale : revue du Corps de santé colonial, 2010
The SESAME plan has been implemented at the Thies Regional Hospital Center (TRHC) for one year. T... more The SESAME plan has been implemented at the Thies Regional Hospital Center (TRHC) for one year. The purpose of this study was to analyze the financial implications of the plan on the hospital budget for the sustainability of care for persons aged 60 and over. This descriptive study included analysis of budget data from October 2006 to September 2007 plus information obtained by interviewing the accountant and head of SESAME plan. The number of patients managed, sources of CHRT funding, grants from various SESAME plan partners, and expenditures for each partner were determined. The weight of the SESAME plan in the CHRT operating budget was determined by calculating the ratio of the overall cost of care for elderly persons in relation to the hospital's revenues and SESAME grants. During the study period, the CHRT received a total of 17375 elderly persons including 89% with no pension or social security. The institute pension scheme (IPRES) covered 21% of the plan as compared to 79...
Maternal mortality and lethality in childhood constitute a major problem in Senegal. These two ra... more Maternal mortality and lethality in childhood constitute a major problem in Senegal. These two rates are often hight in areas off hight birth rate. In the medical district of Kolda (Senegal) no reliable data on reproductive health exists. We report the results of a preliminary investigation of a community based reproductive project. We've used the sisterhood methods reproductive health's indicators. This cross-sectional study was carried out in a sample of 1287 women in age of procreating. An "aggregative" fertility index of 6.59 was found in the "intervention" area as compare to 5,53 in the control area. The maternal death rate was estimated at 1285 per 100.000 alive births [998-1576]. The infant mortality rate was 83 per 1000. These results justify impremantation of a "vigorous" reproductive health policy in this area.
In Senegal, governmental fight plan against malaria emphasizes the need to community actions, par... more In Senegal, governmental fight plan against malaria emphasizes the need to community actions, particularly for early treatment of child malaria at home. So, we carried out a cross sectional survey, to determine factors linked with treatment of child malaria at home. During February 2001, we had an interview with persons taking care of a child under five years. These persons were randomly chosen among population of a rural town. Their median age was 32 years, 90.5% of them were women, 77.8% were the mother of the child. Their level of knowledge about malaria was fair (hightest transmission period, promoting environmental factors); 85.1% quoted children as vulnerable group; for 85%, fever was chief sign of malaria. When the child had fever, 45% of them brought him to a health center and 44% gave him chloroquin; 67.5% related no harmful effects. But at the time of the survey, only 28.8% had chloroquin at home. Literacy was very linked with home care: literate persons knowed most freque...
In the current senegalese context, marked by a political will of autonomisation of health service... more In the current senegalese context, marked by a political will of autonomisation of health services, is proves very important to study the costs of the services provided in hospitals. Our study, which consists in a retrospective analysis of accounting archives of the psychiatric department of Fann Hospital during the year 1998, had the following objectives: determine the costs related to the functioning of the service of psychiatry, according to the source of financing, determine the average cost of the main services provided by the psychiatric department, analyze the recovery of the cost of these services. The operating costs of the psychiatric department came to 86.824.477 FCFA in 1998. 88% of the total amount were brought by the State and the remaining 12% came from community participation. The average cost of hospitalization in Clinique Moussa Diop was 91.398 F CFA. For the former patients the visit cost 6.664 F CFA; for the outpatients the price was 12,886 F CFA. The average cos...
Les conditions d’hygiene de la peche artisanale au Senegal ne respectent pas toujours les normes ... more Les conditions d’hygiene de la peche artisanale au Senegal ne respectent pas toujours les normes de qualite requises. Ce present travail se propose d’etudier la qualite de trois especes de poissons demersaux ; la sole limande ( Syacium guineensis ), le merou a points bleus ( Cephalopholis taeniops ) et le rouget ( Pseudupeneus prayensis ) debarques par la peche artisanale. Ces especes sont suivies depuis la capture jusqu’a leur acheminement en usine. L’evaluation sensorielle de la fraicheur du poisson a consiste a tester la qualite par le toucher, l’odorat, la vue et le gout. Le dosage de l’azote basique volatil total (ABVT) a permis de determiner la teneur totale en azote des bases azotees volatiles resultant de la degradation des composes azotes du poisson lors de l’alteration. La methode d’analyse microbiologique utilisee est celle qui consiste a incorporer un volume donne de la prise d’essai et de ses dilutions dans un milieu de culture solide. A l’analyse sensorielle, les trois...
Introduction : dans le but de contribuer a la lutte contre l’infection a VIH/sida, cette enquete ... more Introduction : dans le but de contribuer a la lutte contre l’infection a VIH/sida, cette enquete a ete menee pour identifier les facteurs limitant l’utilisation du preservatif chez les eleves du college El Mina de Nouakchott, en Republique islamique de Mauritanie. Methode : cette enquete, menee au mois de mai 2004, a porte sur 711 eleves des classes de 6 e a 3 e. Les variables etudiees comprenaient une seule dependante (utilisation ou non du preservatif) les autres, independantes, etant organisees en deux niveaux : le profil sociodemographique et le niveau d’information. Les donnees ont ete saisies puis nettoyees et enfin analysees a l’aide du logiciel Epi Info version 6.04. Resultats : parmi les eleves ayant une activite sexuelle (40 %), le multipartenariat a ete de 41 %, et les rapports non proteges de 38 %. L’utilisation du preservatif a ete statistiquement plus frequente chez les garcons, les marie(e)s ; ceux qui avaient plus de trois annees de sexualite, avaient plus d’un parte...
Introduction Pour contribuer a la lutte contre les violences physiques faites aux femmes, ce trav... more Introduction Pour contribuer a la lutte contre les violences physiques faites aux femmes, ce travail avait pour objectif d’effectuer le bilan decennal des cas traites au tribunal regional de Tambacounda. Methodologie L’etude d’observation, retrospective, descriptive et analytique, a ete menee du 15 octobre 2014 au 15 avril 2015. Elle a porte sur l’ensemble des dossiers judiciaires des victimes de coups et blessures volontaires de 2006 a 2015. Les donnees ont ete saisies et analysees avec le logiciel Epi-Info3.3.2. Resultats Au total, 113 cas ont ete traites. L’âge moyen etait de 26,5 ± (10,08) ans pour les victimes contre 32,5 ± 13,8 ans pour les agresseurs. Les victimes etaient toutes de sexe feminin, et 77,9 % des agresseurs de sexe masculin. Les agressions se deroulaient surtout durant la journee (57,5 %) et surtout au domicile des victimes (61,0 %), dans la rue (16,8 %) et dans la brousse (12,4 %). Le delai de consultation etait inferieur a 24 heures pour 54,9 % des victimes. L’examen clinique differenciait 15 % de fractures, 13,5 % de contusions, 10,6 % de plaies penetrantes, 9,7 % d’hematomes, 7,9 % de traumatismes oculaires, 7,9 % d’avulsions dentaires, 7,1 % d’algies diffuses, 6,2 % de polytraumatisme et 5,3 % de traumatisme sur grossesses. Parmi les violences, 33,6 % etaient conjugales ; 11,5 % etaient associees a un viol, 3,6 % de violences psychologiques, et 1,8 % de viol et menace de mort. Le viol etait statistiquement plus frequent chez les victimes mineures [OR = 10,7 (3,2–35,5)] et/ou instruites [OR = 5,8 (1,7–19,9)] et dans la brousse [OR = 7,5 (2,2–14,2)]. Les agresseurs etaient solitaires et emprisonnes respectivement dans 94,7 % et 73,5 % des cas. Les emprisonnements etaient fermes dans 89,2 % des cas. Conclusion A Tambacounda, les autorites sanitaires et judiciaires devraient renforcer la sensibilisation des populations sur les risques de violences. L’extension d’une telle etude au niveau national aurait mieux oriente les strategies de lutte contre ce fleau.
As a way to prevent maternal mortality and stillbirth, the dystocia risk score includes three com... more As a way to prevent maternal mortality and stillbirth, the dystocia risk score includes three components: a left column provides a list of eight characteristics to check for in the woman; an upper horizontal section provides a checklist of possible outcomes of the pregnancy itself: and a rectangular grid indicates the prognosis in three zones: a large red (dangerous), a medium-sized grey (doubtful) and a small blue (hopeful). The DRS is positive if there is at least one cross in the dangerous zone and/or two crosses in the doubtful zone (it indicates that the woman should be referred to a center specialized in obstetric emergency care); elsewhere, the DRS is negative. The validation test gives good results (sensitivity=83.61%, specificity=90.05%, positive predictive value=72.34%, and negative predictive value=94.04%). Its large-scale use would accelerate the identification of pregnant women with a high risk of dystocia. Their timely referral to specialized emergency obstetrics centers would increase the efficacy of care and reduce the levels of maternal mortality and stillbirth.
... Vous consultezÉvaluation économique des tests de diagnostic rapide dans le traitement du palu... more ... Vous consultezÉvaluation économique des tests de diagnostic rapide dans le traitement du paludisme. AuteursAdama Faye[1] [1] Médecine Préventive/ Santé Publique, UCAD, BP 16390,... suitedu même auteur. et al. ... 13 Muheki CZ, McIntyre D, Barnes KI. ...
Médecine tropicale : revue du Corps de santé colonial, 2010
The purpose of this study was to evaluate collaboration between traditional healers (TH) and regi... more The purpose of this study was to evaluate collaboration between traditional healers (TH) and registered nurses (RN) in the care of people living with HIV (PLHIV) in the health district N'Gourma Fada, Burkina Faso. A survey was conducted among 26 RN, 33 TH working in the health district and 96 PLHIV under treatment at the Fada N'Gourma Regional Hospital. Survey data showed that only 9.1% had sound knowledge about HIV/AIDS and 18.2% about prevention methods. Conversely 84.8% had a good knowledge about clinical manifestations. Among TH, 84.8% claimed to refer patients to health facilities that provided no support for HIV/AIDS, 51.1% called for establishment of a framework of cooperation and 21.2% asked for reciprocity. Among nurses, 85.2% did not consider TH as part of the health community fighting against HIV/AIDS. Proposals focused on association of TH, frameworks of cooperation, and coordination of TH activities in the fight against HIV/AIDS.
To evaluate the quality of malaria prevention during prenatal consultations, this study was carri... more To evaluate the quality of malaria prevention during prenatal consultations, this study was carried out in Niakhar, one sub-prefecture of the Fatick region. It was a matter of a descriptive transverse study, based on the listens and the observation of 60 prenatal consultations carried out within three health posts. The studied variables were related to the criteria of a good quality of prophylaxis at three levels: questioning, examination, and attitude after consultation. Questioning was centred by frequency order on: the pregnancy antecedents (65%), the chloroquine direction for use (34.3%), the fever notion (6%), and the chloroquine secondary effects (3%). During the physical examination, all the providers looked for clinical signs of weakens, blood pressure, and presence of oedemas of the legs; but the temperature was taken only in 8.6% of the cases. At the end of the consultation, the chemoprophylaxis prescription and the next consultation appointment were systematic; the durati...
to evaluate the socio-cultural determinants of the delay in having the first pre-natal exam (CPN)... more to evaluate the socio-cultural determinants of the delay in having the first pre-natal exam (CPN) in order to make recommendations which aim to reduce maternal and fetal morbidity and mortality in the Richard-Toll health district in Senegal. the study was cross-sectional, descriptive and analytical, and was conducted on the entire population of pregnant women who came in for a CPN between March 1st and April 30th, 2003. A questionnaire which was developed on the basis of studied variables steered the interview process which was carried out upon completion of each pregnant woman's CPN in 15 different health facilities. Data were recorded and analysed using Epi Info 6.04d software. The sample population studied included 351 pregnant women. The cultural environment over the unexpected nature of the pregnancy, the discretion surrounding the pregnancy, the ignorance of the risks, and the refusal to be examined by male health workers all have a statistically significant influence on t...
Home birth remains a major cause of maternal and neonatal deaths in Senegal. The objective of thi... more Home birth remains a major cause of maternal and neonatal deaths in Senegal. The objective of this study was to identify the determinants of home birth in women who attended at least one antenatal consultation during their last pregnancy. The study was cross-sectional and analytical. It covered a sample of 380 women selected at random among those who have given birth in the last 12 months in the health district Gossas. Data were collected at home using a questionnaire during an interview after informed consent. Multiple logistic regression was used to explore the determinants of childbirth at home using the Andersen model. The mean age was 26.2 ± 6.1 years. Women were married (97.3%), illiterate (81.8%) and lived in rural areas (78.4%). Available means of transportation at home were car (7.6%), cart (62.9%) or none 29.5%. In addition, 52.2% of the women lived more than 5 km from a health facility. For 59.0% of the women, the prenatal exam was considered satisfactory. The prevalence of home birth was 24%. Factors related to birth at home are polygamous marriage (OR=2.04 [1.13-3.70]), lack of transportation (OR=2.11 [1.13-5.01]) and residence more than 5 km from a health facility (OR=2.68 [1.56-4.16]). Late (3.90 [2.30-6.65]) or low quality (4.27 [2.25-8.10]) prenatal exams were also risk factors. Home birth is linked to access to health facilities but also to the prenatal consultation. Particular emphasis should be placed on training health care providers to improve the quality of the patients in the structures.
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