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Bergh AM, Kerber K, Abwao S, de-Graft Johnson J, Aliganyira P, Davy K, Gamache N, Kante M, Ligowe R, Luhanga R, Mukarugwiro B, Ngabo F, Rawlins B, Sayinzoga F, Sengendo NH, Sylla M, Taylor R, van Rooyen E, Zoungrana J. Implementing facility-based kangaroo mother care services: lessons from a multi-country study in Africa. BMC Health Serv Res 2014; 14:293. [PMID: 25001366 PMCID: PMC4104737 DOI: 10.1186/1472-6963-14-293] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Academic Contribution Register] [Received: 11/11/2013] [Accepted: 07/03/2014] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Some countries have undertaken programs that included scaling up kangaroo mother care. The aim of this study was to systematically evaluate the implementation status of facility-based kangaroo mother care services in four African countries: Malawi, Mali, Rwanda and Uganda. METHODS A cross-sectional, mixed-method research design was used. Stakeholders provided background information at national meetings and in individual interviews. Facilities were assessed by means of a standardized tool previously applied in other settings, employing semi-structured key-informant interviews and observations in 39 health care facilities in the four countries. Each facility received a score out of a total of 30 according to six stages of implementation progress. RESULTS Across the four countries 95 per cent of health facilities assessed demonstrated some evidence of kangaroo mother care practice. Institutions that fared better had a longer history of kangaroo mother care implementation or had been developed as centres of excellence or had strong leaders championing the implementation process. Variation existed in the quality of implementation between facilities and across countries. Important factors identified in implementation are: training and orientation; supportive supervision; integrating kangaroo mother care into quality improvement; continuity of care; high-level buy in and support for kangaroo mother care implementation; and client-oriented care. CONCLUSION The integration of kangaroo mother care into routine newborn care services should be part of all maternal and newborn care initiatives and packages. Engaging ministries of health and other implementing partners from the outset may promote buy in and assist with the mobilization of resources for scaling up kangaroo mother care services. Mechanisms for monitoring these services should be integrated into existing health management information systems.
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Multicenter Study |
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Bishanga DR, Drake M, Kim YM, Mwanamsangu AH, Makuwani AM, Zoungrana J, Lemwayi R, Rijken MJ, Stekelenburg J. Factors associated with institutional delivery: Findings from a cross-sectional study in Mara and Kagera regions in Tanzania. PLoS One 2018; 13:e0209672. [PMID: 30586467 PMCID: PMC6306247 DOI: 10.1371/journal.pone.0209672] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Academic Contribution Register] [Received: 05/31/2018] [Accepted: 12/09/2018] [Indexed: 11/18/2022] Open
Abstract
In Tanzania, maternal mortality has stagnated over the last 10 years, and some of the areas with the worst indicators are in the Lake and Western Zones. This study investigates the factors associated with institutional deliveries among women aged 15-49 years in two regions of the Lake Zone. Data were extracted from a cross-sectional household survey of 1,214 women aged 15-49 years who had given birth in the 2 years preceding the survey in Mara and Kagera regions. Logistic regression analyses were conducted to explore the influence of various factors on giving birth in a facility. About two-thirds (67.3%) of women gave birth at a health facility. After adjusting for possible confounders, six factors were significantly associated with institutional delivery: region (adjusted odds ratio [aOR], 95% confidence interval [CI]: 0.54 [0.41-0.71]), number of children (aOR, 95% CI: 0.61 [0.42-0.91]), household wealth index (aOR, 95% CI: 1.47 [1.09-2.27]), four or more antenatal care visits (aOR, 95% CI: 1.97 [1.12-3.47]), knowing three or more pregnancy danger signs (aOR, 95% CI: 1.87 [1.27-2.76]), and number of birth preparations (aOR, 95% CI: 6.09 [3.32-11.18]). Another three factors related to antenatal care were also significant in the bivariate analysis, but these were not significantly associated with place of delivery after adjusting for all variables in an extended multivariable regression model. Giving birth in a health facility was associated both with socio-demographic factors and women's interactions with the health care system during pregnancy. The findings show that national policies and programs promoting institutional delivery in Tanzania should tailor interventions to specific regions and reach out to low-income and high-parity women. Efforts are needed not just to increase the number of antenatal care visits made by pregnant women, but also to improve the quality and content of the interaction between women and service providers.
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Research Support, U.S. Gov't, Non-P.H.S. |
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35 |
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Bishanga DR, Massenga J, Mwanamsangu AH, Kim YM, George J, Kapologwe NA, Zoungrana J, Rwegasira M, Kols A, Hill K, Rijken MJ, Stekelenburg J. Women's Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16030481. [PMID: 30736396 PMCID: PMC6388277 DOI: 10.3390/ijerph16030481] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Academic Contribution Register] [Received: 01/01/2019] [Revised: 01/30/2019] [Accepted: 01/31/2019] [Indexed: 11/23/2022]
Abstract
Negative experiences of care may act as a deterrent to current and/or future utilization of facility-based health services. To examine the situation in Tanzania, we conducted a sub-analysis of a cross-sectional household survey conducted in April 2016 in the Mara and Kagera regions of Tanzania. The sample included 732 women aged 15–49 years who had given birth in a health facility during the previous two years. Log binomial regression models were used to investigate the association between women’s experiences of care during childbirth and the receipt of early postnatal checks before discharge. Overall, 73.1% of women reported disrespect and abuse, 60.1% were offered a birth companion, 29.1% had a choice of birth position, and 85.5% rated facility cleanliness as good. About half of mothers (46.3%) and newborns (51.4%) received early postnatal checks before discharge. Early postnatal checks for both mothers and newborns were associated with no disrespect and abuse (RR: 1.23 and 1.14, respectively) and facility cleanliness (RR: 1.29 and 1.54, respectively). Early postnatal checks for mothers were also associated with choice of birth position (RR: 1.18). The results suggest that a missed opportunity in providing an early postnatal check is an indication of poor quality of the continuum of care for mothers and newborns. Improved quality of care at one stage can predict better care in subsequent stages.
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Research Support, U.S. Gov't, Non-P.H.S. |
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19 |
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Hellar A, Tibyehabwa L, Ernest E, Varallo J, Betram MM, Fitzgerald L, Giiti G, Kihundrwa A, Kapologwe N, Drake M, Zoungrana J, Troxel A, Lemwayi R, Alidina S, Maongezi S, Makuwani A, Varallo J. A Team-Based Approach to Introduce and Sustain the Use of the WHO Surgical Safety Checklist in Tanzania. World J Surg 2019; 44:689-695. [DOI: 10.1007/s00268-019-05292-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Academic Contribution Register] [Indexed: 11/28/2022]
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5
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Kyelem CG, Yaméogo TM, Ouédraogo SM, Zoungrana J, Poda GEA, Rouamba MM, Ouangré A, Kissou SA, Rouamba A. Snakebite in Bobo-Dioulasso, Burkina Faso: illustration of realities and challenges for care based on a clinical case. J Venom Anim Toxins Incl Trop Dis 2012. [DOI: 10.1590/s1678-91992012000400021] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Academic Contribution Register] [Indexed: 11/22/2022] Open
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6
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Diallo I, Sondo KA, Tieno H, Tamelokpo EY, Zoungrana J, Sagna Y, Savadogo M, Poda A, Guira O, Diendéré EA, Sakandé J, Drabo YJ. [About 98 cases of dengue hospitalized in a private clinic of Ouagadougou: epidemiology, diagnostic and evolution]. ACTA ACUST UNITED AC 2018; 110:291-296. [PMID: 29299882 DOI: 10.1007/s13149-017-0585-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Academic Contribution Register] [Received: 12/30/2016] [Accepted: 11/08/2017] [Indexed: 10/18/2022]
Abstract
Extremely widespread, the dengue is a reemerging infectious disease. In Burkina Faso, dengue is a reality that was little known. The aim of this study was to study epidemiology, diagnostic and outcomes of dengue patients in Ouagadougou. A retrospective study covered a period of two years, from 1 January 2013 to 31 December 2014 in a private clinic in Ouagadougou. Patients included in the study were hospitalized for fever and painful syndrome with a positive test to the dengue non-structural antigen 1 (NS1 Ag). Ninety-eight cases of dengue on 343 suspected cases were registered. The average age of patients was 35.9 years. The sex-ratio (M/F) was 1.18. According to the professional activity, there was a predominance of civil servants (35.7%). The pain syndrome was found in 93.9% of patients. Leukopenia (73.5%), neutropenia (56.1%) and severe thrombocytopenia (57.1%) were the predominant hematological disturbances. Of the patients, 18.4% had hemorrhagic dengue and 11.2%, a dengue shock syndrome. Four patients died. The use of non-steroidal antiinflammatory drugs was associated with the severity of the infection (p=0.04). Dengue fever occurs in our context and constitutes a risk of mortality. The diagnosis of dengue should be performed systematically in front of a painful and febrile syndrome. The vector control is the best way of prevention against dengue pending the development of a vaccine.
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Journal Article |
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7
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Zoungrana J, Hema A, Bado G, Poda GEA, Kamboulé EB, Kaboré FN, Soré I, Sawadogo AB. Efficacité et tolérance d’une trithérapie antirétrovirale à base de ténofovir disoproxil-emtricitabine-éfavirenz chez les patients naïfs infectés par le VIH-1 à Bobo Dioulasso (Burkina Faso, 2009–2011). ACTA ACUST UNITED AC 2013; 106:239-43. [DOI: 10.1007/s13149-013-0313-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Academic Contribution Register] [Received: 02/15/2013] [Accepted: 09/10/2013] [Indexed: 01/09/2023]
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Hema A, Poda A, Tougouma JB, Meda C, Kabore F, Zoungrana J, Kamoule E, Sore I, Bado G, Ouedraogo AS, Sawadogo AB, Millogo A. [Diabetes mellitus and high blood pressure over risk in HIV-infected people followed at Souro Sanou University Hospital Day Hospital, Bobo-Dioulasso 2018]. Rev Epidemiol Sante Publique 2021; 69:72-77. [PMID: 33563493 DOI: 10.1016/j.respe.2020.12.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Academic Contribution Register] [Received: 03/25/2020] [Revised: 11/24/2020] [Accepted: 12/10/2020] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND Non-communicable diseases (NCDs) represent the leading causes of death worldwide. HIV also increases the risk of developing NCDs including diabetes mellitus and hypertension. METHODS A cross-sectional study, based on an analysis of the cohort database of the day hospital of the Souro Sanou teaching hospital in Bobo-Dioulasso (Burkina Faso). Diabetes mellitus was defined by the undergoing of anti-diabetic treatment or two successive measurements of fasting blood sugar above 7mmol/l and high blood pressure by the undergoing of antihypertensive treatment or two successive measurements of blood pressure above 140/90mmHg. Comparison of the frequency of diabetes and hypertension in the people living with HIV/AIDS (PLWHA) population on antiretroviral therapy (ART) with that of the general population of Burkina Faso was made by indirect standardization according to age and gender. RESULTS A total of 4259 patients including 3148 women (73.9%) were included in this study. The median age of the patients was 45 years (IQR: 38-52); the median body mass index (BMI) was 19.6kg/m2 (IQR: 15.4 - 22.7) and 48.3% of patients had a BMI≥25kg/m2. The median CD4 count was 590 cells/mm3 (IQR: 417-785). The median ART duration was 8.2 years (IQR: 4.7-11.2). The majority of patients (82.9%) were on treatment combinations consisting in 2 INTI+1 NNRTI. Prevalence of hypertension was 39.8%; it was statistically higher in men than in women (45.8% versus 37.8%). Prevalence of hypertension was 87.0% higher in the PLWHA population than among same-sex and same-age subjects in the general population. Prevalence of diabetes mellitus was 7.3%. Diabetes mellitus was more common in men than in women (10.1% versus 6.3%; P<10-3). Prevalence of diabetes mellitus was 36.0% higher in the PLWHA population than among same-sex and same-age subjects in the general population. CONCLUSION Prevalence of diabetes mellitus and hypertension was higher among PLHWA undergoing ART than in the general population. Care for the PLHWA population should more widely include NCD treatment.
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Journal Article |
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Ouedraogo SM, Zoungrana J, Sondo KA, Barro M, Kyélèm CG, Konaté I. [Study of factors associated to therapeutic failure of children infected by HIV1 under antiretroviral treatment in the Sanou Sourô University Hospital of Bobo-Dioulasso (2007-2013)]. LE MALI MEDICAL 2015; 30:26-31. [PMID: 29927131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Academic Contribution Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE To determine the prevalence of therapeutic failure and the associated factors in children aged 6 months to 15 years old with HIV 1 and regularly visiting the Sanou Sourô University Hospital (SSUH) of Bobo-Dioulasso. METHODS A retrospective study was conducted concerning the children followed in the SSUH between February, 2007 and February 2013 infected by HIV 1 under ARV for at least six months. The diagnosis of therapeutic failure was defined according to the WHO criteria. RESULTS the population of study was 311 infected patients, 53.8 % were male. The average age was of 108 months ± 67, and 62.0 % had a rate CD4 higher than 200 cells/ µ L; 43.5 % of the patients were at class III / IV of the WHO classification. Prevalence of the failure was at 19.6 %. The female genital organ (RR: 0.49 IC95 %: [0.24-0.99] p = 0.03), respect for the treatment ≤ 95 % (RR 0.37 IC95 % [0.15-0.92] p=0.04), the death of the mother (RR: 0.33 IC95 % [0.09-1.21] p=0.04) and the class WHO advanced (III / IV) (RR 0.26 IC95 % [0.09-0.77] p=0.02) was associated to the therapeutic failure. CONCLUSION prevalence of therapeutic failure was high for the children being followed at the Sanou-Sourô University Hospital of Bobo-Dioulasso. The female genital organ, respect for the treatment ≤ 95 %, death of the mother, and the advanced WHO classification stages (III / IV) were associated with therapeutic failure.
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English Abstract |
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Ouedraogo SM, Zoungrana J, Sondo KA, Kyelem CG, Koussé S, Hema A, Kaboré FN, Soré I, Bado G, Sawadogo AB. [Immuno-virologic dissociation in patients infected by HIV-1 under antiretroviral treatment at the Day hospital of Bobo-Dioulasso from 2008 to 2012 (Burkina Faso)]. LE MALI MEDICAL 2015; 30:58-64. [PMID: 29927136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Academic Contribution Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVE describe the sociodemographic, clinical, therapeutic, biological profile and the observance of treatment in cases of immuno-virologic dissociation response (IVDR) in HIV-1 patients at te 12 months of antiretroviral treatment (ARVT). METHODS This was a historical cohort study with a descriptive and analytical focus from January 2008 to December 2012; covering the IVDR cases at the day hospital of Bobo Dioulasso. We collected the data during medical consultations by means of the ESOPE software and from medical records of the patients. RESULTS Of 2078 patients on ARVT, 84 or 4% presented one IVDR, among which 56 women (66.7%) and 28 men (33.3%). The average age was 45 years [range: 45-55 years]. At the initiation of ARVT, most patients were in clinical stage 3 or 4 of the WHO classification (57.1%). The body mass index (BMI) average was 20.5kg/m2 [IQR = 18.5 and 23]. The average number of +CD4 T lymphocyte was 42 cells/mm3 [IQR = 12- 63]. During follow-up, the median gain in BMI was 3.2 kg/m2 [IQR = 1.2 to 4.3 kg/m2], the median gain was 76 cells/µl [IQR = 60 - 88]. The viral plasmatic load of the HIV-1 was undetectable with a rate of TCD4+ < 100 cells /µl in 12 months. Factors associated with IVDR were the age between 35 and 45 years (p = 0.0009), the number of +CD4 T cells (+CD4T≤50) at initiation of ARVT (p = 0.00045 ) and the WHO classification clinical stage 3. CONCLUSION This study demonstrates the problem of IVDR management in Bobo-Dioulasso and reminds of the interest of care follow-up of people living with HIV-1 by viral load and not only by the rate of CD4+ T especially in the decentralized structures of coverage of HIV, where changes of therapeutic mechanisms operate disjointedly.
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English Abstract |
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Zoungrana J, Traore A, Ouedraogo L. P256: Survey of prevalence of healthcare associated infection in Chuyo Ouagadougou (Burkina Faso). Antimicrob Resist Infect Control 2013. [PMCID: PMC3688075 DOI: 10.1186/2047-2994-2-s1-p256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Academic Contribution Register] [Indexed: 12/02/2022] Open
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12
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Testa J, Poda A, Hema A, Zoungrana J, Sore I, Kabore F, Meda N. Profil des patients âgés infectés par le VIH suivis à l’hôpital de jour de Bobo-Dioulasso. Rev Epidemiol Sante Publique 2016. [DOI: 10.1016/j.respe.2016.06.097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Academic Contribution Register] [Indexed: 10/21/2022] Open
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Zoungrana J, Kyelem CG, Sondo KA, Naibi KA, Hema A, Kabore NF, Poda A, Bado A, Yaméogo I, Séré H, Ouedraogo AS, Tani S, Tarnagda Z. [Characteristics of Low-Level Persistent viraemias in HIV-1 Patients Treated with Second-Line ARVs at the Sourô Sanou Teaching Hospital of Bobo-Dioulasso (Burkina Faso)]. ACTA ACUST UNITED AC 2019; 111:161-166. [PMID: 30793572 DOI: 10.3166/bspe-2018-0039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Academic Contribution Register] [Received: 12/05/2017] [Accepted: 08/29/2018] [Indexed: 11/20/2022]
Abstract
We describe the characteristics of patients infected with HIV-1 as second-line antiretroviral therapy, with persisting low-level viremia. This was a descriptive retrospective study, conducted from January 1, 2010 to December 31, 2016, from the Cohort of the Infectious Diseases Department of Bobo-Dioulasso University Hospital. Patients infected with HIV-1, a second line of stable ARV treatment, with ≥95% compliance for at least 12 months, asymptomatic with CVp between 50 and 1000 copies/ml in two consecutive samplings at least 3 months apart. Out of 244 patients in second-line therapy, 79 met our inclusion criteria. The mean age of the patients was 42±10.2 years. Women (35.8 years) were younger than men (43.8 years) (p=0.001). Most were married (48.1%), 23.5% of whom were polygamous. The majority of patients (38/79) in the study had a CD4 count of <200 cells/ mm3. The median duration of ARV therapy since the beginning of the therapeutic history has been 4.8 (2.5-11 years). CVp greater than 10,000 copies/ml at the start of second-line therapy (p=0.003) and TDF+FTC + DRV + RTV combination (p=0.001) were associated with persistent low viremia. A genotypic resistance test is needed for these patients in order to better adapt the ARV treatment.
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Journal Article |
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Zoungrana J, SO A. P301: The blood exposure accidents to hospital regional of Tenkodogo. Antimicrob Resist Infect Control 2013. [PMCID: PMC3688195 DOI: 10.1186/2047-2994-2-s1-p301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Academic Contribution Register] [Indexed: 11/10/2022] Open
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Dao B, Ngabo F, Zoungrana J, Rawlins B, Mukarugwiro B, Musoni P, Favero R, MacDowell J, Eugene K. Increasing Access to Prevention of Postpartum Hemorrhage Interventions for Births in Health Facilities and at Home in Four Districts of Rwanda. Afr J Reprod Health 2015; 19:58-67. [PMID: 27337854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Academic Contribution Register] [Indexed: 06/06/2023]
Abstract
To assess coverage, acceptability, and feasibility of a program to prevent postpartum hemorrhage (PPH) at community and facility levels, a study was conducted in 60 health facilities and their catchment areas in four districts in Rwanda. A total of 220 skilled birth attendants at these facilities were trained to provide active management of the third stage of labor and 1994 community health workers (ASMs) were trained to distribute misoprostol at home births. A total of 4,074 pregnant women were enrolled in the program (20.5% of estimated deliveries). Overall uterotonic coverage was 82.5%: 85% of women who delivered at a facility received a uterotonic to prevent PPH; 76% of women reached at home at the time of birth by an ASM ingested misoprostol--a 44.3% coverage rate. Administration of misoprostol at the time of birth for home births achieved moderate uterotonic coverage. Advancing the distribution of misoprostol through antenatal care services could further increase coverage.
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Ouédraogo SM, Sondo KA, Ouédraogo AR, Ouédraogo G, Badoum G, Boncoungou K, Bambara AT, Koumbem B, Savadogo M, Zoungrana J, Kyelem CG, Maïga S, Djibril MA, Ouédraogo M, Drabo YJ. [State of tolerance of multi resistant tuberculosis treatment (Burkina Faso)]. LE MALI MEDICAL 2015; 30:39-45. [PMID: 29927133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Academic Contribution Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVES Estimate the tolerance of antituberculous drugs prescribed in the treatment of multi resistant tuberculosis on patients followed in the service of Pneumology of the University hospital of Yalgado Ouedraogo. PATIENTS AND METHODS It was a retrospective and prospective longitudinal investigation. The files of patients allowed to inform the questionnaire for the retrospective phase (2010-2011), the follow-up of patients during the prospective phase (2011-2013) allowed for data collection. All the patients under antituberculous treatment of 2nd line between January 1st, 2010 and the August 31st, 2013 were included. RESULTS 71 cases of multi resistant tuberculosis (MRT) were included. The sex-ratio was 3.4. The age bracket from 30 to 39 was the most represented (39.4 %). A notion of tubercular contage was found in 18 (25.3%) patients. All MRT patient had histories of treatment including aminoside lasting more than 2 months. Intolerance of the treatment was reported in 57 patients. Intolerance predominated in 30 to 39 years olds and in Tuberculosis/HIV co-infected patients. The neurological (47.9%) and psychiatric (47.9%) infringements were the most represented. Vestibulocochlear impact was seen in 42.3% of cases with 18.3% reporting of total deafness. CONCLUSION The intolerance of the antituberculous treatment of the second line is real focus for clinicians. Shorter timeframes would avoid certain therapeutic modifications thought to be at the origin of failures.
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English Abstract |
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Ouédraogo SM, Sondo KA, Ouédraogo AR, Ouédraogo G, Badoum G, Boncoungou K, Bambara AT, Koumbem B, Savadogo M, Zoungrana J, Kyelem CG, Maïga S, Djibril MA, Ouédraogo M, Drabo YJ. [Inventory of fixtures on the tolerance of the treatment) of the resistant multi-tuberculosis (Burkina Faso)]. LE MALI MEDICAL 2016; 31:36-44. [PMID: 30079673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Academic Contribution Register] [Indexed: 06/08/2023]
Abstract
OBJECTIVES Estimate the tolerance of antituberculous drugs prescribed in the treatment of multi resistant tuberculosis on patients followed in the service of Pneumology of the University hospital of Yalgado Ouedraogo. PATIENTS AND METHODS It was a retrospective and prospective longitudinal investigation. The files of patients allowed to inform the questionnaire for the retrospective phase (2010-2011), the follow-up of patients during the prospective phase (2011-2013) allowed for data collection. All the patients under antituberculous treatment of 2nd line between January 1st, 2010 and the August 31st, 2013 were included. RESULTS 71 cases of multi resistant tuberculosis (MRT) were included. The sex-ratio was 3.4. The age bracket from 30 to 39 was the most represented (39.4 %). A notion of tubercular contage was found in 18 (25.3%) patients. All MRT patient had histories of treatment including aminoside lasting more than 2 months. Intolerance of the treatment was reported in 57 patients. Intolerance predominated in 30 to 39 years olds and in Tuberculosis/HIV co-infected patients. The neurological (47.9%) and psychiatric (47.9%) infringements were the most represented. Vestibulocochlear impact was seen in 42.3% of cases with 18.3% reporting of total deafness. CONCLUSION The intolerance of the antituberculous treatment of the second line is real focus for clinicians. Shorter timeframes would avoid certain therapeutic modifications thought to be at the origin of failures.
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English Abstract |
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Zoungrana J, Traoré A. P388: Evaluation of the outsourcing of public hospital cleaning / case of university hospital Yalgado Ouedraogo. Antimicrob Resist Infect Control 2013. [PMCID: PMC3688408 DOI: 10.1186/2047-2994-2-s1-p388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Academic Contribution Register] [Indexed: 11/10/2022] Open
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Boena A, Poda A, Zoungrana J, Boly R. Les pathologies dans le service des maladies infectieuses du Centre Hospitalier Universitaire Souro Sanou (CHUSS) de Bobo-Dioulasso de 2011 à 2015. Med Mal Infect 2017. [DOI: 10.1016/j.medmal.2017.03.233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Academic Contribution Register] [Indexed: 12/01/2022]
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Sanon/Lompo S, Boncoungou/Nikiéma K, Maiga S, Djibril M, Drabo LA, Touguma SJB, Zoungrana J, Ouédraogo M, Ouédraogo SM, Drabo YJ. [Knowledge, attitudes and practices of healthcare professionals at the Souro Sanou university hospital of Bobo Dioulasso regarding Mellitus diabetes]. LE MALI MEDICAL 2016; 31:20-30. [PMID: 30079671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Academic Contribution Register] [Indexed: 06/08/2023]
Abstract
INTRODUCTION In Burkina Faso, the insufficiency of doctoral interns, of endocrinologists, and medical services specialized in the coverage of the diabetes, means that these cases are relegated to general practitioners and the paramedical staff. OBJECTIVES To study the level of knowledge, attitudes and practices of the medical and paramedical staff on the coverage of sugar diabetes in the Souro Sanou University Hospital of Bobo Dioulasso. METHOD A cross-sectional study of descriptive type was conducted over a 3 month period, from March 1st to May 31st, 2013. The investigated population was constituted of healthcare professionals represented by general practitioners, female nurses, State-certified male nurses, and patented male nurses of the Souro Sanou University Hospital of Bobo Dioulasso. A questionnaire, adapted for each professional category, was administered to the participants. A notation grid enabled us to record the level of knowledge, attitude and practice of the staff regarding sugar induced diabetes. RESULTS Three hundred four (304) healthcare professionals, 187 men and 117 women (sex ratio of 1.59) were investigated. The average age was of 40.84 years with extremes of 26 and 60 years. Their level of knowledge, attitude and practice on sugar induced diabetes varied from one professional category to another. Clinical signs of the disease, as well as its physiopathology were well known by healthcare providers. However, the definition of the disease, its diagnostic criteria, its classification by cause, were little known general practitioners. The general practitioners, had a good attitude and practice in front of a case of diabetes compared to other professional categories. CONCLUSION Adapted staff recycling is essential across the professional categories for healthcare providers of the university hospital.
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Karambé M, Zoungrana J, Dembele JP, Fofana AS, Oumar AA, Sissoko M, Coulibaly B, Dao S. [The psychiatric manifestations of people living with HIV in Mali]. LE MALI MEDICAL 2010; 25:32-35. [PMID: 21470954] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Academic Contribution Register] [Indexed: 05/30/2023]
Abstract
HIV/AIDS related disorders have a negative impact on the assumption of responsibility of other Comorbidities and could lead to a highest lethality rate. The goal was to evaluate the prevalence of the psychiatric disorders during HIV/AIDS at infectious diseases service of “hôpital du Point G”. We carried out an exploratory study and descriptive energy of July 1, 2004 to bearing 31 October 2005 out of 166 patients. The cases of HIV were defined on the basis of positivity of serology HIV by at least 2 fast tests associated or not with clinical signs with the AIDS according to CDC. Any disturbance of the higher functions was regarded as psychiatric demonstrations. The female sex was in a majority with a sex- ratio of 0.9. The ages bracket the most touched lay between 36 and 41ans. The housewives were 36.7%. The grooms accounted for 64.5%. The prevalence of the psychiatric disorders was 58.9%. The disorders were dominated by the depression (45.8%) followed confusional syndrome 31.9% and epilepsy 7.8%. All the patients with psychiatric antecedents developed a confusional syndrome. The subjects having presented a psychiatric disorder were infected by the HIV-1 in 93.4% of the cases.Occurred of the psychiatric disorders was inversely proportional to the rate of CD4. Lethality was very high is 56%.
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Zoungrana J, Guissou IP, Zongo F, Dhainsala H. P393: Assessment of the practice of sterilization of medical devices in the services of surgery of chu the university hospital Yalgado Ouedraogo (Chu-Yo). Antimicrob Resist Infect Control 2013. [PMCID: PMC3688373 DOI: 10.1186/2047-2994-2-s1-p393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Academic Contribution Register] [Indexed: 11/16/2022] Open
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