[Knowledge by physicians concerning cervical cancer and testing: Benimellal province, Morocco]

Background: Cervical cancer is the second most common cancer among women after skin cancer.

Aims: This study aimed to evaluate the knowledge of general practitioners with regard to cervical cancer in the province of Benimellal, Morocco.

Methods: A cross-sectional study using a self-reported questionnaire given to 71 general practitioners operating in public and private healthcare centres in the province of Benimellal.

Results: Almost half of general practitioners [49.3%] were not aware of a national plan for the prevention and control of cancer in Morocco, and only 18.2% gave a correct response on the incidence rate for cervical cancer. The human papilloma virus as the principle risk factor was identified by 21% of general practitioners.

Conclusions: The knowledge of general practitioners was deficient and therefore initial and continuing training on cervical cancer is required.

[Prevalence and associated factors of low birth weight in the provincial hospital of Mohammedia - Morocco]

Background: Low birth weight [LBW] constitutes a major public health problem, both in developed than in developing countries, due to its extent and its strong association with childhood morbidity and mortality

Objective: to estimate prevalence of low birth weight and determine its related factors in the Prefectoral Hospital in Mohammedia

Methods:We carried out a cross sectional study from May to July 2012 which concerned 713 newborns and theirs mothers. We collected information about socioeconomic and anthropometric factors and characteristics of pregnancy. A multivariate analysis was performed

Results: Among the 713 studied newborns, 38 had LBW; the prevalence of LBW was 5,3% [95% CI: 3,7% - 6,9%]. Factors significantly associated with LBW in multivariate analysis were: mother age [OR 9,27 ; IC95%: 2,15-39,85], prematurity [OR 9,34 ; IC95%: 1,29-67,32], twin pregnancy [OR 195,07 ; IC 95%: 30,38- 125,39] and gender of new born [OR 5,26 ; IC 95%: 1,61-17,18]. Well-balanced diet [OR 0,12 ; IC 95%: 0,04-0,34] and hours of sleep equal or more than 8 per day [OR 0,20 ; IC 95%: 0,07-0,58] were protector factors

Conclusion: Actions of education, screening and treatment of the diseases occurred in the pregnancy are necessary. Facilitating the access of pregnant women to high quality antenatal care, promoting a healthy lifestyle as a balanced diet, fighting against the active and passive smoking and offering a psychological support to the pregnant woman is necessary to reduce the prevalence of LBW and to improve the maternal and child health

[Survey of opinion of general practionners in her management of diabetes in first-line public structures of Casablanca city Morocco. Opportunities and constraints]

Diabetes is a global health problem in full expansion, because of its increasing frequency, it frightening complications and the costs of its medical covering. In this study, we tried to make the current situation of the diabetes management in first-line public structures of the city of Casablanca. The survey of transverse observation to descriptive aiming was conducted using a pre questionnaire tested and self-administered. It shows that 46.7% of the questioned general practitioner judged that the quantity and the quality of average therapeutic existing in the center were insufficient to meet the needs for their diabetic patients. The weak socio-economic statute of the patients [78.8% of the cases], the lack of personnel [76.6%], the low educational level of patients [75.2%] and the problem of access to hospital [73.3%] constituted major problems of the correct diabetic medical covering. However, the majority of the doctors [98.1%] estimated to need training on diabetes management. The most required topics requested are: The control of the insulin treatment [97%], the diabetic education [91%] and the follow-up of diabetic [89%].The training of general practitioners particularly motivated and interested in diabetes could be the solution to improve the management of diabetes especially because of the lack of specialists in our country

Les barrieres a une bonne prise en charge des diabetiques dans les structures de premiere ligne de la province de Khouribga (MAROC)

Le diabete constitue un important enjeu de sante publique au Maroc et represente un defi auquel les medecins generalistes sont confrontes dans leur pratique quotidienne. Le but de ce travail etait de decrire les barrieres entravant une bonne prise en charge des patients diabetiques dans les structures de 1ere ligne de la province de khouribga. Methodes Il s'agit d'une etude transversale menee de decembre 2010 a mars 2011; chez les 54 medecins generalistes (MG) exercants dans les centres de sante de la province. La collecte des donnees a ete realisee a l'aide d'un questionnaire preteste et auto administre et la saisie et l'analyse effectuees sur le logiciel SPSS 16. Resultats :Huit pourcent des MG disposaient de registre informatise pour le suivi des diabetiques. Les principales barrieres a une prise en charge correcte des patients etaient le statut socio-economique faible des patients (94); leur niveau scolaire bas (86); le manque de moyens de traitement et de suivi (80); le nombre insuffisant de diabetologues (80); le manque de coordination avec les structures de 2eme ligne (74) et l'insuffisance des seminaires de formation continue (58). Conclusion Les medecins generalistes sont confrontes a de nombreux obstacles concernant la prise en charge des patients diabetiques. L'equipement des centres de sante en moyens diagnostiques et therapeutiques suffisants; l'amelioration de l'accessibilite des diabetiques aux soins et la formation continue des medecins pourraient etre des solutions pour ameliorer cette prise en charge surtout devant la penurie de specialistes dans notre pays