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Introduction: Leprosy is a real problem in the Daoukro health district despite the actions of the National programme for elimination. Objective: To describe the epidemiological and clinical profile of new leprosy cases in the Daoukro health district from 1999 to 2017. Method: Descriptive survey including leprosy patients admitted to the dermato-leprology department from 1999 to 2017. Results: From 1999 to 2017, the incidence of leprosy fluctuated from 4.4 to 0 per 100,000 with a peak of 14.2 in 2003. In 2016 and 2017 no cases of leprosy were reported. The mean age was 36.8 years (SD=20). A majority of cases were uneducated and living in rural areas. Females and children under 15 years of age accounted for 53% and 16% of cases respectively. Clinically, cutaneous signs were predominant in the patients. The multibacillary form accounted for 82%. Nearly 1 out of 4 patients had a grade 2 disability (24%). All patients received treatment (multidrug therapy). Among them, 83.8% were cured, while 0.5% were not cured. In addition, regarding 29 patients (15.7%) details of how their disease progressed were not available. Among the patients declared cured, 26% had sequels. Conclusion: Leprosy control activities must be strengthened in order to maintain the achievements in this non-endemic district.
Subject(s)
Leprostatic Agents , Leprosy , Child , Female , Humans , Adult , Cote d'Ivoire/epidemiology , Drug Therapy, Combination , Leprostatic Agents/therapeutic use , Leprosy/drug therapy , HospitalizationABSTRACT
Le diabète constitue un problème de santé publique en Côte d'Ivoire. L'objectif général de la présente étude est de dresser le profil des diabétiques de l'enquête nationale sur la prévalence et les caractéristiques du diabète en Côte d'Ivoire chez les personnes de 20 ans à 79 ans.Il s'agit d'une étude transversale à visée analytique à partir d'une analyse secondaire des données de l'enquête nationale sur la prévalence et les caractéristiques du diabète en Côte d'Ivoire,réalisée du 25 Novembre au 22 Décembre 2017. Elle concerne193 sujetssur un total de 197 ayant participéà l'étude. Les facteurs associés au statut de diabétique(diabétique connu ou diabétique méconnu) ont été recherchés par la régression logistique binaire. L'étude primaire a porté sur 3198 personnes âgées de 20 ans à 79 ans.Les participants,en majorité de sexe féminin (59,05ï¥),avaient un âge moyen de 48,72 ans, vivaient en milieu urbain (78,1ï¥) et n'avaient pas de protection sociale ou assurance maladie (92,51%). De l'analyse multivariée, la probabilité d'ignorance de l'état d'hyperglycémie chronique chez les personnes âgées de 20 ans et 79 ans était plus élevée chez les diabétiques vivant en zone rurale, grignotant entre les principaux repas, non hypertenduset sans antécédent de diabète familial (p<0,05, OR>1). Cependant celle-ci est faible chez les diabétiques de plus de 50 ans (p<0,05, OR<1). Cette étude souligne la nécessité de l'adoption de stratégies appropriées et de la mise en Åuvre d'interventions en faveur de la prévention, du dépistage, du diagnostic du diabète et de la prise en charge précoce des diabétiques en Côte d'Ivoire.
Diabetes is a public health problem in Côte d'Ivoire. The general objective of this study is to profile the diabetics of the national survey on the prevalence and characteristics of diabetes in Côte d'Ivoire among people aged 20 to 79 years. This is a cross-sectional study for analytical purposes based on a secondary analysis of data from the national survey on the prevalence and characteristics of diabetes in Côte d'Ivoire, carried out from November 25 to December 22, 2017. It concerns 193 subjects out of a total of 197 who participated in the study. Factors associated with diabetic status (known diabetic or unrecognized diabetic) were investigated by binary logistic regression. The primary study involved 3,198 people aged 20 to 79. The participants, mostlyfemale (59.05%), had an average age of 48.72 years, lived in urban areas (78.1%) and had no social protection or health insurance (92.51 %). From the multivariate analysis, the probability of being unaware of the chronic hyperglycemic state in people aged20 and 79 years was higher in diabetics living in rural areas, snacking between main meals, not hypertensive and without history of familial diabetes (p<0.05, OR>1). However, this is low in diabetics over 50 (p<0.05, OR<1). This study highlights the need for the adoption of appropriate strategies and the implementation of interventions for the prevention, screening, diagnosis of diabetes and early management of diabetics in Côte d'Ivoire.
Subject(s)
Humans , Male , FemaleABSTRACT
OBJECTIVE: Identify the predictors of the use of antenatal care in Burundi. DATA AND METHODS: This were an analysis of secondary data from the 2016 - 2017 demographic and health surveys in Burundi. The survey population was women who gave birth in the last five (05) years prior to the survey and gave their informed consent. Our sample consisted of 7,372 women. The data were analyzed with Stata 15.1 software. In bivariate analysis, the Chi-2 test, and simple logistic regression allowed us to identify the candidate variables for modelling at the 20% threshold. Multilevel ordinal logistic regression identified individual and contextual predictors of prenatal care use. RESULTS: The use of antenatal care by women who gave birth in Burundi was influenced by the area of residence (rural area : OR=1.25; 95% CI [1.05 - 1.49]), level of education (secondary level: OR=1.36; 95% CI [1.12 - 1.65]), parity (OR=0.77; 95% CI [0.68 - 0.87]), HIV transmission during pregnancy (OR=1.22; 95% CI [1.06 - 1.41]) and internet use frequency (OR=1.60; 95% CI [1.16 - 2.20]). The intraclass correlation coefficient was (Ii 3 = 0.0050083). CONCLUSION: Consideration of these determinants in the development of strategies to improve antenatal care utilization is necessary.
OBJECTIF: Identifier les facteurs prédictifs du recours aux soins prénatals au Burundi. DONNÉES ET MÉTHODES: Il s'agissait d'une analyse de données secondaires provenant des enquêtes de démographie et de santé 2016 2017 du Burundi. Notre échantillon était constitué de 7372 femmes. Les données ont été analysées avec le logiciel stata 15.1. La régression logistique ordinale multiniveau a permis d'identifier les prédicteurs individuels et contextuels du recours aux soins prénatals. RÉSULTATS: Le recours aux soins prénataux par les femmes ayant accouché au Burundi était influencé par le milieu de résidence (milieu rural : OR=1.25 ; IC 95% [1.05 1.49]), le niveau d'éducation (niveau secondaire : OR=1.36 ; IC 95% [1.12 1.65]), la parité (OR=0.77 ; IC 95% [0.68 0.87]), la transmission du VIH pendant la grossesse (OR=1.22 ; IC 95% [1.06 1.41]) et la fréquence d'utilisation de l'internet (OR=1.60 ; IC 95% [1.16 2.20]). Le coefficient de corrélation intraclasse était (Ii 3 = 0.0050083). CONCLUSION: La prise en compte de ces déterminants dans l'élaboration des stratégies d'amélioration de l'utilisation des soins prénataux s'avère nécessaire.
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INTRODUCTION: Patient education is an important component in the management and monitoring of chronic diseases. It plays an important role in the decline of the disease severity, mortality and socioeconomic burden and the complications of these chronic diseases. In Côte d'Ivoire, there are few studies to evaluate the reality of this activity. OBJECTIVE: To explore the practice of patient education in Ivory Coast. METHOD: This qualitative study has been carried out by means of semi-structured interviews with 24 healthcare professionals including 14 health managers for individual interviews and 10 care providers for focus group discussion. RESULTS: There are various representations of therapeutic patient education among health professionals. There was no real distinction between patient education and the broader concept of health education. Absence of national patient education policy, the lack of training in TPE and lack of experience of educational practice lead health professionals to realize an unstructured educational activity. CONCLUSION: These results show the need for Côte d'Ivoire to have a national policy of patient education to educate patients in accordance with international recommendations.
Subject(s)
Chronic Disease/therapy , Health Personnel/psychology , Patient Education as Topic/statistics & numerical data , Practice Patterns, Physicians'/statistics & numerical data , Cote d'Ivoire , Humans , Qualitative ResearchABSTRACT
Objectives: The prevalence of diabetes is rapidly increasing in sub-Saharan Africa. Healthy lifestyle and dietary conditions play a key role in the control of blood sugar imbalance and cardiovascular complications of diabetes. This study was designed to describe the profile and dietary habits of type 2 diabetic patients attending the Abidjan Diabetes Centre (CADA), and to identify related factors. Methods: This cross-sectional, descriptive and analytic study was conducted in 2014 at the CADA. A total of 384 patients were included. Results: Patients had a mean age of 56.2 (SD: 11.7) years and had been living with diabetes for a mean duration of 8.6 years. Main comorbidities associated with diabetes were overweight (56.8%) and high blood pressure (45.3%). More than one-half of patients (60.7%) did not have a good knowledge of the recommended diet for diabetics: 88.5% did not have regular meal times, 11.7% reported snacking and 61.5% had their meals outside of the home. In addition, 60.4% stated that, during the week preceding the survey, they had eaten at least one "not recommended" food, most commonly fatty meals and fried food (31.5%). Patients who did not know that eating fatty meals and fried food was not recommended for diabetics were 3 times more likely to each this type of food (p < 0.001). Conclusion: Strengthening nutritional support by therapeutic education sessions is a key strategy that should be implemented to improve dietary habits among type 2 diabetic patients in Ivory Coast.
Subject(s)
Diabetes Mellitus, Type 2/diet therapy , Feeding Behavior , Adult , Aged , Aged, 80 and over , Cote d'Ivoire , Cross-Sectional Studies , Female , Humans , Male , Middle Aged , Young AdultABSTRACT
INTRODUCTION: Induced abortion is illegal in Cote d'Ivoire, except when the mother's life is in danger. The primary objective of this study was to describe abortion practices among Yamoussoukro high school students. More specifically, this study estimated the prevalence of induced abortion, described the pathway and the methods used for abortion and determined any abortion-related complications. MATERIAL AND METHODS: This cross-sectional study was conducted in July 2011 on 312 randomly selected girls attending the Lycée Jeunes Filles in Yamoussoukro. RESULTS: These girls had a mean age (SD) of 16.1 (4.7) years; 258 (82.7%) of them had already had sexual intercourse and 81 (31.4%) had already been pregnant. Fifty (61.7% [56.3-67.1%]) of these 81 girls had already had an abortion. The abortion pathway was as follows: the main method was self-prescribed medication (70%) as first attempt, followed, in case of failure, by traditional healers (56.4%). Healthcare practitioners were usually consulted at the third attempt (85.7%). The most commonly used methods of abortion were drugs (91.9%), ingestion of plants/beverages (68.5%) and introduction of devices into the uterine cavity (62.3%). Twenty-two (44%) out of 50 induced abortions resulted in complications, mostly infectious complications (81.8%), and bleeding (68.2%). Complications were significantly associated with self-induced abortions or abortions performed by traditional healers (p < 0.001). CONCLUSION: More intensive sexual education, access to modern methods of contraception, awareness campaigns concerning the risks related to unwanted pregnancies and abortions performed by non-medical personnel need to be implemented to prevent school abortions. The quality and accessibility of post-abortion services also need to be reinforced.
Subject(s)
Abortion, Induced/methods , Abortion, Induced/statistics & numerical data , Adolescent , Cote d'Ivoire , Cross-Sectional Studies , Female , Humans , Medicine, African Traditional , Pregnancy , Pregnancy, UnwantedABSTRACT
The malnutrition of children under five years of age constitutes a major public health problem in most developing countries. A cross-section study was carried in 2003 in the northern part of Côte d'Ivoire to determine the prevalence of chronic malnutrition and to identify risk factors among children under five years of age living in urban and rural areas of the northern part of Côte d'Ivoire. A total of 292 and 268 children under five years of age residing respectively in urban and rural areas were included in the study. Their median age was 24 months. Chronic malnutrition was more frequent in children from rural areas (39.9%) than in those living in urban areas (16.7%). Malnutrition was significantly associated with the type of food consumed by children under two years of age in urban areas, and it was strongly linked to emaciation of the mother and presence of childhood fever in rural areas. In light of these results, we advocate a healthy diet and adequate health status for the mother and child to improve the nutritional status of children. Moreover, these results need to be completed and complemented by further studies for more detailed information to contribute to a better definition of actions to fight efficiently against malnutrition among children of the northern part of Côte d'Ivoire.
Subject(s)
Child Nutrition Disorders/epidemiology , Child, Preschool , Chronic Disease , Cote d'Ivoire/epidemiology , Cross-Sectional Studies , Female , Humans , Infant , Male , Risk Factors , Rural Population , Urban PopulationABSTRACT
This descriptive retrospective study ran from August 2003 to December 2003 at the Rabies Center of the National Institute of Public Health in Abidjan. It covers subjects at risk of rabies transmission during 2004. Identification of participants in the study was made via a census of patients consulting the rabies clinic: a total of 533 subjects were included, predominantly male (54.6%), without gainful employment (57%), with an average age of 26.7 years. Those who lived outside the city of Abidjan accounted for 21.6%. In 88.2% of cases, they were exposed due to a bite. Dogs (90.8%) represented the main species responsible for this kind of exposure. Only 3.2% of these animals had a current valid rabies vaccine. The owner of the animal was not known in 71% of cases. The observance of the recommended immunization schedule for 4 doses was 53.1%. Of the 533 patients registered in the study, 46.9% had stopped treatment vaccine. Some factors have been identified as adversely affecting adherence, such as the vaccination treatment plan of 5 doses, exposure outside the city of Abidjan, unemployment, incurrence of superficial injuries, exposure from an animal bite and lack of immunization of the animal. The results show that the strategies against rabies must focus increasingly on the importance of adherence to treatment and education of the population vis-à-vis the risk of rabies.
Subject(s)
Rabies Vaccines/administration & dosage , Rabies/immunology , Rabies/transmission , Adolescent , Adult , Aged , Aged, 80 and over , Animals , Child , Child, Preschool , Cote d'Ivoire/epidemiology , Dog Diseases/transmission , Dog Diseases/virology , Dogs , Female , Humans , Infant , Male , Middle Aged , Patient Compliance , Patient Education as Topic , Rabies/epidemiology , Rabies/veterinary , Unemployment/statistics & numerical dataABSTRACT
This article reports on a cross-sectional study which aims to describe the situation of yaws in the boroughs of Asseudji located in the health district of Adzopé. The study's population group consisted of 206 household heads, and 2182 subjects who were tested and examined for yaws. The primary sources of pollution levels for a household were domestic animal waste (100%) and garbage stored in close proximity to the household's dwelling (49%). Signs of over-crowding were found in 43.7% of households. The sore "mother yaw" is the most common manifestation of yaws (81.5%). However, the majority of household heads were ignorant of the supporting causes and risk factors (64.1%) and the contagious natures of the infection (52.9%). Among the 2182 subjects examined, 11 (5%) had contracted yaws. The proportion of households with at least one case of yaws was 3.4%. The results of this census demonstrate that swift and strong action should be taken in these towns to prevent the outbreak of an epidemic.
