To determine the costs of the three types of delivery in the maternity department of the Tiznit Provincial Hospital Center. This quantitative study analyzed costs for the year 2016 by the activity-based costing method. The total maternity ward costs were 6 269 922.31 MAD, of which 5 781 409,09 MAD (92.21%) were attributed to the three types of delivery studied. Human resources accounted for 53.56% of maternity department expenses, pharmaceutical expenses for 16.22%, and administrative expenses for 11.40%. The average costs of a normal delivery were 1257,76 MAD, for a dystocic delivery 1258,00 MAD, and for cesarean delivery 3004.87 MAD. This type of study is the first of its kind to be conducted in a Moroccan hospital. It demonstrates the feasibility of this approach, on the one hand, and on the other it provides managers with a much more accurate idea of the cost of the services offered and the information needed for decision-making.
{"title":"Application of the by the activity-based costing (ABC) method in a clinical department: example of the maternity unit of the Tiznit Provincial Hospital Center.","authors":"B. Ouakhzan, C. Boukhalfa","doi":"10.1684/mst.2019.0921","DOIUrl":"https://doi.org/10.1684/mst.2019.0921","url":null,"abstract":"To determine the costs of the three types of delivery in the maternity department of the Tiznit Provincial Hospital Center. This quantitative study analyzed costs for the year 2016 by the activity-based costing method. The total maternity ward costs were 6 269 922.31 MAD, of which 5 781 409,09 MAD (92.21%) were attributed to the three types of delivery studied. Human resources accounted for 53.56% of maternity department expenses, pharmaceutical expenses for 16.22%, and administrative expenses for 11.40%. The average costs of a normal delivery were 1257,76 MAD, for a dystocic delivery 1258,00 MAD, and for cesarean delivery 3004.87 MAD. This type of study is the first of its kind to be conducted in a Moroccan hospital. It demonstrates the feasibility of this approach, on the one hand, and on the other it provides managers with a much more accurate idea of the cost of the services offered and the information needed for decision-making.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 3 1","pages":"322-326"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45536290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study assessed the prevalence of schistosomiasis among 307 schoolchildren aged from 7 to 17 years at various schools in four districts in the Rosso region. Hematuria was observed among 17.5% (54/307) and Schistosoma hematobium eggs were found among 15.6% (48/307). We observed the highest prevalence rates (P = 0.003) among schoolchildren in the districts of Breun (19.75% ± 0.09), Tounguen (18.66% ±0.08) and PK 7 (18.42 % ±0.08). The statistical analysis showed that the differences in the prevalence, hematuria rate, and parasite load did not differ significantly by the schoolchildren's age and sex (P > 0.05). Schoolchildren in Demeldek were significantly (P = 0.003) less infested (5.33% ± 0.11) than those in the other districts. The parasite load ranged from 6 to 15 eggs/10 ml of urine. The malacological investigations conducted at the water points of each village visited showed the presence of Bulinus truncatis, Bulinus forskalii, Lymnaea natalanis, Biomphalariae feifferi and Melanoides tuberculata. These results show that schistosomiasis poses a public health problem in the region. To eradicate this parasitosis, it will be necessary to conduct more detailed malacological studies and combine several types of preventive actions.
{"title":"Study of prevalence and parasite load of Schistosoma haematobium in schoolchildren in the Rosso region, Mauritania.","authors":"C. B. Ould Ahmed Salem, A. Boussery, J. Hafid","doi":"10.1684/mst.2019.0917","DOIUrl":"https://doi.org/10.1684/mst.2019.0917","url":null,"abstract":"This study assessed the prevalence of schistosomiasis among 307 schoolchildren aged from 7 to 17 years at various schools in four districts in the Rosso region. Hematuria was observed among 17.5% (54/307) and Schistosoma hematobium eggs were found among 15.6% (48/307). We observed the highest prevalence rates (P = 0.003) among schoolchildren in the districts of Breun (19.75% ± 0.09), Tounguen (18.66% ±0.08) and PK 7 (18.42 % ±0.08). The statistical analysis showed that the differences in the prevalence, hematuria rate, and parasite load did not differ significantly by the schoolchildren's age and sex (P > 0.05). Schoolchildren in Demeldek were significantly (P = 0.003) less infested (5.33% ± 0.11) than those in the other districts. The parasite load ranged from 6 to 15 eggs/10 ml of urine. The malacological investigations conducted at the water points of each village visited showed the presence of Bulinus truncatis, Bulinus forskalii, Lymnaea natalanis, Biomphalariae feifferi and Melanoides tuberculata. These results show that schistosomiasis poses a public health problem in the region. To eradicate this parasitosis, it will be necessary to conduct more detailed malacological studies and combine several types of preventive actions.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 3 1","pages":"268-272"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42948414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Togo, B. Togo, A. Doumbia, F. Traoré, A. Touré, A. Diakite, O. Coulibaly, H. Diall, B. Maïga, A. Dembélé, K. Sacko, M. Cissé, Y. Coulibaly, D. Konaté, D. Kanikomo, C. Traoré, M. Sylla
to assess epidemiologic and clinical aspects of childhood brain tumors in Mali. a retrospective, descriptive study of children aged 0-15 years with brain tumors, conducted in the pediatrics department of the Gabriel Touré University Hospital Center in Bamako, Mali, from January 31, 2007 to December 3, 2012. In all, 41 cases of brain tumors were recorded during this period (mean: 5.5 years old; range: 1-12 years). Brain tumors were most frequent in the children aged 2-5 years (53.7%) and among boys (53.7%). Late stage at presentation was relatively frequent (34.1%) with a mean time to diagnosis of 10 months. Features of elevated intracranial pressure were the most frequent mode of revelation of primary tumors (26.8%). Supratentorial tumors accounted for 83% of the cases, and gliomas were most frequently (29.3%) identified on computed tomography. Only five patients underwent surgical tumor removal. A broader study including the other hospitals in Bamako could help to assess more accurately the epidemiology of pediatric brain tumors in Mali.
{"title":"Childhood brain tumors in Mali.","authors":"P. Togo, B. Togo, A. Doumbia, F. Traoré, A. Touré, A. Diakite, O. Coulibaly, H. Diall, B. Maïga, A. Dembélé, K. Sacko, M. Cissé, Y. Coulibaly, D. Konaté, D. Kanikomo, C. Traoré, M. Sylla","doi":"10.1684/mst.2019.0919","DOIUrl":"https://doi.org/10.1684/mst.2019.0919","url":null,"abstract":"to assess epidemiologic and clinical aspects of childhood brain tumors in Mali. a retrospective, descriptive study of children aged 0-15 years with brain tumors, conducted in the pediatrics department of the Gabriel Touré University Hospital Center in Bamako, Mali, from January 31, 2007 to December 3, 2012. In all, 41 cases of brain tumors were recorded during this period (mean: 5.5 years old; range: 1-12 years). Brain tumors were most frequent in the children aged 2-5 years (53.7%) and among boys (53.7%). Late stage at presentation was relatively frequent (34.1%) with a mean time to diagnosis of 10 months. Features of elevated intracranial pressure were the most frequent mode of revelation of primary tumors (26.8%). Supratentorial tumors accounted for 83% of the cases, and gliomas were most frequently (29.3%) identified on computed tomography. Only five patients underwent surgical tumor removal. A broader study including the other hospitals in Bamako could help to assess more accurately the epidemiology of pediatric brain tumors in Mali.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 3 1","pages":"264-267"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43427509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Andrianjafitrimo, V. Ranaivomanana, T. M. Ravelomampitoniainarivony, L. A. Ramiandrasoa, N. Randrianjafisamindrakotroka
Schistosomiasis (also known as bilharziosis) is a parasitic infection still endemic in Madagascar. Its transmission is perpetuated by population lifestyles in tropical countries. A genital location is relatively rare; diagnosis is histological. This is a retrospective, descriptive study of genital schistosomiasis observed in the anatomic pathology laboratory of Sampan'asa luteriana ho an'ny fahasalamana and the Joseph Ravoahangy Andrianavalona University Hospital Center over the 6-year period from January 2010 through December 2015. We collected 13 cases. The mean age of the patients was 31.6 years and ranged from 4 to 48 years. Localization was cervical (n = 10), tubo-ovarian (n = 2), and vulvar (n = 1). Clinical signs were isolated bleeding or associated with other signs for cervical localization, suspicion of cyst for the vulva, and suspicion of mass for the ovary. The diagnosis was based on the presence of schistosome eggs in all cases, associated with tuberculoid granulomas (n = 9), eosinophilic polynuclear cells (n = 1), and giant cells (n = 2). We observed one case of squamous cell carcinoma that developed on cervical schistosomiasis. Schistosomiasis is a neglected tropical diseases. Malignant transformation is possible. A cervical hemorrhage is not synonymous with cancer but may reveal a specific inflammatory lesion. Histological examination is necessary for diagnosis.
{"title":"Schistosomiasis of the female genital tract: a two-center study.","authors":"H. Andrianjafitrimo, V. Ranaivomanana, T. M. Ravelomampitoniainarivony, L. A. Ramiandrasoa, N. Randrianjafisamindrakotroka","doi":"10.1684/mst.2019.0910","DOIUrl":"https://doi.org/10.1684/mst.2019.0910","url":null,"abstract":"Schistosomiasis (also known as bilharziosis) is a parasitic infection still endemic in Madagascar. Its transmission is perpetuated by population lifestyles in tropical countries. A genital location is relatively rare; diagnosis is histological. This is a retrospective, descriptive study of genital schistosomiasis observed in the anatomic pathology laboratory of Sampan'asa luteriana ho an'ny fahasalamana and the Joseph Ravoahangy Andrianavalona University Hospital Center over the 6-year period from January 2010 through December 2015. We collected 13 cases. The mean age of the patients was 31.6 years and ranged from 4 to 48 years. Localization was cervical (n = 10), tubo-ovarian (n = 2), and vulvar (n = 1). Clinical signs were isolated bleeding or associated with other signs for cervical localization, suspicion of cyst for the vulva, and suspicion of mass for the ovary. The diagnosis was based on the presence of schistosome eggs in all cases, associated with tuberculoid granulomas (n = 9), eosinophilic polynuclear cells (n = 1), and giant cells (n = 2). We observed one case of squamous cell carcinoma that developed on cervical schistosomiasis. Schistosomiasis is a neglected tropical diseases. Malignant transformation is possible. A cervical hemorrhage is not synonymous with cancer but may reveal a specific inflammatory lesion. Histological examination is necessary for diagnosis.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 3 1","pages":"306-309"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45347005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Sako, A. O. Sylla, M. S. Diallo, A. Touré, F. Traoré, T. Tounkara, B. W. Chamkoue, M. Barry, M. Cissé
In developing countries, tetanus remains a public health problem because of its frequency, severity, and still high mortality. The objective of this study was to describe the epidemiological profile of patients hospitalized for tetanus and to identify the factors associated with dying from it. This retrospective, descriptive, and analytical study reviewed hospital records of all patients, of all ages and genders who were treated for tetanus in our department over a 5-year period. Among 3549 patients during the study period, 75 had tetanus (2.11%), and 71 of them were included in our study. The median age of patients was 35 years (range: 11-70 years) with a male prevalence of 80%. The most frequently affected socio-professional categories were students (21.1%), farmers (18.3%), workers (15.5%), and shopkeepers and tradespeople (15.5%). The main entry points were post-traumatic (40.9%), cutaneous (33.8%), and post-surgical (16.90%). Paroxysm (95.8%), trismus (93.0%), generalized contracture (67.6%), and dysphagia (46.5%) were the most frequent signs. Among these cases, 40.9% were severe (40.85%), 49.3% moderate (49.30%), and 9.6% benign. We recorded 34 deaths (48%). Factors associated with death were age> 60 years (P = 0.01), fever (P = 0.01), hypertension (P = 0.02), and HIV infection (P = 0.01). Tetanus remains a frequent disease with high lethality. Death is associated with specific factors that should be taken into account in the criteria for assessing its prognosis.
{"title":"Tetanus: epidemiology and Factors Associated with Death in the Departement of Tropical and infectious diseases of Donka National Hospital, Guinea.","authors":"F. Sako, A. O. Sylla, M. S. Diallo, A. Touré, F. Traoré, T. Tounkara, B. W. Chamkoue, M. Barry, M. Cissé","doi":"10.1684/mst.2019.0924","DOIUrl":"https://doi.org/10.1684/mst.2019.0924","url":null,"abstract":"In developing countries, tetanus remains a public health problem because of its frequency, severity, and still high mortality. The objective of this study was to describe the epidemiological profile of patients hospitalized for tetanus and to identify the factors associated with dying from it. This retrospective, descriptive, and analytical study reviewed hospital records of all patients, of all ages and genders who were treated for tetanus in our department over a 5-year period. Among 3549 patients during the study period, 75 had tetanus (2.11%), and 71 of them were included in our study. The median age of patients was 35 years (range: 11-70 years) with a male prevalence of 80%. The most frequently affected socio-professional categories were students (21.1%), farmers (18.3%), workers (15.5%), and shopkeepers and tradespeople (15.5%). The main entry points were post-traumatic (40.9%), cutaneous (33.8%), and post-surgical (16.90%). Paroxysm (95.8%), trismus (93.0%), generalized contracture (67.6%), and dysphagia (46.5%) were the most frequent signs. Among these cases, 40.9% were severe (40.85%), 49.3% moderate (49.30%), and 9.6% benign. We recorded 34 deaths (48%). Factors associated with death were age> 60 years (P = 0.01), fever (P = 0.01), hypertension (P = 0.02), and HIV infection (P = 0.01). Tetanus remains a frequent disease with high lethality. Death is associated with specific factors that should be taken into account in the criteria for assessing its prognosis.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 3 1","pages":"333-336"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47024748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. S. Kabuya, O. Mukuku, J. Van Geertruyden, A. Mutombo, O. Luboya, S. Wembonyama, P. Lutumba
Diarrheal diseases are one of the leading causes of death among children younger than 5 years of age in the world in general and in sub-Saharan Africa in particular. Mothers are predominantly responsible for child care and housekeeping in this region. The objective of this study was to determine the prevalence of diarrhea and identify its maternal determinants in children under five in the city of Lubumbashi. A cross-sectional study conducted throughout March 2018 collected data from 299 mothers through a household survey. A pretested structured questionnaire was used to collect data in face-to-face interviews. The prevalence of diarrhea in children under 5 in Lubumbashi was 35.8%. In the univariate analysis, the variables associated with diarrhea were single motherhood, soap-free handwashing after latrine use, and the presence of feces around the latrines. Multivariate analysis revealed that the presence of feces around latrines (OR adjusted = 2.12 [1.18-3.80]) was associated with diarrhea. Defective cleaning by mothers, specifically their failure to keep latrine areas clean and free of feces, is associated with the risk of diarrhea in children under five in the study area. A hygiene intervention program must be designed to promote healthy behavior to alleviate the burden of diarrhea in children.
{"title":"Maternal determinants of diarrhea in children under five in Lubumbashi, Democratic Republic of the Congo.","authors":"M. S. Kabuya, O. Mukuku, J. Van Geertruyden, A. Mutombo, O. Luboya, S. Wembonyama, P. Lutumba","doi":"10.1684/mst.2019.0918","DOIUrl":"https://doi.org/10.1684/mst.2019.0918","url":null,"abstract":"Diarrheal diseases are one of the leading causes of death among children younger than 5 years of age in the world in general and in sub-Saharan Africa in particular. Mothers are predominantly responsible for child care and housekeeping in this region. The objective of this study was to determine the prevalence of diarrhea and identify its maternal determinants in children under five in the city of Lubumbashi. A cross-sectional study conducted throughout March 2018 collected data from 299 mothers through a household survey. A pretested structured questionnaire was used to collect data in face-to-face interviews. The prevalence of diarrhea in children under 5 in Lubumbashi was 35.8%. In the univariate analysis, the variables associated with diarrhea were single motherhood, soap-free handwashing after latrine use, and the presence of feces around the latrines. Multivariate analysis revealed that the presence of feces around latrines (OR adjusted = 2.12 [1.18-3.80]) was associated with diarrhea. Defective cleaning by mothers, specifically their failure to keep latrine areas clean and free of feces, is associated with the risk of diarrhea in children under five in the study area. A hygiene intervention program must be designed to promote healthy behavior to alleviate the burden of diarrhea in children.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 3 1","pages":"273-278"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47029998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. Picquendar, A. Valois, M. Garcia, T. Pecoul, F. Janvier, J. Morand
Diphtheria is an infectious disease transmitted by air or by contact. There are three main species of corynebacterium: diphtheriae, ulcerans, and pseudotuberculosis. They may or may not secrete a toxin responsible for serious cardiac or neurological complications. The frequent clinical presentations are diphtheria angina and cutaneous diphtheria. When it is suspected, it is urgent to send cutaneous or pharyngeal samples to the National Reference Center. If toxin is present, serotherapy should be instituted and the case should be reported. Antibiotic therapy with amoxicillin or azithromycin is the standard treatment. Vaccine prevention begun in the middle of the 20th century has helped to slow epidemics.
{"title":"A hyperalgesic ulcer on return from Senegal.","authors":"V. Picquendar, A. Valois, M. Garcia, T. Pecoul, F. Janvier, J. Morand","doi":"10.1684/mst.2019.0914","DOIUrl":"https://doi.org/10.1684/mst.2019.0914","url":null,"abstract":"Diphtheria is an infectious disease transmitted by air or by contact. There are three main species of corynebacterium: diphtheriae, ulcerans, and pseudotuberculosis. They may or may not secrete a toxin responsible for serious cardiac or neurological complications. The frequent clinical presentations are diphtheria angina and cutaneous diphtheria. When it is suspected, it is urgent to send cutaneous or pharyngeal samples to the National Reference Center. If toxin is present, serotherapy should be instituted and the case should be reported. Antibiotic therapy with amoxicillin or azithromycin is the standard treatment. Vaccine prevention begun in the middle of the 20th century has helped to slow epidemics.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 3 1","pages":"253-255"},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43573343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Zéba Lompo, Y. Barogui, J. Compaoré, Y. Ouedraogo, C. Kafando, M. C. Kambire-Diarra
Burkina Faso shares its borders with six countries that regularly report cases of Buruli ulcer, yaws, and leprosy (Hansen disease), three neglected tropical diseases with dermatological manifestations. Treatment of leprosy has shown excellent results, and it appears to be essentially eliminated. The same cannot be said for Buruli ulcer or yaws, the epidemiology of which remains poorly elucidated. In this context, it was essential to review the situation of these three diseases through a joint survey in the health districts bordering the Côte d'Ivoire, Ghana and the irrigated areas around the dams of Kompienga and Bagré. Our team led a disease survey in these irrigated areas, and we report the results. To determine the current scale of the Buruli ulcer, leprosy, and yaws in the irrigated areas around these two dams and to formulate recommendations. This single-pass survey from April 10-18 was a transverse descriptive study, with sampling based on proximity to the dams. Overall, 1482 people were consulted. Among them, 413 (27.9%) presented dermatosis, distributed as follows: 28 suspected cases of yaws (6.8%), 7 suspected cases of Buruli ulcer (1.7%), 1 case of multibacillary leprosy (0.24%) in an 8-year-old girl, and 377 cases of other dermatoses, dominated by those of fungal origin. A large-scale investigation including all other irrigated areas might make it possible to understand the real situation.
{"title":"An integrated assessment of leprosy, Buruli ulcer, and yaws around the irrigated perimeters of Bagré and Kompienga in Burkina Faso.","authors":"S. Zéba Lompo, Y. Barogui, J. Compaoré, Y. Ouedraogo, C. Kafando, M. C. Kambire-Diarra","doi":"10.1684/mst.2019.0912","DOIUrl":"https://doi.org/10.1684/mst.2019.0912","url":null,"abstract":"Burkina Faso shares its borders with six countries that regularly report cases of Buruli ulcer, yaws, and leprosy (Hansen disease), three neglected tropical diseases with dermatological manifestations. Treatment of leprosy has shown excellent results, and it appears to be essentially eliminated. The same cannot be said for Buruli ulcer or yaws, the epidemiology of which remains poorly elucidated. In this context, it was essential to review the situation of these three diseases through a joint survey in the health districts bordering the Côte d'Ivoire, Ghana and the irrigated areas around the dams of Kompienga and Bagré. Our team led a disease survey in these irrigated areas, and we report the results. To determine the current scale of the Buruli ulcer, leprosy, and yaws in the irrigated areas around these two dams and to formulate recommendations. This single-pass survey from April 10-18 was a transverse descriptive study, with sampling based on proximity to the dams. Overall, 1482 people were consulted. Among them, 413 (27.9%) presented dermatosis, distributed as follows: 28 suspected cases of yaws (6.8%), 7 suspected cases of Buruli ulcer (1.7%), 1 case of multibacillary leprosy (0.24%) in an 8-year-old girl, and 377 cases of other dermatoses, dominated by those of fungal origin. A large-scale investigation including all other irrigated areas might make it possible to understand the real situation.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 3 1","pages":"327-332"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47601982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
B. E. Komboigo, S. Kiemtoré, D. P. Kain, Y. Zamane, X. Kaboré, M. Zoundi, A. Ouédraogo, B. Thiéba
To study the sexual dysfunctions of women living with a partnerin relationship in the city of Ouagadougou. This was a descriptive, and analytical cross-sectional study collectedwith prospective data collection over the a period of seven (07-) months period from March 1st through November 30th, 2016,. by interviewing It consisted of collecting from 633 women living with a partner in relationship in Ouagadougou data aboutn their sex livfes. The data werehas been processed and analyzed with epi-info software, in version 3.5.3. Statistical tests (Chi-square and, Fisher's exact tests) were used to assess the association between the different variables at athe 5% significance level of 5%. The study participation rate was 90.8%. In our study, 84.5% (n=or 486) women reported having at least one sexual dysfunction in their lifetime. Of those surveyed, 84.5% (486/575) had anorgasmia, 64.3% (370/575) had dyspareunia, 35.8% (206/575) had an problems of arousalexcitement disorder, and 35.1% had (202/575) frigidity. In addition,There were 116 of them (20.3%) hadwith lowdecreased libidosexual desire and 0.7% (4/575) with vaginismus. Female circumcision was the main factor associated with the sexual dysfunction of the respondents. Dyspareunia was 4.2 times more common in women with genital excisioned women than in uncircumcised women The sSexual dysfunction is frequent amongof a womean living within a partnercouple in the city of Ouagadougou is frequent. Because excision is one of the factors [[[The leading factor]]] found in the occurrence of sexual dysfunction in women, hence the need to proscribe this harmful practice must be proscribed in our societies.
{"title":"Evaluation of sexual dysfunctions among women living with a partner in Ouagadougou, Burkina.","authors":"B. E. Komboigo, S. Kiemtoré, D. P. Kain, Y. Zamane, X. Kaboré, M. Zoundi, A. Ouédraogo, B. Thiéba","doi":"10.1684/mst.2019.0932","DOIUrl":"https://doi.org/10.1684/mst.2019.0932","url":null,"abstract":"To study the sexual dysfunctions of women living with a partnerin relationship in the city of Ouagadougou. This was a descriptive, and analytical cross-sectional study collectedwith prospective data collection over the a period of seven (07-) months period from March 1st through November 30th, 2016,. by interviewing It consisted of collecting from 633 women living with a partner in relationship in Ouagadougou data aboutn their sex livfes. The data werehas been processed and analyzed with epi-info software, in version 3.5.3. Statistical tests (Chi-square and, Fisher's exact tests) were used to assess the association between the different variables at athe 5% significance level of 5%. The study participation rate was 90.8%. In our study, 84.5% (n=or 486) women reported having at least one sexual dysfunction in their lifetime. Of those surveyed, 84.5% (486/575) had anorgasmia, 64.3% (370/575) had dyspareunia, 35.8% (206/575) had an problems of arousalexcitement disorder, and 35.1% had (202/575) frigidity. In addition,There were 116 of them (20.3%) hadwith lowdecreased libidosexual desire and 0.7% (4/575) with vaginismus. Female circumcision was the main factor associated with the sexual dysfunction of the respondents. Dyspareunia was 4.2 times more common in women with genital excisioned women than in uncircumcised women The sSexual dysfunction is frequent amongof a womean living within a partnercouple in the city of Ouagadougou is frequent. Because excision is one of the factors [[[The leading factor]]] found in the occurrence of sexual dysfunction in women, hence the need to proscribe this harmful practice must be proscribed in our societies.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 3 1","pages":"310-316"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42930077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This review assesses the effectiveness of interventions to improve Prevention of Mother-to-Child Transmission (PMTCT) retention and adherence to treatment in Sub-Saharan Africa since the adoption of Option B +. PubMed, Cochrane, African Index Medicus and the graey literature were used to select articles that used as endpoints whose judgement criteria were retention in the PMTCT circuit and compliance with antiretroviral ARV treatment. Only studies with a comparison group published in or after from 2013 were eligible. Fourteen studies meeting the eligibility criteria were included. Nine studies have a high or moderate level of GRADE evidence. Six studies assessing retention in the PMTCT circuit showed significantly betterhigher outcomes for the intervention group: peer support (n = 1), couple screening (n = 1), text message use (n = 1), financial transfer (n = 1) and integration of maternal and child health services (n = 2). Integration of maternal and child health services, peer support within the community, involvement of male partners, and the use of mobile health techniques can improve PMTCT indicators.
{"title":"Good practices for retention in the circuit of prevention of Mother-Child Transmission of HIV in Sub-Saharan Africa: a systematic review of the literature.","authors":"K. De Tomasi, C. Mouala","doi":"10.1684/mst.2019.0911","DOIUrl":"https://doi.org/10.1684/mst.2019.0911","url":null,"abstract":"This review assesses the effectiveness of interventions to improve Prevention of Mother-to-Child Transmission (PMTCT) retention and adherence to treatment in Sub-Saharan Africa since the adoption of Option B +. PubMed, Cochrane, African Index Medicus and the graey literature were used to select articles that used as endpoints whose judgement criteria were retention in the PMTCT circuit and compliance with antiretroviral ARV treatment. Only studies with a comparison group published in or after from 2013 were eligible. Fourteen studies meeting the eligibility criteria were included. Nine studies have a high or moderate level of GRADE evidence. Six studies assessing retention in the PMTCT circuit showed significantly betterhigher outcomes for the intervention group: peer support (n = 1), couple screening (n = 1), text message use (n = 1), financial transfer (n = 1) and integration of maternal and child health services (n = 2). Integration of maternal and child health services, peer support within the community, involvement of male partners, and the use of mobile health techniques can improve PMTCT indicators.","PeriodicalId":18307,"journal":{"name":"Medecine et sante tropicales","volume":"29 3 1","pages":"279-286"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42206048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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