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Determinants of Incomplete Vaccination of Children Aged 12 to 23 Months in Commune of Matam of Conakry, Guinea in 2021: A Cross-Sectional Study
Niouma Nestor Leno,
Ibrahima Sory Diallo,
Alioune Camara,
Amy Kognouma Diarrassouba,
Ibrahima Doukoure,
Alexandre Delamou
Issue:
Volume 8, Issue 5, October 2022
Pages:
189-197
Received:
17 August 2022
Accepted:
3 September 2022
Published:
27 September 2022
DOI:
10.11648/j.cajph.20220805.11
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Abstract: Background: The purpose of this study was to determine the proportion of children aged 12 to 23 months who were fully vaccinated in the commune of Matam and to identify the factors that influence this vaccination. Methods: this was a cross-sectional study with an analytical focus. The Kobocollect application was used for data collection over a 4-month period, from June 1 to September 30, 2021. This study included mothers or caregivers and children aged 12 to 23 months in the commune of Matam in the city of Conakry. Three-stage cluster sampling was used for target selection: sectors, households, and mothers/children. Standard statistics (median, proportion) were used to describe the sample. A multivariate logistic regression model was used to identify factors associated with incomplete vaccination among children aged 12-23 months. Results: Mothers or caregivers were young with a median age of 34 years (28-38). Out-of-school mothers, unemployed mothers, married mothers, and Muslim mothers represented 37.93%; 63.24%; 70.00%; and 85.68% of the sample, respectively. The average age of the children was 18 months (15-21). Mothers' lack of schooling, mothers' lack of employment, children's first birth rank, occurrence of health problems in the child after vaccination, difficulties in accessing vaccination centers, and mothers' lack of knowledge of the vaccination schedule were the main factors associated with incomplete vaccination of children aged 12 to 23 months, with adjusted odds ratios (AOR) of 2.715, 3.13, 2.802, 3.053, 3.487, and 3.926 respectively. Conclusions: Despite the efforts made by the government and its partners, complete immunization coverage of children aged 12-23 months remains low in the commune of Matam. Socioeconomic factors and access to health services are the factors that influence the vaccination of children aged 12 to 23 months. The effective implementation of the "reach every child" strategy, taking into account the above-mentioned factors, would contribute to an improvement in the complete immunization coverage of children aged 12 to 23 months.
Abstract: Background: The purpose of this study was to determine the proportion of children aged 12 to 23 months who were fully vaccinated in the commune of Matam and to identify the factors that influence this vaccination. Methods: this was a cross-sectional study with an analytical focus. The Kobocollect application was used for data collection over a 4-mo...
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Prevalence of Skin Bleaching Cosmetics Use in Senegal: Trends and Action Prospects
Issa Wone,
Ndeye Beye Ngom,
Mame Ngone Leye,
Fatou Fall,
Bafode Timera,
Fatimata Ly
Issue:
Volume 8, Issue 5, October 2022
Pages:
198-202
Received:
1 September 2022
Accepted:
16 September 2022
Published:
27 September 2022
DOI:
10.11648/j.cajph.20220805.12
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Abstract: There is more and more evidence in Africa about the medical, sanitary, health, social, and economic consequences of Skin Bleaching Cosmetics (SBC) use. This is a practice that mainly affects women and which seems to be on the rise. Our work, carried out in Senegal, had the following objectives: 1) measure the prevalence and factors associated with SBC use in 4 cities in Senegal, 2) Describe the evolution of VCD practice in Africa, 3) propose innovative perspectives for the control of SBC use in Africa, after a critical analysis of the actions undertaken. The study was carried out on a representative sample of 2,689 women distributed in 4 cosmopolitan cities of Senegal. It shows an overall prevalence of 59.20% of the practice of SBC use, with significant disparities between cities. The factors associated with SBC use were: study site, age, income level, source of information on the dangers of SBC, initial skin color, existence of own income, housing status, diabetes, high blood pressure, overweight or obesity. In spite of awareness of the dangers and control actions primarily based on the cognitive model, we find persistence, even perpetuation, of SBC use. In light of the complexity of the phenomenon in Africa and the poor results observed, a holistic analysis should be used to facilitate efficient, innovative, and integrated actions.
Abstract: There is more and more evidence in Africa about the medical, sanitary, health, social, and economic consequences of Skin Bleaching Cosmetics (SBC) use. This is a practice that mainly affects women and which seems to be on the rise. Our work, carried out in Senegal, had the following objectives: 1) measure the prevalence and factors associated with ...
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Health Infrastructural Deficit - Nigeria the Time to Act Is Now
Wambebe Nathaniel Mopa,
Xiaoli Duan
Issue:
Volume 8, Issue 5, October 2022
Pages:
203-212
Received:
5 July 2022
Accepted:
23 July 2022
Published:
11 October 2022
DOI:
10.11648/j.cajph.20220805.13
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Abstract: Nigeria internationally and locally is noted for its deplorable health system. Health infrastructure in Nigeria is at its low ebb as most health institutions battle with age long problem of weak, defective, insufficient and obsolete infrastructure. More so, poor maintenance culture that has pervaded most sectors of Nigeria also constitute a challenge in this sector especially as it relates to maintenance of building, medical equipment and vehicles. Other issues such as: poor management of drugs, shortage of drugs, expiry of drugs and vaccines, faulty compounding of drugs, shortage of health practitioner, poor use of telemedicine etc. are other factors bedeviling this sector. Despite several agitations and outcry on the deplorable health infrastructure and health system in Nigeria, efforts made by the government to revamp this sector is discouraging particularly against the background of the COVID-19 pandemic which further exposed the deplorable state of Nigeria’s health infrastructure. This paper elicits attention into the Nigeria’s deplorable state of health infrastructure, by stressing the need for Nigeria to act now in improving her health infrastructure especially in the face of COVID-19 pandemic, future pandemics and best practices obtainable in other climes. While discussing the importance of good health infrastructure, the paper discusses challenges to the development of health infrastructure in Nigeria and comparatively considered Rwanda as a best practice in this regard in proffering solutions to health infrastructural development in Nigeria.
Abstract: Nigeria internationally and locally is noted for its deplorable health system. Health infrastructure in Nigeria is at its low ebb as most health institutions battle with age long problem of weak, defective, insufficient and obsolete infrastructure. More so, poor maintenance culture that has pervaded most sectors of Nigeria also constitute a challen...
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Evaluation of the Stigmatization of Ebola Survivors Four (4) Years After the Epidemic in the Special Zone of Conakry from 2016 to 2020
Sadou Sow,
Alpha Oumar Diallo,
Abdoulaye Sow,
Kevin Yohou Sylvestre,
Manengu Casimir Tshikolasoni,
Dadja Essoya Landoh,
Mouctar Kande,
Katende Ntumba Alain,
Boubacar Sow,
Jean Konan Kouame,
Mamadou Alpha Diallo,
Mamadou Mouctar Balde,
Ahmadou Barry,
Kadiata Bah,
Mandian Camara,
Amadou Bailo Diallo,
Mamadou Oury Balde
Issue:
Volume 8, Issue 5, October 2022
Pages:
213-216
Received:
21 August 2022
Accepted:
27 September 2022
Published:
21 October 2022
DOI:
10.11648/j.cajph.20220805.14
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Abstract: Introduction: Ebola virus disease (EVD) is a haemorrhagic fever considered as an emerging infectious disease with high morbidity and mortality. In 2013-2016 the Ebola virus disease (EVD) epidemic affected Guinea and thousands of people in Guinea were infected with the devastating virus and survived. EVD has spread to neighbouring countries, resulting in tens of thousands of deaths and a difficult situation for the victims, including stigmatization. Years after the epidemic ended, stigma towards EVD survivors still remains a major concern. This study aimed to assess the stigmatization of Ebola survivors four (4) years after the epidemic in the special zone of Conakry. Methodology: this was a cross-sectional, descriptive and analytical study that focused on all the survivors from the database of the national health security agency, using "Epi data 3.1" software. and “SPSS 21” for logistic regression and univariate and multivariate analyses. Results: A total of 130 Ebola survivors out of a total of 267 participated in our study, including 69 men and 61 women, the average age was 31 years ± 13.02 with extremes (Min= 6 years; Max= 70 years). The forms of stigma observed were rejection by family (49%), rejection by family and spouse (22%), and rejection by the health worker (8%). The level of education is the only factor linked to stigmatization (p=0.023). Conclusion: Rejection by surrounding and spouse were highest among EVD survivors, education level being the only factor related to stigma. Sensitization of the community and relatives of Ebola survivors should be considered by EVD teams in Guinea to stop the stigma.
Abstract: Introduction: Ebola virus disease (EVD) is a haemorrhagic fever considered as an emerging infectious disease with high morbidity and mortality. In 2013-2016 the Ebola virus disease (EVD) epidemic affected Guinea and thousands of people in Guinea were infected with the devastating virus and survived. EVD has spread to neighbouring countries, resulti...
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