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Tegueni K, Gbeasor-Komlanvi FA, Adama OIW, Sadio AJ, Amenyah-Ehlan AP, Dagnra CA, Ekouevi DK. Epidemiological and virological surveillance of the prevention of mother-to-child transmission of HIV among pregnant women in Togo. BMC Pregnancy Childbirth 2024; 24:278. [PMID: 38622544 PMCID: PMC11017652 DOI: 10.1186/s12884-024-06435-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2023] [Accepted: 03/18/2024] [Indexed: 04/17/2024] Open
Abstract
BACKGROUND In 2015, Togo introduced the "test-and-treat" strategy for the prevention of mother-to-child transmission (PMTCT) of HIV. Pediatric HIV infection remains a public health problem in Togo, with a mother-to-child transmission (MTCT) rate of 3.6% in 2020. This study aimed to estimate cases of HIV seroconversion during pregnancy and to identify pregnant women at high risk of transmitting HIV to their children in Lomé, Togo. METHODS A descriptive cross-sectional study was carried out from 18 March to 22 May 2022 among women who had given birth in five maternity units providing PMTCT services in Lomé. Umbilical cord blood samples were taken from the maternal side by midwives after delivery. HIV serology was performed in the laboratory using the Alere™ HIV Combo SET and First Response HIV 1-2. Card Test version 2.0. A sample was considered positive if both tests were positive. The HIV-1 viral load in HIV-1-positive samples was measured using Cobas/Roche 4800 equipment. Information on the women was extracted from maternal antenatal records and antenatal consultation registers. RESULTS A total of 3148 umbilical cord blood samples (median maternal age: 28 years (interquartile range [24-32]) were collected. Among them, 99.3% (3145/3148) had presented for at least one antenatal clinic visit before giving birth, and 78.7% (2456/3122) had presented for at least four visits. One hundred and twenty-one (121) cord samples were HIV-1 positive, representing a seroprevalence of 3.8% (95% CI = [3.2-4.6]). Among them, 67.8% (82/121) were known HIV-positive before the current pregnancy, 29.7 (36/121) were diagnosed as HIV-positive at the antenatal visits and 2.5% (3/121) were diagnosed as HIV-positive in the delivery room. Of the HIV-positive women, 85.9% (104/121) were on ARV treatment before delivery. The viral load was < 1000 copies/ml in 97.5% (118/121) cases. CONCLUSION This study explored the virologic and epidemiological aspects of HIV among pregnant women in Togo. The results show significant viral suppression at delivery in women ART. Surveillance based on umbilical cord blood specimen screening is an interesting approach for monitoring the effectiveness of PMTCT programmes.
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Affiliation(s)
- Kokou Tegueni
- Département des Sciences Fondamentales, Laboratoire de Biologie Moléculaire et d'Immunologie (BIOLIM- FSS/UL), Université de Lomé, Lomé, Togo
- Programme National de Lutte contre le VIH/Sida, les Hépatites virales et les Infections Sexuellement Transmissibles (PNLS/HV/IST), Lomé, Togo
- Laboratoire National de Référence pour tests VIH, les Hépatites virales et les Infections Sexuellement Transmissibles (LNR/HV/IST), Lomé, Togo
| | - Fifonsi Adjidossi Gbeasor-Komlanvi
- Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - Oumarou I Wone Adama
- Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - Arnold Junior Sadio
- Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - Amivi Phyllis Amenyah-Ehlan
- Département des Sciences Fondamentales, Laboratoire de Biologie Moléculaire et d'Immunologie (BIOLIM- FSS/UL), Université de Lomé, Lomé, Togo
- Programme National de Lutte contre le VIH/Sida, les Hépatites virales et les Infections Sexuellement Transmissibles (PNLS/HV/IST), Lomé, Togo
- Laboratoire National de Référence pour tests VIH, les Hépatites virales et les Infections Sexuellement Transmissibles (LNR/HV/IST), Lomé, Togo
| | - Claver Anoumou Dagnra
- Département des Sciences Fondamentales, Laboratoire de Biologie Moléculaire et d'Immunologie (BIOLIM- FSS/UL), Université de Lomé, Lomé, Togo
- Programme National de Lutte contre le VIH/Sida, les Hépatites virales et les Infections Sexuellement Transmissibles (PNLS/HV/IST), Lomé, Togo
- Laboratoire National de Référence pour tests VIH, les Hépatites virales et les Infections Sexuellement Transmissibles (LNR/HV/IST), Lomé, Togo
| | - Didier Koumavi Ekouevi
- Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo.
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo.
- Global Health in the Global South (GHiGS) Team, Bordeaux Population Health Research Center, University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux, France.
- Institut de Santé Publique Epidémiologie Développement (ISPED), Université de Bordeaux, Bordeaux, France.
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Konu YR, Dogo F, Dagnra CA, Atcha-Oubou T, Gbeasor-Komlanvi FA, Afanvi KA, Diallo FBT, Teouri M, Mijiyawa M, Ekouevi DK. Effect of the COVID-19 pandemic on HIV, malaria and tuberculosis indicators in Togo: an interrupted time series analysis. BMJ Glob Health 2024; 9:e013679. [PMID: 38569659 PMCID: PMC11002417 DOI: 10.1136/bmjgh-2023-013679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2023] [Accepted: 03/18/2024] [Indexed: 04/05/2024] Open
Abstract
BACKGROUND Limited data are available on the effects of the COVID-19 pandemic on health-related indicators in sub-Saharan Africa. This study aimed to estimate the effect of the COVID-19 pandemic on nine indicators of HIV, malaria and tuberculosis (TB) in Togo. METHODS For this interrupted time series analysis, national health information system data from January 2019 to December 2021 and TB programmatic data from the first quarter of 2018 to the fourth quarter of 2022 were analysed. Nine indicators were included. We used Poisson segmented regression to estimate the immediate impact of the pandemic and per-pandemic period trends through incidence rate ratios (IRRs) with 95% CIs. RESULTS Overall, there was a decrease in six of the nine indicators, ranging from 19.3% (IRR 0.807, 95% CI 0.682 to 0.955, p=0.024) for the hospitalisation of patients for malaria to 36.9% (IRR 0.631, 95% CI 0.457 to 0.871, p=0.013) for TB diagnosis by Mycobacterium tuberculosis Xpert immediately after the declaration of the COVID-19 pandemic. A comparison of the observed and predicted trends showed that the trend remained constant between the prepandemic and pandemic periods of COVID-19 for all malaria indicators. A significant downward monthly trend was observed in antiretroviral therapy initiation (IRR 0.909, 95% CI 0.892 to 0.926, p<0.001) and positive TB microscopy (IRR 0.919, 95% CI 0.880 to 0.960, p=0.002). CONCLUSION HIV, malaria and TB services were generally maintained over time in Togo despite the COVID-19 pandemic. However, given the decline in levels immediately after the onset of the pandemic, there is an urgent need to improve the preparedness of the healthcare system.
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Affiliation(s)
- Yao Rodion Konu
- Département de Santé Publique, Université de Lomé, Lome, Togo
- Centre Africain de Recherche en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo
- Global Health in the Global South (Inserm UMR 1219, IRD EMR 271), Bordeaux Population Health, Université de Bordeaux, Bordeaux, France
| | - Fall Dogo
- Programme national de lutte contre la tuberculose (PNLT), Lomé, Togo
| | - Claver Anoumou Dagnra
- Programme national de lutte contre le sida, les hépatites virales et les infections sexuellement transmissibles (PNLS-HV-IST), Lomé, Togo
| | | | - Fifonsi Adjidossi Gbeasor-Komlanvi
- Département de Santé Publique, Université de Lomé, Lome, Togo
- Centre Africain de Recherche en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo
| | | | | | - Mahmoud Teouri
- Direction du système national d'information sanitaire et l'informatique (DSNSI), Lomé, Togo
| | - Moustafa Mijiyawa
- Ministère de la Santé, de l'Hygiène Publique et de l'Accès Universel aux Soins, Lomé, Togo
| | - Didier Koumavi Ekouevi
- Département de Santé Publique, Université de Lomé, Lome, Togo
- Centre Africain de Recherche en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo
- Global Health in the Global South (Inserm UMR 1219, IRD EMR 271), Bordeaux Population Health, Université de Bordeaux, Bordeaux, France
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Atake EH, Dandonougbo Y, Gbeasor-Komlanvi FA, Yagninim MAN, Kouevi DK. Impacts of unconditional cash transfers on health care utilisation in informal sector households in Togo. Int J Health Plann Manage 2024; 39:62-82. [PMID: 37816073 DOI: 10.1002/hpm.3715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 09/25/2023] [Accepted: 09/27/2023] [Indexed: 10/12/2023] Open
Abstract
BACKGROUND Most Togolese population earns their income from informal sector, and they are very often exposed to health outcomes. Cash transfers impact healthcare utilization by improving household's social capital, socio-economic status, lifestyle choice, and physical health. The aim of this paper was to analyse the impact of unconditional cash transfers on health care utilisation in informal sector households. METHODS We used the propensity-score method to compare health care utilisation by households that received cash transfers from nonbeneficiary households and simulated a potential confounder to assess the robustness of the impacts of the estimated treatment (i.e., cash transfer). Data were obtained from a national survey that covered 1405 households. RESULTS The results show that women benefited the most from cash transfers (73.1%). Our estimates indicate that health care utilisation increased by 28.3% among workers in the informal sectors who benefited from unconditional cash transfers compared to nonbeneficiaries. The greatest impact was found on agriculture households with an increase by 31.3% in the health care utilisation. In general, cash transfer beneficiaries are more likely to use public health centres; there was an increase in public health facility attendance of 21.3%. CONCLUSIONS Cash transfers are a valuable social protection instrument that improve health care utilisation of populations in the informal sector. Policymakers could use cash transfer as the infusion of income and/or assets that may impact health outcomes. Cash transfers are an opportunity to alleviate barriers of access to health care by older people. Future research must examine impact of cash transfer on health of vulnerable groups such as older people, children, and people with disabilities.
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Affiliation(s)
- Esso-Hanam Atake
- Department of Economics, Faculty of Economics and Management Sciences (FASEG), University of Lomé, Lomé, Togo
| | - Yevessé Dandonougbo
- Department of Agricultural Economics and Rural Sociology, School of Agronomy (ESA), University of Lomé, Lomé, Togo
| | | | - Malb Ama N'Danida Yagninim
- Department of Economics, Faculty of Economics and Management Sciences (FASEG), University of Kara, Kara, Togo
| | - Didier Koumavi Kouevi
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
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Zida-Compaore WIC, Gbeasor-Komlanvi FA, Tchankoni MK, Halatoko WA, Sadio AJ, Konu YR, Gnatou GYS, Koba AK, Agbonon A, Ekouevi DK. Estimation of yellow fever incidence in Togo between 2010 and 2020. Travel Med Infect Dis 2022; 50:102470. [DOI: 10.1016/j.tmaid.2022.102470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 09/16/2022] [Accepted: 10/02/2022] [Indexed: 11/30/2022]
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5
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Gbeasor-Komlanvi FA, Sadio AJ, Adama OI, Zida-Compaore WIC, Tchankoni MK, Adjoh KS, Dogo F, Ekouevi DK. Medicinal plant use and adherence problems to TB treatment. Int J Tuberc Lung Dis 2022; 26:850-856. [PMID: 35996283 DOI: 10.5588/ijtld.21.0555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND: Good adherence is essential in the treatment of TB. The aim of this study was to describe medication consumption patterns and to assess factors associated with adherence to TB treatment among TB patients in Lomé, Togo.METHODS: A cross-sectional study was conducted among TB patients in 10 health structures in Lomé from September 2019 to January 2020. TB patients aged ≥18 years and under treatment for at least 2 months were eligible for this study. Adherence to TB treatment was assessed using the Girerd compliance test.RESULTS: A total of 195 TB patients (61.5% male) with a median age of 35 years (IQR 27-44) were recruited. TB-HIV coinfection was 11.3%. Polypharmacy (≥5 medications/day) and using medicinal plants were observed in respectively 6.2% and 42.6% of patients. Prevalence of TB treatment adherence problems was 68.2% (95% CI 61.2-74.7). Being <35 years (aOR 2.79; P = 0.005) and taking medicinal plants (aOR 4.31; P < 0.001) were associated with TB treatment adherence problems.CONCLUSION: Treatment adherence problems, a major obstacle to TB elimination, are highly prevalent in TB patients in Lomé, and were associated with the use of medicinal plants. Reasons for the use of medicinal plants should be documented in order to propose appropriate interventions to reinforce adherence to TB treatment.
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Affiliation(s)
- F A Gbeasor-Komlanvi
- Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo, Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - A J Sadio
- Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo, Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - O I Adama
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - W I C Zida-Compaore
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - M K Tchankoni
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - K S Adjoh
- Département de Médecine et Spécialités médicales, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo, Centre Hospitalier Universitaire Sylvanus-Olympio, Service de Pneumo-Phtisiologie, Lomé, Togo
| | - F Dogo
- Programme National de Lutte contre la Tuberculose, Ministère de la Santé, de l´Hygiène Publique et de l´Accès Universel aux Soins, Lomé, Togo
| | - D K Ekouevi
- Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo, Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo, Bordeaux Population Health Research, Université de Bordeaux, Unité 1219, Institut national de la santé et de la recherche médicale, Institut de Santé Publique d´Epidémiologie et de Développement, Bordeaux, France
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6
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Gnatou GYS, Gbeasor-Komlanvi FA, Sadio AJ, Konu YR, Tchankoni MK, Zida-Compaore WIC, Agbonon A, Ekouevi DK. Knowledge and practices of female students at university of Kara regarding sexually transmitted infections in Togo, 2021. J Public Health Afr 2022; 13:2225. [PMID: 36051520 PMCID: PMC9425935 DOI: 10.4081/jphia.2022.2225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Accepted: 05/22/2022] [Indexed: 11/23/2022] Open
Abstract
A good knowledge of sexually transmitted infections (STI) in female students is an important element in the prevention of STI transmission. The objective of this study is to describe the level of knowledge and practices on STI among female students at the University of Kara. A cross-sectional study was conducted at the University of Kara from July to September 2021. Data were collected using a standard, digitalised, selfadministered questionnaire. Logistic regression analysis was used to describe factors associated with the level of knowledge of STIs. A total of 1,055 female students with a median age of 21 years (interquartile range: 20-24) participated in the study. More than one-third (33.7%) of the students had good knowledge of STI. Having already been tested for HIV (aOR=3.25; 95% CI 2.36-4.52), having already had sex (aOR=1.56; 95% CI 1.10-2.24) and the level of education (AOR=3.46; 95% CI 2.10-5.85) were significantly associated with good STIs knowledge. Among the 723 female students (68.5%) who already had sex, 32.5% reported inconsistent use of condoms during sexual intercourse and 18.9% reported having multiple sexual partners. The results of this study highlight the importance of intensifying STIs prevention efforts (awareness, screening, and vaccination) among female students at the University of Kara.
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Zida-Compaore WIC, Gbeasor-Komlanvi FA, Tchankoni MK, Sadio AJ, Konu YR, Agbonon A, Ekouevi DK. Knowledge and practices among healthcare workers regarding dengue in Togo. J Public Health Afr 2022; 13:1937. [PMID: 36051521 PMCID: PMC9425930 DOI: 10.4081/jphia.2022.1937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Accepted: 04/25/2022] [Indexed: 11/23/2022] Open
Abstract
In Togo where malaria is endemic, because main signs of malaria and dengue are similar, the use of malarial drugs first could contribute to a delay in the diagnosis of dengue and the dissemination of the disease. Thus, it is important that healthcare workers (HCW) have a good knowledge of these diseases. To assess the knowledge, and practices regarding dengue infection among HCW in Togo. A cross-sectional study was carried out from November 2020 to March 2021 among HCW in Togo. A pre-tested digital questionnaire was used for data collection. Based on clinical signs of dengue, preventive measures, infection type and disease type, a knowledge score was constructed with eight questions. A total of 334 HCW with median age 32 years, IQR:(28-38) responded to the survey and the sex ratio male/female was 5.9. The majority (94.0%) of HCW have heard about dengue through training (73.3%), internet (38.0%) and media (33.2%). Compared with lower executive HCW, senior manager were more knowledgeable about the causative agent, the symptoms and preventive methods of dengue infection (p<0.001). Globally, good knowledge (score ≥6) about dengue was found for 47.1% of HCW. More than 9 out of 10 HCW (91.3%) reported the lack of dengue diagnostic tools. Providing health structures with dengue diagnostic tools and training health personnel in their use in any febrile patient with a negative or positive malaria test would help prevent dengue epidemic.
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Agbobli YA, Konu YR, Gbeasor-Komlanvi FA, Sadio AJ, Tchankoni MK, Anani J, Akliku N, Bakoubayi AW, Ekouevi DK. Prevalence and factors associated with burnout among healthcare workers during the COVID-19 pandemic in Togo, June 2021. Arch Environ Occup Health 2022; 77:828-837. [PMID: 35191818 DOI: 10.1080/19338244.2022.2042172] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
COVID-19 pandemic is responsible for increased demand for care and patient mortality, resulting in emotional and physical stress for healthcare workers (HCWs). We aimed to estimate the prevalence of burnout and its associated factors among HCWs in Togo during the pandemic. We conducted an online cross-sectional study from June 14 to 29, 2021 targeting HCWs in Togo. The variable of interest was burnout measured by the Copenhagen Burnout Inventory. Of the 523 participants, the overall burnout prevalence was 53.5% (95% CI= 49.2 - 57.9). The prevalence by burnout dimension was respectively 39.4%, 38.4% and 22.1% for personal, work-related and patient-related burnout. Our results suggest that occupational health teams should engage in the prevention, screening, and management of burnout among HCWs.
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Affiliation(s)
- Yawo Apélété Agbobli
- University of Lomé, Faculty of Health Sciences, Occupational Health Department, Lomé, Togo
| | - Yao Rodion Konu
- University of Lomé, Faculty of Health Sciences, Public Health Department, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (CARESP), Lomé, Togo
| | - Fifonsi Adjidossi Gbeasor-Komlanvi
- University of Lomé, Faculty of Health Sciences, Public Health Department, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (CARESP), Lomé, Togo
| | - Arnold Junior Sadio
- University of Lomé, Faculty of Health Sciences, Public Health Department, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (CARESP), Lomé, Togo
| | | | - Joël Anani
- African Centre for Research in Epidemiology and Public Health (CARESP), Lomé, Togo
| | - Nomessi Akliku
- African Centre for Research in Epidemiology and Public Health (CARESP), Lomé, Togo
| | | | - Didier Koumavi Ekouevi
- University of Lomé, Faculty of Health Sciences, Public Health Department, Lomé, Togo
- African Centre for Research in Epidemiology and Public Health (CARESP), Lomé, Togo
- Inserm Center, 1219, Institute of Public Health and Development and University of Bordeaux, Bordeaux, France
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Konu YR, Gbeasor-Komlanvi FA, Yerima M, Sadio AJ, Tchankoni MK, Zida-Compaore WIC, Nayo-Apetsianyi J, Afanvi KA, Agoro S, Salou M, Landoh DE, Nyansa AB, Boko E, Mijiyawa M, Ekouevi DK. Prevalence of severe adverse events among health professionals after receiving the first dose of the ChAdOx1 nCoV-19 coronavirus vaccine (Covishield) in Togo, March 2021. Arch Public Health 2021; 79:207. [PMID: 34819146 PMCID: PMC8611394 DOI: 10.1186/s13690-021-00741-x] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2021] [Accepted: 11/14/2021] [Indexed: 12/23/2022] Open
Abstract
Background The coronavirus disease 2019 (COVID-19) vaccines can cause adverse events that can lead to vaccine hesitancy. This study aims at estimating the prevalence of severe adverse events (SAEs) and their associated factors among health professionals vaccinated with ChAdOx1 nCoV-19 vaccine in Togo. Methods A cross-sectional study was conducted from March 13th to 19th, 2021 in Togo among health professionals who received the first dose of the vaccine. An online self-administered questionnaire was used to collect sociodemographic and vaccination data. SAEs were defined as one resulting in hospitalization, medical consultation, or inability to work the day following the administration of the vaccine. Data analysis were performed using R© 4.0.1 software, and a 5% significance level was considered. Results A total of 1,639 health professionals (70.2% male) with a median age of 32 (interquartile range: 27-40) were enrolled. At least one adverse event was reported among 71.6% of participants (95% CI = [69.3-73.8]). The most commonly reported adverse events were injection site pain (91.0%), asthenia (74.3%), headache (68.7%), soreness (55.0%), and fever (47.5%). An increased libido was also reported in 3.0% of participants. Of the participants who experienced adverse events, 18.2% were unable to go to work the day after vaccination, 10.5% consulted a medical doctor, and 1.0% were hospitalized. The SAEs’ prevalence was 23.8% (95% CI = [21.8-25.9]). Being <30 years (AOR = 5.54; p<0.001), or 30-49 years (AOR = 3.62; p<0.001) and being female (AOR = 1.97; p<0.001) were associated with SAEs. Conclusions High prevalence of SAEs have been observed in health professionals in Togo after ChAdOx1 nCoV-19 vaccination especially in young people and females. However, these data are reassuring as they inform on COVID-19 vaccines’ SAE management. Systematic prescription of antalgics or antipyretics could be proposed to young people who get vaccinated.
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Affiliation(s)
- Yao Rodion Konu
- Public Health Department, University of Lomé, Lomé, Togo.,African Centre for Research in Epidemiology and Public Health (CARESP), Lomé, Togo
| | - Fifonsi Adjidossi Gbeasor-Komlanvi
- Public Health Department, University of Lomé, Lomé, Togo.,African Centre for Research in Epidemiology and Public Health (CARESP), Lomé, Togo
| | - Mouhoudine Yerima
- Ministry of Health and Public Hygiene, Pharmacovigilance Department, Lomé, Togo
| | - Arnold Junior Sadio
- Public Health Department, University of Lomé, Lomé, Togo.,African Centre for Research in Epidemiology and Public Health (CARESP), Lomé, Togo
| | | | | | | | - Kossivi Agbélénko Afanvi
- Public Health Department, University of Lomé, Lomé, Togo.,Ministry of Health and Public Hygiene, Lomé, Togo
| | - Sibabe Agoro
- Public Health Department, University of Lomé, Lomé, Togo.,Ministry of Health and Public Hygiene, Lomé, Togo
| | - Mounerou Salou
- Laboratory of Molecular Biology and Immunology (BIOLIM), University of Lomé, Lomé, Togo
| | | | - Atany B Nyansa
- Ministry of Health and Public Hygiene, Pharmacovigilance Department, Lomé, Togo
| | - Essohanam Boko
- Faculty of Health Sciences, University of Lomé, Lomé, Togo
| | - Moustafa Mijiyawa
- Ministry of Health and Public Hygiene, Lomé, Togo.,Faculty of Health Sciences, University of Lomé, Lomé, Togo
| | - Didier Koumavi Ekouevi
- Public Health Department, University of Lomé, Lomé, Togo. .,African Centre for Research in Epidemiology and Public Health (CARESP), Lomé, Togo. .,Inserm Center, Institute of Public Health and Development and University of Bordeaux, 1219, Bordeaux, France.
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Akakpo AS, Téclessou JN, Akolly DAE, Gbeasor-Komlanvi FA, Kassang P, Mouhari-Toure A, Kombaté K, Saka B, Pitché P. Cosmetics used in children in sub-Saharan Africa and the desire for a lighter skin tone. Ann Dermatol Venereol 2021; 148:259-261. [PMID: 34756483 DOI: 10.1016/j.annder.2021.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 03/19/2021] [Accepted: 05/10/2021] [Indexed: 10/20/2022]
Affiliation(s)
- A-S Akakpo
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, 14 BP 200, Lomé, Togo.
| | - J N Téclessou
- Service de dermatologie et IST, CHU Campus, Université de Lomé, 13279 Lomé, Togo
| | - D A E Akolly
- Service de pédiatrie, CHU Sylvanus Olympio, Université de Lomé, 14 BP 200, Lomé, Togo
| | | | - P Kassang
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, 14 BP 200, Lomé, Togo
| | - A Mouhari-Toure
- Service de dermatologie et IST, CHU Kara, Université de Kara, BP 18, Kara, Togo
| | - K Kombaté
- Service de dermatologie et IST, CHU Campus, Université de Lomé, 13279 Lomé, Togo
| | - B Saka
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, 14 BP 200, Lomé, Togo
| | - P Pitché
- Service de dermatologie et IST, CHU Sylvanus Olympio, Université de Lomé, 14 BP 200, Lomé, Togo
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11
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Tchankoni MK, Bitty-Anderson AM, Sadio AJ, Gbeasor-Komlanvi FA, Ferré VM, Zida-Compaore WIC, Dorkenoo AM, Saka B, Dagnra AC, Charpentier C, Ekouevi DK. Prevalence and factors associated with trichomonas vaginalis infection among female sex workers in Togo, 2017. BMC Infect Dis 2021; 21:775. [PMID: 34372785 PMCID: PMC8351109 DOI: 10.1186/s12879-021-06432-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Accepted: 07/13/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The aim of this study was to estimate the prevalence and factors associated with Trichomonas vaginalis (T. vaginalis) among female sex workers (FSW) in Togo in 2017. A cross-sectional bio-behavioral study was conducted from August to October 2017 using a respondent-driven sampling method in four cities in Togo. METHOD A standardized questionnaire was used to record socio-demographic data and sexual behavior patterns. T. vaginalis detection by molecular biology tests was performed using Allplex STI Essential Assay which detect also 6 others micro-organisms. A blood sample was drawn and serological test using SD Bioline Duo VIH/Syphilis rapid test was performed for Human immunodeficiency virus (HIV) and syphilis testing. RESULTS A total of 310 FSW with median age 25 years, interquartile range (IQR) [21-32 years] were included. The prevalence of T. vaginalis was 6.5% (95%CI = [4.1-9.9]) and, overall, prevalence of other STI ranged from 4.2% (95%CI = [2.3-7.2]) for N. gonorrhoeae to 10.6% (95% CI = [7.5-14.7]) for HIV. Binary logistic regression was conducted to assess factors associated with T. vaginalis infection. Living in Lomé (aOR = 3.19; 95%CI = [1.11-11.49]), having had sexual intercourse before the age of 18 (aOR = 5.72; 95%CI = [1.13-10.89]), and being infected with C. trachomatis (aOR = 3.74; 95%CI = [2.95-12.25]) were factors associated with T. vaginalis among FSW. CONCLUSION The prevalence of T. vaginalis infection using molecular test was low among FSW in Togo. Extensive studies are needed to confirm and to better understand the epidemiology of T. vaginalis among this population and in other populations in Togo.
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Affiliation(s)
| | | | - Arnold Junior Sadio
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
- Département de Santé Publique, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo
| | - Fifonsi Adjidossi Gbeasor-Komlanvi
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
- Département de Santé Publique, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo
| | - Valentine Marie Ferré
- Université de Paris, INSERM UMR 1137 IAME, F-75018, Paris, France
- Laboratoire de Virologie, AP-HP, Hôpital Bichat-Claude Bernard, F-75018, Paris, France
| | | | - Ameyo Monique Dorkenoo
- Département des Sciences Fondamentales, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo
| | - Bayaki Saka
- CHU Sylvanus Olympio, Service de Dermatologie et Vénérologie, Université de Lomé, Lomé, Togo
| | - Anoumou Claver Dagnra
- Programme national de lutte contre le sida, les hépatites virales, et les infections sexuellement transmissibles, Lomé, Togo
| | - Charlotte Charpentier
- Université de Paris, INSERM UMR 1137 IAME, F-75018, Paris, France
- Laboratoire de Virologie, AP-HP, Hôpital Bichat-Claude Bernard, F-75018, Paris, France
| | - Didier Koumavi Ekouevi
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo.
- Département de Santé Publique, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo.
- ISPED, Université de Bordeaux & Centre INSERM U1219 - Bordeaux Population Health, Bordeaux, France.
- Université de Lomé, Laboratoire de Biologie Moléculaire et d'Immunologie, Lomé, Togo.
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12
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Gbeasor-Komlanvi FA, Zida-Compaore WIC, Sadio AJ, Tchankoni MK, Kadangha BM, Salou M, Dagnra AC, Ekouevi DK. HIV testing uptake and prevalence among hospitalized older adults in Togo: A cross-sectional study. PLoS One 2021; 16:e0246151. [PMID: 33529263 PMCID: PMC7853528 DOI: 10.1371/journal.pone.0246151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2020] [Accepted: 01/15/2021] [Indexed: 11/19/2022] Open
Abstract
Objectives This study aimed to describe HIV testing uptake, as well as HIV prevalence and its associated factors among older adults aged ≥50 years in health facilities in Togo. Methods A cross-sectional study was carried out from February 2018 to June 2019 among hospitalized older adults aged ≥50 years in tertiary and secondary hospitals in Togo. HIV testing was performed according to the national algorithm. Socio-demographic data and HIV testing history were collected using a standardized questionnaire. Results A total of 619 patients (43.9% female) of median age 61 years, (IQR: 55–70) were recruited and offered HIV testing. Among them, 25.7% had never previously tested for HIV. In total, 91.6% (567/619) accepted HIV testing while 8.4% (52/619) refused to be tested. Of those who tested, forty patients were HIV positive, yielding a prevalence of 7.1%. Twenty-three patients (57.5%) were newly diagnosed with HIV infection. In multivariable analysis, two factors were associated with HIV infection: living alone (aOR = 5.83; 95%CI = [2.26–14.53]) and being <60 years (aOR = 3.12; 95%CI = [1.51–6.66]). Conclusion The majority of older adults in this study accepted testing for HIV and almost three in five HIV positive older adults were newly diagnosed with HIV as a result of this testing. There is an urgent need to integrate older adults into responses to the HIV epidemic and to strengthen targeted prevention care and treatment in this population.
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Affiliation(s)
- Fifonsi Adjidossi Gbeasor-Komlanvi
- Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo
- * E-mail:
| | | | - Arnold Junior Sadio
- Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo
| | | | | | - Mounerou Salou
- Laboratoire de Biologie Moléculaire et d’Immunologie, Université de Lomé, Lomé, Togo
| | - Anoumou Claver Dagnra
- Laboratoire de Biologie Moléculaire et d’Immunologie, Université de Lomé, Lomé, Togo
- Programme National de Lutte contre le Sida et les Infections Sexuellement Transmissibles, Lomé, Togo
| | - Didier Koumavi Ekouevi
- Département de Santé Publique, Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo
- INSERM U1219 Bordeaux Population Health Research, ISPED, Université de Bordeaux, Bordeaux, France
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13
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Gbeasor-Komlanvi FA, Tchankoni MK, Bakoubayi AW, Lokossou MY, Sadio A, Zida-Compaore WIC, Djibril M, Belo M, Agbonon A, Ekouevi DK. Predictors of three-month mortality among hospitalized older adults in Togo. BMC Geriatr 2020; 20:507. [PMID: 33243161 PMCID: PMC7690011 DOI: 10.1186/s12877-020-01907-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2020] [Accepted: 11/17/2020] [Indexed: 12/26/2022] Open
Abstract
Background Assessing hospital mortality and its predictors is important as some of these can be prevented through appropriate interventions. Few studies have reported hospital mortality data among older adults in sub-Saharan Africa. The objective of this study was to assess the mortality and associated factors among hospitalized older adults in Togo. Methods We conducted a prospective cohort study from February 2018 to September 2019 among patients ≥50 years admitted in medical and surgical services of six hospitals in Togo. Data were recorded during hospitalization and through telephone follow-up survey within 90 days after admission. The main outcome was all-cause mortality at 3 months. Survival curves were estimated using the Kaplan-Meier method and Cox regression analyses were performed to assess predictors of mortality. Results The median age of the 650 older adults included in the study period was 61 years, IQR: [55–70] and at least one comorbidity was identified in 59.7% of them. The all-cause mortality rate of 17.2% (95%CI: 14.4–20.4) and the majority of death (93.7%) occurred in hospital. Overall survival rate was 85.5 and 82.8% after 30 and 90 days of follow-up, respectively. Factors associated with 3-month mortality were the hospital level in the health pyramid, hospitalization service, length of stay, functional impairment, depression and malignant diseases. Conclusion Togolese health system needs to adjust its response to an aging population in order to provide the most effective care. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-020-01907-y.
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Affiliation(s)
- Fifonsi Adjidossi Gbeasor-Komlanvi
- Département de Santé Publique, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo. .,Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo.
| | | | | | | | - Arnold Sadio
- Département de Santé Publique, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo.,Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo
| | | | - Mohaman Djibril
- Département de Santé Publique, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo.,Centre Hospitalier Universitaire Sylvanus Olympio, Pavillon Militaire, Lomé, Togo
| | - Mofou Belo
- Département de Santé Publique, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo.,Programme National de Lutte contre les Maladies Chroniques, Lomé, Togo
| | - Amegnona Agbonon
- Université de Lomé, Laboratoire de Physiologie-Pharmacologie, Lomé, Togo
| | - Didier Koumavi Ekouevi
- Département de Santé Publique, Université de Lomé, Faculté des Sciences de la Santé, Lomé, Togo.,Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo
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14
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Halatoko WA, Konu YR, Gbeasor-Komlanvi FA, Sadio AJ, Tchankoni MK, Komlanvi KS, Salou M, Dorkenoo AM, Maman I, Agbobli A, Wateba MI, Adjoh KS, Goeh-Akue E, Kao YB, Kpeto I, Pana P, Kinde-Sossou R, Tamekloe A, Nayo-Apétsianyi J, Assane SPH, Prine-David M, Awoussi SM, Djibril M, Mijiyawa M, Dagnra AC, Ekouevi DK. Prevalence of SARS-CoV-2 among high-risk populations in Lomé (Togo) in 2020. PLoS One 2020; 15:e0242124. [PMID: 33166369 PMCID: PMC7652308 DOI: 10.1371/journal.pone.0242124] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 10/28/2020] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND In December 2019, the COVID-19 outbreak began in China and quickly spread throughout the world and was reclassified as a pandemic in March 2020. The first case of COVID-19 was declared in Togo on March 5. Two months later, few data were available to describe the circulation of the new coronavirus in the country. OBJECTIVE This survey aimed to estimate the prevalence of SARS-CoV-2 in high-risk populations in Lomé. MATERIALS AND METHODS From April 23, 2020, to May 8, 2020, we recruited a sample of participants from five sectors: health care, air transport, police, road transport and informal. We collected oropharyngeal swabs for direct detection through real-time reverse transcription polymerase chain reaction (rRT-PCR) and blood for antibody detection by serological tests. The overall prevalence (current and past) of infection was defined by positivity for both tests. RESULTS A total of 955 participants with a median age of 36 (IQR 32-43) were included, and 71.6% (n = 684) were men. Approximately 22.1% (n = 212) were from the air transport sector, 20.5% (n = 196) were from the police sector, and 38.7% (n = 370) were from the health sector. Seven participants (0.7%, 95% CI: 0.3-1.6%) had a positive rRT-PCR test result at the time of recruitment, and nine (0.9%, 95% CI: 0.4-1.8%) were seropositive for IgM or IgG against SARS-CoV-2. We found an overall prevalence of 1.6% (n = 15), 95% CI: 0.9-2.6%. CONCLUSION The prevalence of SARS-CoV-2 infection among high-risk populations in Lomé was relatively low and could be explained by the various measures taken by the Togolese government. Therefore, we recommend targeted screening.
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Affiliation(s)
| | - Yao Rodion Konu
- Département de Santé Publique, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - Fifonsi Adjidossi Gbeasor-Komlanvi
- Département de Santé Publique, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - Arnold Junior Sadio
- Département de Santé Publique, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | | | | | - Mounerou Salou
- Laboratoire de Biologie Moléculaire et d’Immunologie (BIOLIM), Université de Lomé, Lomé Togo
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Conseil Scientifique pour la Riposte contre la pandémie de Covid-19, Lomé, Togo
| | - Ameyo Monique Dorkenoo
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Ministère de la Santé et de l’Hygiène Publique, Lomé, Togo
| | | | - Amétépé Agbobli
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
| | - Majesté Ihou Wateba
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Conseil Scientifique pour la Riposte contre la pandémie de Covid-19, Lomé, Togo
| | - Komi Séraphin Adjoh
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Conseil Scientifique pour la Riposte contre la pandémie de Covid-19, Lomé, Togo
| | - Edem Goeh-Akue
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Conseil Scientifique pour la Riposte contre la pandémie de Covid-19, Lomé, Togo
| | - Yem-bla Kao
- Conseil Scientifique pour la Riposte contre la pandémie de Covid-19, Lomé, Togo
| | - Innocent Kpeto
- Conseil Scientifique pour la Riposte contre la pandémie de Covid-19, Lomé, Togo
| | - Paul Pana
- Conseil Scientifique pour la Riposte contre la pandémie de Covid-19, Lomé, Togo
| | | | | | | | | | - Mireille Prine-David
- Laboratoire de Biologie Moléculaire et d’Immunologie (BIOLIM), Université de Lomé, Lomé Togo
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
| | - Sossinou Marcel Awoussi
- Ministère de la Santé et de l’Hygiène Publique, Lomé, Togo
- Coordination Nationale de Gestion de la Riposte contre la Covid-19, Lomé, Togo
| | - Mohaman Djibril
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Coordination Nationale de Gestion de la Riposte contre la Covid-19, Lomé, Togo
| | - Moustafa Mijiyawa
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Ministère de la Santé et de l’Hygiène Publique, Lomé, Togo
| | - Anoumou Claver Dagnra
- Laboratoire de Biologie Moléculaire et d’Immunologie (BIOLIM), Université de Lomé, Lomé Togo
- Faculté des Sciences de la Santé, Université de Lomé, Lomé, Togo
- Conseil Scientifique pour la Riposte contre la pandémie de Covid-19, Lomé, Togo
- Ministère de la Santé et de l’Hygiène Publique, Lomé, Togo
| | - Didier Koumavi Ekouevi
- Département de Santé Publique, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
- Conseil Scientifique pour la Riposte contre la pandémie de Covid-19, Lomé, Togo
- Centre Inserm, 1219, Institut de Santé Publique et de Développement et Université de Bordeaux, Bordeaux, France
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15
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Gbeasor-Komlanvi FA, Tchankoni MK, Adjonko AB, Zida-Compaore WIC, Kouakou NK, Belo M, Agbonon A, Ekouevi DK. Prevalence and factors associated with poor self-rated health among communitydwelling older adults in Lomé (Togo) in 2019. J Public Health Afr 2020; 11:1302. [PMID: 33209236 PMCID: PMC7649730 DOI: 10.4081/jphia.2020.1302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2019] [Accepted: 02/17/2020] [Indexed: 11/24/2022] Open
Abstract
The number of older adults is increasing worldwide, including in sub-Saharan Africa (SSA). However, there is a paucity of data on the overall health status of older adults living in SSA. To assess the prevalence and factors associated with poor Self-Rated Health (SRH) among community-dwelling older adults in Lomé, Togo, we conducted a cross-sectional study from January to June 2019 in Lomé among community-dwelling older adults aged 50 years and older. A 30- minute questionnaire was used to collect socio-demographic characteristics, medical history, patterns of medication use and use of herbal products and dietary supplements during a face-to-face interview. SRH was assessed using a single item: Overall, you would say that your health is… (1) excellent, (2) very good, (3) good, (4) fair and (5) poor with response fair or poor defining poor SRH. A total of 344 respondents with median age 63 years, (IQR: 55-72) were enrolled in the study. Women represented 57.6% of the sample. Overall prevalence of poor SRH was 56.4% (95%CI: 51.0-61.9) and was the highest among females (62.6% vs 47.9%; P=0.007) and participants ³60 years (61.5% vs 51.1%; P=0.021). Female sex, aged ≥60 years, osteoarthritis, hospitalization within the 12 months preceding the survey, polypharmacy, and the use of herbal products were factors associated with poor SRH (P<0.05). More than half of community- dwelling older adults had poor SRH in Lomé. Further studies are needed to guide policymakers in their efforts to design and implement meaningful policies to improve older adults health conditions.
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Affiliation(s)
| | | | | | | | | | - Mofou Belo
- Faculty of Health Sciences, University of Lomé
| | - Amegnona Agbonon
- Laboratory of Physiology and Pharmacology, Lomé, University of Lomé, Togo
| | - Didier Koumavi Ekouevi
- Faculty of Health Sciences, University of Lomé
- African Center of Research in Epidemiology and Public Health, Lomé
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16
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Tchankoni MK, Gbeasor-Komlanvi FA, Bitty-Anderson AM, Sewu EK, Zida-Compaore WIC, Alioum A, Salou M, Dagnra CA, Ekouevi DK. Prevalence and factors associated with psychological distress among key populations in Togo, 2017. PLoS One 2020; 15:e0231726. [PMID: 32298337 PMCID: PMC7162496 DOI: 10.1371/journal.pone.0231726] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2019] [Accepted: 03/30/2020] [Indexed: 12/03/2022] Open
Abstract
OBJECTIVES Mental health is a largely neglected issue among in Sub-Saharan Africa, especially among key populations at risk for HIV. The aim of this study was to estimate the prevalence of psychological distress (PD) and to assess the factors associated among males who have sex with males (MSM), female sex workers (FSW) and drug users (DU) in Togo in 2017. STUDY DESIGN A cross-sectional bio-behavioral study was conducted in August and September 2017 using a respondent-driven sampling (RDS) method, in eight cities in Togo. METHODS A standardized questionnaire was used to record sociodemographic characteristics and sexual behaviors. The Alcohol Use Disorders Identification Test (AUDIT) and a subset of questions from the Tobacco Questions for Survey were used to assess alcohol and tobacco consumption respectively. PD was assessed with the Kessler Psychological Distress Scale. A blood sample was taken to test for HIV. Descriptive statistics, univariable and multivariable ordinal regression models were used for analysis. RESULTS A total of 2044 key populations including 449 DU, 952 FSW and 643 MSM with a median age of 25 years, interquartile range (IQR) [21-32] were recruited. The overall prevalence of mild PD among the three populations was 19.9% (95%CI = [18.3-21.8]) and was 19.2% (95%CI = [17.5-20.9]) for severe/moderate PD. HIV prevalence was 13.7% (95%CI = [12.2-15.2]). High age (≥ 25 years) [aOR = 1.24 (95% CI: 1.02-1.50)], being HIV positive [aOR = 1.80 (95% CI: 1.31-2.48)] and hazardous alcohol consumption [aOR = 1.52 (95% CI: 1.22-1.87)] were risk factors for PD. Secondary [aOR = 0.52 (95% CI: 0.42-0.64)] or higher [aOR = 0.46 (95% CI: 0.32-0.64)] education levels were protective factors associated with PD. FSW [OR = 0.55 (95% CI: 0.43-0.68)] and MSM [OR = 0.33 (95% CI: 0.24-0.44)] were less likely to report PD compared with DU. CONCLUSION AND RECOMMENDATIONS This is the first study conducted among a large, nationally representative sample of key populations in Togo. The prevalence of PD is high among these populations in Togo and was associated to HIV infection. The present study indicates that mental health care must be integrated within health programs in Togo with a special focus to key populations through interventions such as social support groups.
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Affiliation(s)
| | - Fifonsi Adjidossi Gbeasor-Komlanvi
- African Center for Epidemiology and Public Health Research (CARESP), Lomé, Togo
- Department of Public Health, University of Lomé, Faculty of Health Sciences, Lomé, Togo
| | | | | | | | - Ahmadou Alioum
- University of Bordeaux, Inserm Center, Bordeaux, France
- University of Bordeaux, Institute of Public Health Epidemiology Development (ISPED), Bordeaux, France
| | - Mounerou Salou
- Department of Basic Sciences, University of Lomé, Center for Molecular Biology and Immunology, Lomé, Togo
| | - Claver Anoumou Dagnra
- Department of Basic Sciences, University of Lomé, Center for Molecular Biology and Immunology, Lomé, Togo
| | - Didier Koumavi Ekouevi
- African Center for Epidemiology and Public Health Research (CARESP), Lomé, Togo
- Department of Public Health, University of Lomé, Faculty of Health Sciences, Lomé, Togo
- PACCI Program—ANRS Ivory Coast Site, Treichville University Hospital, Abidjan, Ivory Coast
- University of Bordeaux, Inserm Center, Bordeaux, France
- University of Bordeaux, Institute of Public Health Epidemiology Development (ISPED), Bordeaux, France
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17
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Nyasenu YT, Gbeasor-Komlanvi FA, Issa SAR, Ehlan A, Tchankoni MK, Yambiyo BM, Prince-David M, Salou M, Ekouevi DK, Dagnra A. Prevalence of HPV among HIV-negative women of child-bearing age in Lomé, Togo. Future Virol 2019. [DOI: 10.2217/fvl-2019-0146] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Aim: This study aimed to assess the prevalence and the distribution of HPV genotypes among HIV-negative women of child-bearing age in Lomé, Togo. Materials & methods: From April 2014 to September 2015, a cross-sectional study was conducted among HIV-negative women attending gynecological consultation in six health centers in Lomé. Cervical swabs were obtained from 324 women. HPV test was performed using HPV Direct Flow Chip. Results: The prevalence of any type and oncogenic HPV was 9.3 and 8.3%, respectively. A total of 13 different genotypes HPV, high risk (16, 18, 35, 45, 52, 53, 68, 82) and low risk (6, 40, 43, 44/65, 62/81), were found. Conclusion: Findings from this study provide essential insights for planning future public health strategies, including HPV vaccination programs.
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Affiliation(s)
- Yawo Tufa Nyasenu
- Département des Sciences Fondamentales, Laboratoire de Biologie Moléculaire et d’Immunologie (BIOLIM), Université de Lomé, Lomé, Togo
| | - Fifonsi Adjidossi Gbeasor-Komlanvi
- Département de Santé Publique, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo
| | - Sabi Abdul-Raouf Issa
- Département des Sciences Fondamentales, Laboratoire de Biologie Moléculaire et d’Immunologie (BIOLIM), Université de Lomé, Lomé, Togo
| | - Amivi Ehlan
- Département des Sciences Fondamentales, Laboratoire de Biologie Moléculaire et d’Immunologie (BIOLIM), Université de Lomé, Lomé, Togo
| | | | - Brice Martial Yambiyo
- Service d’Epidémiologie, Institut Pasteur de Bangui, Bangui, République Centrafricaine
| | - Mireille Prince-David
- Département des Sciences Fondamentales, Laboratoire de Biologie Moléculaire et d’Immunologie (BIOLIM), Université de Lomé, Lomé, Togo
| | - Mounerou Salou
- Département des Sciences Fondamentales, Laboratoire de Biologie Moléculaire et d’Immunologie (BIOLIM), Université de Lomé, Lomé, Togo
| | - Didier Koumavi Ekouevi
- Département de Santé Publique, Université de Lomé, Lomé, Togo
- Centre Africain de Recherche en Epidémiologie et en Santé Publique, Lomé, Togo
- Institut de Santé Publique Epidémiologie Développement (ISPED), Université de Bordeaux, Bordeaux, France
- Centre Inserm, 1219, Université de Bordeaux, Bordeaux, France
| | - Anoumou Dagnra
- Département des Sciences Fondamentales, Laboratoire de Biologie Moléculaire et d’Immunologie (BIOLIM), Université de Lomé, Lomé, Togo
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Bitty-Anderson AM, Gbeasor-Komlanvi FA, Johnson P, Sewu EK, Dagnra CA, Salou M, Blatome TJ, Jaquet A, Coffie PA, Ekouevi DK. Prevalence and correlates of alcohol and tobacco use among key populations in Togo in 2017: a cross-sectional study. BMJ Open 2019; 9:e028934. [PMID: 31685493 PMCID: PMC6858156 DOI: 10.1136/bmjopen-2019-028934] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
OBJECTIVES The aim of this study was to estimate alcohol and tobacco use prevalence and their correlates among female sex workers (FSW), men who have sex with men (MSM) and drug users (DU) in Togo. DESIGN, SETTING AND PARTICIPANTS A cross-sectional bio-behavioural study was conducted among 2115 MSM, FSW and DU in 2017 using a respondent-driven sampling method, in the eight biggest towns of Togo. Selection criteria for the MSM were being male and having had oral or anal intercourse with a man in the previous 12 months; for FSW, being a female and having exchanged sex for money in the previous 12 months; and for DU, consuming heroin, cocaine or hashish for MSM, FSW and DU, respectively. All participants had to be at least 18 years old and residing in the territory for the past 3 months. RESULTS The prevalence of alcohol consumption, hazardous/harmful consumption and binge drinking was 64.8%, 38.4% and 45.5%, respectively. Current tobacco use was reported by 30.6% of participants and HIV prevalence was estimated at 12.5%. DU were more likely to engage in binge drinking compared with other key populations (adjusted odds ratio (aOR)=2.0; 95% CI 1.4 to 2.8; p=0.001). Participants who were identified as having hazardous/harmful alcohol consumption had almost three times the odds of tobacco consumption than those with no risky consumption (aOR=2.6; 95% CI 2.0 to 3.4; p=0.001). Hazardous/harmful alcohol consumption was three times more likely among participants with severe psychological distress compared with those with no psychological distress (aOR=3.3, 95% CI 2.2 to 5.1; p=0.001). CONCLUSION Findings from this study demonstrate the need for the integration of mental health and substance abuse reduction interventions into HIV prevention programme, particularly those geared towards key populations.
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Affiliation(s)
| | - Fifonsi Adjidossi Gbeasor-Komlanvi
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- Centre Africain de Recherches en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo
| | - Pascal Johnson
- Centre Africain de Recherches en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo
| | - Essèboè K Sewu
- Centre Africain de Recherches en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo
| | - Claver A Dagnra
- Faculty of Health Sciences, Molecular Biology Laboratory, University of Lomé, Lomé, Togo
| | - Mounerou Salou
- Faculty of Health Sciences, Molecular Biology Laboratory, University of Lomé, Lomé, Togo
| | - Tetouyaba J Blatome
- Centre Africain de Recherches en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo
| | - Antoine Jaquet
- Department of Public Health, INSERM U1219, Bordeaux Population Health Research, University of Bordeaux, Bordeaux, France
- Department of Public Health, Institut de Santé Publique Epidémiologie et Développement, University of Bordeaux, Bordeaux, France
| | - Patrick Ahuatchi Coffie
- PACCI Research Center-Site ANRS Côte d'Ivoire, Abidjan, Côte d'Ivoire
- Department of Public Health, Institut de Santé Publique Epidémiologie et Développement, University of Bordeaux, Bordeaux, France
- Dermatologie et Infectiologie, Unite de Formation et de Recherche des Sciences Medicales, Universite Felix Houphouet-Boigny, Abidjan, Côte d'Ivoire
| | - Didier Koumavi Ekouevi
- PACCI Research Center-Site ANRS Côte d'Ivoire, Abidjan, Côte d'Ivoire
- Department of Public Health, Faculty of Health Sciences, University of Lomé, Lomé, Togo
- Centre Africain de Recherches en Epidemiologie et en Santé Publique (CARESP), Lomé, Togo
- Department of Public Health, INSERM U1219, Bordeaux Population Health Research, University of Bordeaux, Bordeaux, France
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Ferré VM, Ekouevi DK, Gbeasor-Komlanvi FA, Collin G, Le Hingrat Q, Tchounga B, Salou M, Descamps D, Charpentier C, Dagnra AC. Prevalence of human papillomavirus, human immunodeficiency virus and other sexually transmitted infections among female sex workers in Togo: a national cross-sectional survey. Clin Microbiol Infect 2019; 25:1560.e1-1560.e7. [PMID: 31051265 DOI: 10.1016/j.cmi.2019.04.015] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Revised: 04/03/2019] [Accepted: 04/08/2019] [Indexed: 11/24/2022]
Abstract
OBJECTIVES Sub-Saharan Africa is a region with high incidence of both human immunodeficiency virus (HIV) and cervical cancer. We conducted the first national study in Togo to assess prevalence of human papillomavirus (HPV), HIV and other sexually transmitted infections (STIs) among female sex workers (FSW). METHODS A multicentric cross-sectional study was conducted among FSW recruited in hot spots (clubs, streets) in four Togolese cities. HPV and STIs were tested from cervical and anal swabs. HIV and syphilis were screened with rapid tests. RESULTS In all, 310 FSW were recruited; HIV and cervical high-risk HPV (hrHPV) prevalence were 10.6% (33/310) and 32.9% (102/310), respectively. The most frequent hrHPV types were HPV58 (13.6%, 19/140), HPV35 (12.9%, 18/140), HPV31 (12.1%, 17/140) and HPV16 (10.7%, 15/140). Prevalence of hrHPV and multiple hrHPV infections showed higher rates in HIV-positive than in HIV-negative FSW (48.5% versus 31.0%, p 0.04 and 21.2% versus 9.0%, p 0.03; respectively). Prevalence of hrHPV was higher in cervical than anal swabs (34.1% versus 20.7%, p 0.0004). High-risk HPV anal infections were more frequent among HIV-positive than HIV-negative FSW (51.9% versus 17.3%, p 2 × 10-5). Concomitant anal and cervical hrHPV infections were present in 43.2% (41/95) of hrHPV-positive FSW. Overall prevalence in the cervix of Neisseria gonorrhoeae, Chlamydia trachomatis, Mycoplasma genitalium and Trichomonas vaginalis were 4.2%, 6.1%, 5.5% and 6.5%, respectively. CONCLUSIONS This first African study on paired cervical and anal samples showed a high prevalence of genital HPV infections with a rather high rate of concomitant HPV infections but low type concordance. We report an unusual distribution of hrHPV types. These findings highlight the critical need for implementation of a national HPV vaccination strategy.
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Affiliation(s)
- V M Ferré
- Université de Paris, IAME, INSERM, F-75018 Paris, France; AP-HP, Hôpital Bichat, DEBRC, F-75018 Paris, France
| | - D K Ekouevi
- Université de Lomé, Faculté des Sciences de la Santé, Département de Santé Publique, Lomé, Togo; Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo; ISPED, Université de Bordeaux & Centre INSERM U1219 - Bordeaux Population Health, Bordeaux, France
| | - F A Gbeasor-Komlanvi
- Université de Lomé, Faculté des Sciences de la Santé, Département de Santé Publique, Lomé, Togo; Centre Africain de Recherche en Epidémiologie et en Santé Publique (CARESP), Lomé, Togo
| | - G Collin
- Université de Paris, IAME, INSERM, F-75018 Paris, France; AP-HP, Hôpital Bichat, DEBRC, F-75018 Paris, France
| | - Q Le Hingrat
- Université de Paris, IAME, INSERM, F-75018 Paris, France; AP-HP, Hôpital Bichat, DEBRC, F-75018 Paris, France
| | - B Tchounga
- Programme PACCI, site ANRS, Abidjan, Cote d'Ivoire
| | - M Salou
- Université de Lomé, Centre de Biologie Moléculaire et d'Immunologie, Lomé, Togo
| | - D Descamps
- Université de Paris, IAME, INSERM, F-75018 Paris, France; AP-HP, Hôpital Bichat, DEBRC, F-75018 Paris, France
| | - C Charpentier
- Université de Paris, IAME, INSERM, F-75018 Paris, France; AP-HP, Hôpital Bichat, DEBRC, F-75018 Paris, France.
| | - A C Dagnra
- Université de Lomé, Centre de Biologie Moléculaire et d'Immunologie, Lomé, Togo; Programme national de lutte contre le sida et les infections sexuellement transmissibles, Lomé, Togo
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