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Caregivers' Perspective on the Psychological Burden of Living with Children Affected by Sickle Cell Disease in Kinshasa, the Democratic Republic of Congo. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10020261. [PMID: 36832390 PMCID: PMC9955617 DOI: 10.3390/children10020261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 01/20/2023] [Accepted: 01/27/2023] [Indexed: 02/01/2023]
Abstract
There is limited information on knowledge, perceptions, and management of sickle cell disease (SCD) in Africa in general and in the Democratic Republic of the Congo (DRC) in particular. This study explored knowledge, perceptions, and burden of 26 parents/caregivers of children with SCD in three selected hospitals in Kinshasa, DRC. We conducted a focus group with in-depth interviews with parents/caregivers of children affected with SCD. Four themes were discussed, including knowledge and perceptions, diagnosis and management, society's perceptions, and the psychosocial burden and the quality of life of the family affected by SCD. The majority of participants/caregivers felt that society, in general, had negative perceptions of, attitudes toward, and knowledge about SCD. They reported that children with sickle cell are often marginalized, ignored, and excluded from society or school. They face a number of challenges related to care, management, financial difficulties, and a lack of psychological support. The results suggest the need to promote measures and strategies to improve knowledge and management of SCD in Kinshasa, DRC.
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Kasai ET, Kadima JN, Alworong'a Opara JP, Boemer F, Dresse MF, Makani J, Bours V, Marini Djang'eing'a R, Paul KK, Batina Agasa S. Pairing parents and offspring's HemoTypeSC Test to validate results and confirm sickle cell pedigree: a case study in Kisangani, the Democratic Republic of the Congo. HEMATOLOGY (AMSTERDAM, NETHERLANDS) 2022; 27:853-859. [PMID: 35938952 DOI: 10.1080/16078454.2022.2107351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES HemoTypeSCTM is one of the immunoassay methods currently used for the early diagnosis of Sickle Cell Disease (SCD) in newborns. Earlier diagnosis remains the key strategy for early preventive care needs and parents' education about the child's future well-being throughout his life. Before considering these children as sick and aligning them for regular medical monitoring, it may be valuable to confirm the HemoTypeSC result with a secondary laboratory testing method. In resource-limited settings, where confirmatory methods are not always available, we propose testing the parents to validate the HemoTypeSC result. METHODS This study explored this approach in the city of Kisangani. It was a prospective diagnostic accuracy study using genotype biological parents to evaluate HemoTypeSC's performance in the newborn. RESULTS Fifty-eight children born to 46 known mothers, and 37 known fathers, have been tested. The phenotyping showed that 41 (70.7%) children were SS, whose 37 were born to a couple AS/AS and 4 to a couple AS/xx. Of the 41 SS children, 8 (19.5%) were newborns and 33 (80.4%) were children; 12 (20.6%) children were AS, one of whom was born to a couple SS/AA and 11 to a couple AA/SS; 5 (8.6%) children were AA. In this population, the probability of offspring born to AS/AS parents being SS rather than AS is high (odds, 1.25). No statistical difference was observed between girls and boys. The pedigree of all 58 children has been confirmed. CONCLUSION We demonstrated that testing biological parents with HemoTypeSC is a reliable confirmatory method for newborn screening but it presents some limitations discussed in the present article.
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Affiliation(s)
- Emmanuel Tebandite Kasai
- Department of Pediatrics, Faculty of Medicine and Pharmacy, University of Kisangani, Kisangani, Democratic Republic of the Congo
| | - Justin Ntokamunda Kadima
- Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Kisangani, Kisangani, Democratic Republic of the Congo
| | - Jean Pierre Alworong'a Opara
- Department of Pediatrics, Faculty of Medicine and Pharmacy, University of Kisangani, Kisangani, Democratic Republic of the Congo
| | - François Boemer
- Biochemical Genetics Laboratory, Human Genetics, CHU of Liège, University of Liège, Liège, Belgium
| | | | - Julie Makani
- Muhimbili Wellcome Programme, Department of Haematology and Blood Transfusion, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
| | - Vincent Bours
- Department of Human Genetics, Human Genetic Center, CHU, University of Liège, Liège, Belgium
| | - Roland Marini Djang'eing'a
- Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Kisangani, Kisangani, Democratic Republic of the Congo.,Laboratory of Analytical Pharmaceutical Chemistry, Faculty of Medicine, University of Liège, Liège, Belgium
| | - Kambale-Kombi Paul
- Department of Internal Medicine, Faculty of Medicine and Pharmacy, University of Kisangani, Kisangani, Democratic Republic of the Congo
| | - Salomon Batina Agasa
- Department of Internal Medicine, Faculty of Medicine and Pharmacy, University of Kisangani, Kisangani, Democratic Republic of the Congo
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Nicole AYA, Charlotte EE, Shanti NC, Edgar MML, Foute FNN, Patrick N, Ritha M, Yolande DP, Patricia E, Estelle W, Olivier KNP. [Administration of analgesics at home for the treatment of vaso-occlusive crises before admission to hospital]. Pan Afr Med J 2021; 37:127. [PMID: 33425160 PMCID: PMC7755375 DOI: 10.11604/pamj.2020.37.127.25062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 07/29/2020] [Indexed: 11/11/2022] Open
Abstract
Introduction vaso-occlusive crises (VOCs) are the primary reason for admission and hospitalization in children with sickle cell disease and most often they require home care before arriving to consultation. The purpose of this study was to describe home-based therapy for children with sickle cell disease admitted with VOCs. Methods we conducted a descriptive and analytical cross-sectional study, in the pediatric emergencies at the Mother and Child Centre of the Chantal Biya Foundation (CBF) over a 4-month period from February to May 2018. Consecutive sampling was used. All patients with sickle cell disease presenting with VOCs were included in the study. Results one hundred and fifty-two patients were enrolled. The most represented age group was 5- 10 years. Eighty-two patients (54%) presented more than 24 hours after the onset of the crises and 70 (46%) in the first 24 hours; 80% (n=122) of our sample had received analgesic treatment at home. Escalation of therapy was found in 31.2% of cases. The use of prescription medications (75.4%, n=92) was dominant as the 1st recourse. The dosage for analgesics was not correct in 67% of cases (overdose in 70% of cases). The correct dosage of home-based analgesics was administered in only 33% of patients. Conclusion this study shows that home-based management of VOCs is inadequate. Measures must be taken to ensure that all patients with sickle cell disease can effectively manage minor to moderate VOCs at home.
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Affiliation(s)
- Alima Yanda Anastasie Nicole
- Institut Supérieur de Technologie Médicale, Yaoundé, Cameroun.,Centre Mère et Enfant Fondation Chantal BIYA, Yaoundé, Cameroun
| | - Eposse Ekoube Charlotte
- Centre de Prise en Charge des Drépanocytaires, Hôpital Laquintinie, Douala, Cameroun.,Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala, Douala, Cameroun
| | | | | | | | - Ngou Patrick
- Faculté de Médecine et des Sciences Biomédicales, Yaoundé, Cameroun
| | - Mbono Ritha
- Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala, Douala, Cameroun
| | | | - Epee Patricia
- Faculté de Médecine et des Sciences Pharmaceutiques, Université de Douala, Douala, Cameroun
| | - Wete Estelle
- Centre Mère et Enfant Fondation Chantal BIYA, Yaoundé, Cameroun
| | - Koki Ndombo Paul Olivier
- Centre Mère et Enfant Fondation Chantal BIYA, Yaoundé, Cameroun.,Faculté de Médecine et des Sciences Biomédicales, Yaoundé, Cameroun
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Coulibaly SP, Coulibaly S, Sango HA, Cissé L, Maïga FI, Maïga B, Diarra S, Diallo SH, Coulibaly T, Traoré M, Guinto CO, Koumaré B, Landouré G. Neuropsychiatric and socio-cultural aspects in a Malian family with spinocerebellar ataxia. ANNALES MEDICO-PSYCHOLOGIQUES 2020; 178:278-282. [PMID: 32431322 DOI: 10.1016/j.amp.2018.02.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Introduction Spino-cerebellar ataxia or SCA are dominant neurological diseases caused by mutations in several genes. According to social and cultural contexts, especially in populations with low education level, the advent of such diseases might generate other kinds of suffering beside those caused by the physical impairment and disability. The aim of this work was to determine the impact of this disease in patients and their relatives. Methods It was a qualitative approach carried out through semi-directive clinical interviews, neuropsychiatric observations and the administration of the Hamilton depression scale. Results The study included a polygamous family in which mothers had 10 and 12 maternities. Neurological manifestations concerned four children of the same siblings and the father in a subtle form. The mother of these children was designated as responsible for the transmission of the disease and presented a reaction depression. Irritability, anxiety and depression reactions were observed in two patients and an unaffected brother. The advent of the disease was associated to the hatching of a latent familial conflict related to the father's status that has been established only after four years. Conclusion In a social and cultural setting of polygamy, the advent of dominant ataxia with anticipation might revive latent familial conflicts and have psychological and social repercussions on the affected individuals and their relatives.
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Affiliation(s)
- Souleymane P Coulibaly
- Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako.,Service de Psychiatrie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
| | - Souleymane Coulibaly
- Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako.,Service de Psychiatrie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
| | - Hammadoun A Sango
- Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako
| | - Lassana Cissé
- Service de Neurologie, Centre Hospitalier Universitaire Point G, Bamako, Mali
| | - Fatoumata I Maïga
- Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako
| | - Boubacar Maïga
- Service de Neurologie, Centre Hospitalier Universitaire Point G, Bamako, Mali
| | - Salimata Diarra
- Service de Neurologie, Centre Hospitalier Universitaire Point G, Bamako, Mali
| | - Seybou H Diallo
- Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako.,Service de Neurologie, Centre Hospitalier Universitaire Gabriel Touré, Bamako, Mali
| | - Thomas Coulibaly
- Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako.,Service de Psychiatrie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
| | - Mahamadou Traoré
- Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako.,Service de Cytogénétique et de Biologie de la Reproduction, Institut National de Recherche en Santé Publique, Bamako, Mali
| | - Cheick O Guinto
- Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako.,Service de Psychiatrie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
| | - Baba Koumaré
- Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako.,Service de Psychiatrie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
| | - Guida Landouré
- Faculté de Médecine et d'Odontostomatologie, Université des Sciences, des Techniques et des Technologies de Bamako.,Service de Psychiatrie, Centre Hospitalier Universitaire du Point G, Bamako, Mali
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Students’ knowledge on sickle cell disease in Kisangani, Democratic Republic of the Congo. Hematology 2020; 25:91-94. [DOI: 10.1080/16078454.2020.1727174] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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