State of Fruit and Vegetable Consumption in N'Djamena, Chad

Food plays a significant role in health. Fruits and vegetables are an important component of a healthy diet and, when consumed daily in sufficient quantities, they could help to prevent major conditions, such as cardiovascular disease and certain cancers. The objective of the study is to assess the state of consumption of fruits and vegetables by the population of the city of N'Djamena. Through a descriptive cross-sectional analysis, this study will provide information on fruit and vegetable consumption of 440 households in the 10 districts in the city of N'Djamena in Chad from February 20 to June 20, 2015. The study described the hygiene conditions of fruits and vegetables, the timing of fruit consumption and the portions of fruits and vegetables consumed per day in N'Djamena. The results show that 60% of those surveyed are male and 40% female. The age group (25-40 years) represents 79.31% of the respondents, followed by the group (41-55 years) with 17.93% and 2.75% for the age group between 56 and 75 years. As for the socio-professional category, the results reveal that 31.72% of those surveyed are civil servants. The results show that households whose size varies between 0 and 5 people represent 45.51% against 31.03% for households whose size varies from 6 to 10 people. It should be noted that 11.03% of households spend a daily food ration less than or equal to 1,5 $, 24.13% of households spend between 1,5 to 3 $ per day for their daily food ration and 28.27% of households use a sum ranging from 3 to 4,5 $. The majority of respondents (93.79%) do not respect hygienic practice while 20% of respondents consume one serving of fruits and vegetables per day (per person) and 39.31% consume two portions. The impact of socio-economic difficulties on fruit and vegetable consumption is confirmed. The high household size and low daily expenses for food does not allow them to consume the 5 recommended portions. This insufficient consumption of fruits and vegetables is part of a context of galloping urbanization and rising food prices. One prospect raised is to consider further surveys in population subgroups accompanied by nutrition education in order to improve the consumption of this food group.

Évaluation de l'hygiène buccodentaire des patients consultant le service d'odontostomatologie du centre de santé de référence de Ouelessebougou au Mali / Assessment of the oral hygiene of the patients consulting the odonto-stomatology service of the reference health center of 0uelessebougou in Mali

INTRODUCTION: La santé bucco-dentaire fait partie intégrante de la santé générale et du bien-être de tous les individus selon l'OMS. L'objectif de cette étude était d'évaluer l'état buccodentaire des patients vus en consultation dans le service d'Odontostomatologie du Centre de Santé de Référence de Ouelessebougou au MALI. MÉTHODOLOGIE: Il s'agissait d'une étude prospective, transversale de type descriptif d' une période de 3 mois allant du 01 Août au 30 octobre 2018.L'étude portait sur tous les patients venus en première consultation dans le service. RÉSULTATS: Dans cette étude, le sexe masculin représentait 52% des cas avec un sex ratio de 1,08 %. La tranche d'âge la plus représentée était celle de 16 à 30 ans avec 53,25 %. La moyenne d'âge était de 30 ans. Parmi les pathologies bucco-dentaires, la carie dentaire était la plus représentée avec 94,14 % suivie des affections parodontales avec 71,82%. Cette étude a montré que 79 % des patients se brossaient les dents. Parmi les 122 patients qui se brossaient, 41,80% se brossaient 1 fois par jour, et 45,80% se brossaient 2 fois par jour. La méthode horizontale traumatisante était la plus présentée avec 78,68 %. Selon cette étude, 91% des patients avaient besoin d'enseignement de l'Hygiène Bucco-dentaire. CONCLUSION: Devant cette situation, une nouvelle orientation de la politique de santé bucco-dentaire basée sur l'odontologie préventive s'impose afin d'améliorer la santé et la qualité de vie des populations

INTRODUCTION: Oral health is an integral part of the overall health and well-being of all people according to the WHO. The objective of this study was to evaluate the oral status of patients seen in consultation in the Odonto-stomatology Department of the Ouelessebougou Reference Health Center in MALI. METHODOLOGY: This was a prospective, cross-sectional descriptive study of a 3-month period from August 1st to October 30th, 2018. The study included all the patients who had come for first consultation in the department. RESULTS: In this study, males accounted for 52% of cases with a sex ratio of 1.08%. The most represented age group was 16 to 30 years old with 53.25%. The average age was 30 years old. Among dental pathologies, tooth decay was the most represented with 94.14% followed by periodontal disease with 71.82%. This study showed that 79% of patients brushed their teeth. Of the 122 patients who brushed, 41.80% brushed once a day, and 45.80% brushed twice a day. The traumatic horizontal method was the most presented with 78.68%. According to this study, 91% of patients needed oral hygiene education. CONCLUSION: Given this situation, a new orientation of oral health policy based on preventive dentistry is needed to improve the health and quality of life of populations

Quels types de service de sante pour les populations nomades? Apprentissages des activites de recherche et d'action au Tchad

To overcome barriers of access to health care of nomadic people and to alleviate inequities in health; a transd isciplinary team has initiated research and intervention activities among three nomadic groups of Chad: Foulbe; A rabes and G o u ranes. A regular and consistent commu n i c ation among all actors involved (nomadic groups; re s e a rchers; planners and administrators of health and veterinary services; etc.) through repetitive meetings and workshops showed to be a crucial element for success. Differences between ethnic nomadic groups made it necessary to develop specific communication strategies adapted to each group. As to interventions to improve the va c c i n ation cove rage; m i xed teams combining health and veteri n a ry specialists were able to vaccinate an important number of children and women and showed to have a high potential in terms of o rga n i s ational and logistic feasibility; acceptability as well as good cost-effe c t iveness. With rega rd to improving access to health care; Information - Education and Communication approaches adapted to the intervention context and linked to the provision of essential services and generic drugs showed to be crucial

Approche novatrice des vaccinations en sante publique et en medecine veterinaire chez les pasteurs nomades au Tchad: Experiences et couts

The purpose of this report is to describe a network of public health care workers; veterinarians and nomadic pastoralists that was set up in Chad to increase vaccination coverage to nomadic children and women who had rarely been va c c i n ated befo re. The objectives of the project we re to provide human vaccination in conjunction with existing ve t e ri n a ry serv ices; to evaluate the feasibility and limitations of such campaigns; to determine wh at other services could be provided concurrently; and to estimate the savings for public health care cases in comparison with carrying out vaccination separately. In a s e ries of 12 vaccination campaigns in the Chari-Baguirmi and Kanem distri c t s ; more than 2100 children; 2100 women and 52000 c attle we re fully immu n i ze d. These results confirmed the feasibility of joint campaigns in nomadic settings and provided important experience for improving organization. Information-Education-Communication (IEC) campaigns adapted to the realities of the pastoral setting were an important factor in mobilizing nomadic pastoralists for attendance at vaccination clinics. The savings in logistics costs (i.e. ; personnel; transportation and cold chain costs ex cluding vaccine costs) was 15in Gre d aya where 3 out of 6 campaigns were carried out together with veterinarians and 4in Chaddra/Am Dobak where only 1 out of 6 campaigns was carried out in conjunction with veterinarians. The cost per fully immunized child (FIC) was considerably higher in Chaddra/Am Dobak than Gredaya (EUR 29.2 vs. EUR 11.5). The joint vaccination campaign approach is innovative; appreciated by nomadic pastoralists and less expensive than separate vaccination. By using the mobility of veterinarians in remote zones far from health care facilities; vaccination can be provided to nomadic children and women in countries with limited resources