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Knowledge, Attitudes, and Practices Regarding Hypertension Among Soldiers of the Parakou Garrison in Benin in 2019
Houehanou Yessito Corine Nadege,
Dohou Hugues,
Behanzin Luc,
Agonnoude Maurice,
Orou Boko Mama Assiatou,
Sonou Arnaud,
Codjo Leopold,
Houeto David
Issue:
Volume 9, Issue 5, October 2023
Pages:
131-135
Received:
30 July 2023
Accepted:
6 September 2023
Published:
25 September 2023
Abstract: Introduction: The objective of this study was to assess the knowledge, attitudes, and practices of military personnel regarding hypertension in Parakou in 2019. Materials and methods: This was a cross-sectional study. It included all the soldiers of the Parakou garrison, present at work during the investigation period, from October 24 to November 08, 2019, and having given their written consent. Members unavailable after two visits were excluded. An interview was held with each respondent using a questionnaire. Knowledge, attitudes, and practices were assessed by a series of items marked 1 or 0 (correct or incorrect answer) and classified into four categories according to the score. Results: A total of 266 soldiers were included. The mean age was 34.1 ± 5.5 years, and the male/female sex ratio was 7.1. Knowledge about hypertension was good among 33.5% of soldiers and attitudes were right among 82.0%. None of them had good practice and only 17.3% had a good level of knowledge, attitudes, and practices. The function was associated with the level of knowledge, attitudes, and practices (p<0.001). Conclusion: The level of knowledge, attitudes, and practices towards hypertension of the targeted soldiers was low. The awareness of the Beninese soldiers on the prevention of hypertension should be reinforced.
Abstract: Introduction: The objective of this study was to assess the knowledge, attitudes, and practices of military personnel regarding hypertension in Parakou in 2019. Materials and methods: This was a cross-sectional study. It included all the soldiers of the Parakou garrison, present at work during the investigation period, from October 24 to November 0...
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Assessment of Vaccination Coverage of Children Aged 12-23 Months in the Provinces of Ituri and Haut-Katanga, Democratic Republic of the Congo in 2019
Joseph Oyaya Mundala,
Joël Fumwakwau Kiniati,
Leurby Ikina Bokele,
Lapeasta Omba Onokoko,
Crispin Mabika Mabika
Issue:
Volume 9, Issue 5, October 2023
Pages:
136-143
Received:
29 August 2023
Accepted:
25 September 2023
Published:
8 October 2023
Abstract: Vaccination of children continues to pose problems, and the vaccination coverage rate is very low in DR Congo. Cultural, social and economic constraints at various levels are thought to be the main causes. Faced with this health emergency, the Congolese government has implemented strategies to increase the level of immunization coverage among children, and to help reduce child morbidity and mortality linked to vaccine-preventable diseases. A household survey was carried out in 2019 in the provinces of Ituri and Haut-Katanga to estimate the level of coverage at grassroots level. A representative cluster sample was used to exhaustively cover 63 health zones (36 in Ituri and 27 in Haut-Katanga). Over 6,300 mothers/caregivers of children aged 10-23 months were interviewed, at a rate of 100 mothers/caregivers per health zone. The results of this survey show that overall, nearly 49% of children aged 10-23 months are fully vaccinated in Ituri, compared with 53.12% in Haut-Katanga. There are still large numbers of zerodose children (those who have never been vaccinated since birth). For all vaccines, results varied: 53.12% of children in Ituri and 46.88% in Haut-Katanga received the bacillus Calmette and Guerin (BCG) vaccine. BCG vaccine was administered at birth to 39.76% of children in Ituri, versus 60.24% in Haut-Katanga. The discrepancies suggest a missed opportunity and therefore unmet needs for several reasons, principally vaccine stock-outs. For other antigens, there is a downward trend in both provinces between input and output doses. This suggests a lack of effective monitoring. Only 49.6% of children in Ituri and 50.33% of children in Haut-Katanga received the entry dose of polio vaccine (OPV0).
Abstract: Vaccination of children continues to pose problems, and the vaccination coverage rate is very low in DR Congo. Cultural, social and economic constraints at various levels are thought to be the main causes. Faced with this health emergency, the Congolese government has implemented strategies to increase the level of immunization coverage among child...
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Research Article
Determinants of Membership in Mutual Health Insurance in Diourbel Region (Senegal)
Martial Coly Bop,
Cheikh Tacko Diop,
Boubacar Gueye,
Papa Gallo Sow,
Ousseynou Ka
Issue:
Volume 9, Issue 5, October 2023
Pages:
144-151
Received:
20 September 2023
Accepted:
14 October 2023
Published:
28 October 2023
Abstract: Introduction: Like everywhere else, access to healthcare remains a concern. Mutual health insurance is an alternative solution. The aim of this study is to analyze the determinants of membership of mutual health insurance in Diourbel region. Methodology: This was a cross-sectional, descriptive and analytical study conducted from May 12 to June 4, 2023. Two-stage stratified sampling was used. The study population was made up of patients in health facilities (hospital, health center and health post) in the region. Data analysis was performed using a bivariate technique and logistic regression. Results: The level of mutual insurance membership was 18.7% in the region. With bivariate analysis, membership was associated with gender, level of education, socio-professional status, membership of an association, knowledge of mutual insurance, perception of providers' competence and perception of waiting time. Regression showed that membership was associated with level of education, socio-professional status, membership of an association, income and waiting time. Conclusion: To help increase membership of mutual health insurance schemes, in terms of recommendations, we consider it necessary to strengthen policies aimed at improving incomes, education levels and free health care as a mechanism for affiliation to mutual health insurance companies.
Abstract: Introduction: Like everywhere else, access to healthcare remains a concern. Mutual health insurance is an alternative solution. The aim of this study is to analyze the determinants of membership of mutual health insurance in Diourbel region. Methodology: This was a cross-sectional, descriptive and analytical study conducted from May 12 to June 4, 2...
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Research Article
High Late Presentation to HIV Care Among HIV-Infected Adults in Ouagadougou, Burkina Faso
Ter Tiero Elias Dah,
Désiré Lucien Dahourou,
Abdoulaye Hama Diallo,
Issifou Yaya,
Ali Sogli,
Emma Helena Avangvounang,
Linda Audrey Koubi,
Issa Traoré,
Issouf Yaméogo,
Isidore Tiandogo Traoré,
Aboubakari Nambiema,
Didier Koumavi Ekouevi,
Nicolas Meda
Issue:
Volume 9, Issue 5, October 2023
Pages:
152-160
Received:
29 September 2023
Accepted:
17 October 2023
Published:
31 October 2023
Abstract: Background: Because of its negative impact on HIV-related morbidity and mortality, late presentation to HIV care (LP) can be an obstacle to the HIV epidemic elimination by 2030. We assessed the prevalence and associated factors of LP in HIV-infected adults enrolled at the “Centre Medical oasis”, Ouagadougou, Burkina Faso. Methods: A cross-sectional study among HIV-infected persons aged 18 years or older, naïve for antiretroviral treatment (ART), and presented for the first time at the HIV clinic was conducted between 2015 and 2019. LP referred to HIV-infected adults presenting with CD4+ cells count < 350 /µl or WHO clinical 3 or 4 regardless of the CD4+ cell count. Late presentation to HIV care with advanced disease (LP-AD) included those with CD4+ cells count < 200 /µl or WHO clinical 3 or 4 regardless of the CD4+ cell count. Factors associated with LP were identified using logistic regressions models. Results: A total of 357 patients with median age of 34 years (interquartile range [IQR] 28-42) were included. 234 (65.6%) patients were female. Median CD4+ cell count was 305/µl (IQR 142-482). Of the 357 patients, 183 presented late to HIV care, giving a LP prevalence of 51.3% (95% confidence interval [95% CI] 45.9-56.6). Among the latter, 117 (63.9%) patients had also advanced disease. Factors associated with LP were older age (adjusted odds ratio [aOR] 2.50, 95% CI 1.33-4.71, P = 0.004), low educational level (aOR 1.99, 95% CI 1.23-3.21, P = 0.005), single status (aOR 2.07, 95% CI 1.18-3.63, P = 0.011), and family support (aOR 1.93, 95% CI 1.14-3.27, P = 0.014). Conclusion: LP and LP-AD are high among HIV-infected adults in Burkina Faso. Health authorities should urgently develop effective strategies to improve HIV testing, linkage to care, and ART initiation. They should prioritize targeting single young adults with low education.
Abstract: Background: Because of its negative impact on HIV-related morbidity and mortality, late presentation to HIV care (LP) can be an obstacle to the HIV epidemic elimination by 2030. We assessed the prevalence and associated factors of LP in HIV-infected adults enrolled at the “Centre Medical oasis”, Ouagadougou, Burkina Faso. Methods: A cross-sectional...
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