Suchergebnisse

Human African trypanosomiasis is close to elimination in several countries in sub-Saharan Africa. The diagnosis and treatment is currently rapidly being integrated into first-line health services. We aimed to document the perspective of stakeholders on this integration process. We conducted 12 focus groups with communities in three health zones of the Democratic Republic of the Congo and held 32 interviews with health-care providers, managers, policy makers, and public health experts. The topic guide focused on enabling and blocking factors related to the integrated diagnosis and treatment approach. The data were analyzed with NVivo using a thematic analysis process. The results showed that the community mostly welcomed integrated care for diagnosis and treatment of sleeping sickness, as they value the proximity of first-line health services, but feared possible financial barriers. Health-care professionals thought integration contributed to the elimination goal but identified several implementation challenges, such as the lack of skills, equipment, motivation and financial resources in these basic health services. Patients often use multiple therapeutic itineraries that do not necessarily lead them to health centers where screening is available. Financial barriers are important, as health care is not free in first-line health centers, in contrast to the population screening campaigns. Communities and providers signal several challenges regarding the integration process. To succeed, the required training of health professionals, as well as staff deployment and remuneration policy and the financial barriers in the primary care system need to be addressed, to ensure coverage for those most in need. ; SCOPUS: ar.j ; info:eu-repo/semantics/published

Objective: To determine the prevalence of respiratory symptoms and make an awareness about the harmful effects of ores dust in the Artisanal miner in the city of Lubumbashi, Katanga province, in the Democratic Republic of the Congo (DRC). Method: In total, 104 artisanal miners have been recruited in an exhaustive manner with 122 administrative officers in the town hall of Lubumbashi, responsible for collecting the taxes in the Stations of the bus as the control group. Respiratory symptoms were collected using a standardized questionnaire. To determine the association between the characteristics of the miners and respiratory symptoms reported, a multi-analysis combined with the test of logistic regression has been privileged. Results: The prevalence of the respiratory symptoms was markedly higher in the artisanal diggers, as compared with the group that controls: wheezing (37.5% vs. 7.4%), shortness breathing after effort (26.9% vs. 3.3%), cough (29.8% vs. 12.3%), asthma (24% vs. 1.6%), rhinitis (20.2% vs. 14.8%), conjunctivitis (16.3% vs. 9.8%), and eczema (34.6% vs. 2.5%). After adjusting for age and education level, digger as occupation was strongly associated with a higher risk of developing respiratory and skin problems (p < 0.05). Conclusion: The study revealed that artisanal miner's professions, as practiced in Lubumbashi, without any protection against dust, have a negative impact on the respiratory health. It proves to be very important to organize a teaching specialized in Occupational Medicine that can train some physicians with an established expertise having to answer if it is needed to be enormous in qualified staff in this area considered at respiratory risk.

Objective: To determine the prevalence of respiratory symptoms and illustrate the dangerousness of the sands dust in the Artisanal carriers in the city of Lubumbashi, Katanga province, in the Democratic Republic of the Congo (DRC). Method: In total, 120 carriers of sand have been recruited in an exhaustive approach with 120 communal administrative officers of Lubumbashi city as control group. Respiratory symptoms were collected using a respiratory questionnaire. A multi-analysis varied with the test of logistic regression has been privileged to determine the association between the characteristics of the carriers and the respiratory symptoms. Results: The prevalence of respiratory symptoms reported in carriers of sands was greater than that of the control group for the symptoms such as: cough in the morning (52.5% against 6.7%), sputum in the morning (35% against 7.5%), shortness of breath after effort (18.3% against 5%), asthma (26.7% against 5%), chronic bronchitis (12.5% against 4.2%), rhinitis (62.5% against 21.7%), conjunctivitis (58.3% against 17.5%). After adjustment, on factors such as age and education, the profession carrier of sands was strongly associated with the risk of developing respiratory symptoms below: spit in the morning, shortness of breath after effort, asthma, chronic bronchitis with a p < 0.001. The Peak Expiratory Flow Rate (PEFR) has been significantly reduced in the Carriers of sands (438.87 ± 109.02) compared to controls (480.14 ± 70.73) (p ˂ 0.05). Conclusion: The profession carriers of sand as practiced in Lubumbashi, without means of adequate protection.

Michel Kabamba Nzaji,1,2 Guillaume Ngoie Mwamba,1,3 Judith Mbidi Miema,2 Elie Kilolo Ngoy Umba,1 Ignace Bwana Kangulu,1 Deca Blood Banza Ndala,4 Paul Ciamala Mukendi,5 Denis Kabila Mutombo,4 Marie Claire Balela Kabasu,4 Moise Kanyki Katala,4 John Kabunda Mbala,4 Oscar Luboya Numbi6 1Department of Public Health, Faculty of Medicine, University of Kamina, Kamina, Democratic Republic of the Congo; 2Operational Research Unit, Ministry of Health, National Expanded Program for Immunization, Kinshasa, Democratic Republic of the Congo; 3Village Reach, Kinshasa, Democratic Republic of the Congo; 4Department of Epidemiology and Public Health, Nursing Care Section, Higher Institute of Medical Techniques of Lubumbashi, Lubumbashi, Democratic Republic of the Congo; 5Department of Teaching and Administration in Nursing, Nursing Section, Higher Institute of Medical Techniques of Mbuji-Mayi, Mbuji-Mayi, Democratic Republic of the Congo; 6Department of Public Health, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of the CongoCorrespondence: Michel Kabamba Nzaji Email michelnzaji@yahoo.frBackground: Adherence to public health instructions for the COVID-19 is important for controlling the transmission and the pandemic's health and economic impacts. The aim of this study was to determine the associated factors of non-adherence to public health and social measures instructions.Methods: This was a cross-sectional study conducted with 1913 participants in two provinces of DRC, Mbuji-Mayi, and Kamina. Predictors of non-adherence to COVID-19 preventive measures were identified using binary logistic regression analysis. P-value< 0.05 was considered as a significant predictor.Results: Among 1913 participants (1057 [55.3%] male, age 34.1 [14.9] years), 36.6% were defined as non-adherents. Non-adherence was associated with never studied and primary education level [adjusted odds ratio (aOR)=1.63, CI=1.31– 2.03], unemployed status [aOR=1.29, CI=1.01– 1.67], living in Kamina (Haut-Lomami province) [aOR=1.63, CI=1.31– 2.03], female gender of head of household [aOR=1.53, CI=1.16– 2.03], no attending lectures/discussions about COVID-19 [aOR=1.61, CI=1.08– 2.40], not being satisfied with the measures taken by the Ministry of Health [aOR=2.26, CI=1.78– 2.81], not been regularly informed about the pandemic [aOR=2.25, CI=1.80– 2.03], and bad knowledge about COVID-19 [aOR=2.36, CI=1.90– 2.93].Conclusion: The rate of non-observance of preventive measures for the COVID-19 pandemic is high, and different factors contributed. The government has to counsel the permanent updating of messages taking into account the context and the progress of the pandemic by using several communication channels.Keywords: predictors, adherence, public health instructions, COVID-19 pandemic, DR Congo

BACKGROUND: Adherence to public health instructions for the COVID-19 is important for controlling the transmission and the pandemic's health and economic impacts. The aim of this study was to determine the associated factors of non-adherence to public health and social measures instructions. METHODS: This was a cross-sectional study conducted with 1913 participants in two provinces of DRC, Mbuji-Mayi, and Kamina. Predictors of non-adherence to COVID-19 preventive measures were identified using binary logistic regression analysis. P-value<0.05 was considered as a significant predictor. RESULTS: Among 1913 participants (1057 [55.3%] male, age 34.1 [14.9] years), 36.6% were defined as non-adherents. Non-adherence was associated with never studied and primary education level [adjusted odds ratio (aOR)=1.63, CI=1.31–2.03], unemployed status [aOR=1.29, CI=1.01–1.67], living in Kamina (Haut-Lomami province) [aOR=1.63, CI=1.31–2.03], female gender of head of household [aOR=1.53, CI=1.16–2.03], no attending lectures/discussions about COVID-19 [aOR=1.61, CI=1.08–2.40], not being satisfied with the measures taken by the Ministry of Health [aOR=2.26, CI=1.78–2.81], not been regularly informed about the pandemic [aOR=2.25, CI=1.80–2.03], and bad knowledge about COVID-19 [aOR=2.36, CI=1.90–2.93]. CONCLUSION: The rate of non-observance of preventive measures for the COVID-19 pandemic is high, and different factors contributed. The government has to counsel the permanent updating of messages taking into account the context and the progress of the pandemic by using several communication channels.