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Analysing the Factors Affecting Prenatal Visits in Guinea: A Secondary Study of the 2018 Demographic and Health Survey (DHS)

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Open Journal of Obstetrics and Gynecology 2023年第8期13卷 1417-1431页

作者： Abdourahamane Diallo almamy amara toure Aboubacar Sidiki Magassouba Diao Cisse Younoussa Sylla Ibrahima Barry Department of Gynaecology-Obstetrics Ignace Deen National Hospital Conakry Guinea Faculty of Health Sciences and Technologies Gamal Abdel Nasser University of Conakry Conakry Guinea National Center for Training and Research in Rural Health of Mafèrinyah Forécariah Guinea

Background: Despite persistent efforts to improve maternal health through various interventions, Guinea faces challenges in achieving adequate antenatal care coverage (ANC). This study aims to identify the key factors influencing prenatal consultation in Guinea. Methods: A secondary analysis was conducted on Guinea’s 2018 Demographic and Health Survey (DHS) data. The study sample comprised women aged 15 - 49 who participated in the survey. Logistic regression was employed to identify the determinants of ANC utilisation. Results: Most women in the sample (59.1%) were aged between 18 and 30, resided in rural areas (69.8%), had no formal education (71.0%), had low incomes (43.4%), were married (91.4%), relied on the radio for information (63.4%), and were employed at the time of the survey (68.0%). The study identified several factors acting as barriers to meeting the recommended four ANC visits, including low education levels, with odds ratios (OR) of 0.43 (p = 0.011) for those with no schooling and 0.48 (p = 0.046) for those with primary-level education. Lack of radio access also negatively influenced ANC utilisation with an OR of 0.72 (p = 0.012). Additionally, delayed timing of the first ANC visit in the second trimester had an OR of 0.36 (p 0.001), while in the third trimester, the OR was 0.04 (p 0.004). On the other hand, factors that facilitated achieving the recommended four ANC visits included having an average wealth quintile with an OR of 1.63 (p = 0.002) and being wealthy with an OR of 2.30 (p 0.001). Conclusion: This study underscores the negative association between low education level and poverty with ANC utilisation among pregnant women in Guinea. These findings emphasise the need for targeted interventions to address the barriers faced by vulnerable populations and improve maternal healthcare access and utilisation in the country.

关键词： Determinants ANC DHS Guinea

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Epididymo-Testicular Tuberculosis: A Case Report from Bamako

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Surgical Science 2023年第3期14卷 197-202页

作者： Coulibaly amara Mamadou almamy Keita Moussa Sissoko Drissa Kaloga Bagayoko Cheickna Tounkara Idrissa Tounkara Abdoul Karim Simaga Bakary Coulibaly Sidiki Konaré Adama Drabo Seydou Sissoko Sekou Koumaré Abdoulaye Diarra Keita Soumaila General Surgery Department Reference Health Center of The Second Municipality of Bamako Bamako Mali Department of Surgery of The CHU du Point G Faculty of Medicine and Odontostomatology of Bamako Bamako Mali

We report a case of epididymo-testicular tuberculosis in a 31-year-old man in the surgical department “A” at the University Hospital Point G of Bamako. Epididymitis or orchi-epididymitis is an infection of the epididymis and/or testis. It is the most frequent reason for consultation in urology and affects mainly young people between 30 and 50 years of age. Mycobacterium tuberculosis is very rarely incriminated (2% to 3% of cases). The main problem with genital tuberculosis lies in the diagnosis, which is often difficult and delayed in the absence of other suggestive locations, a notion of contagion or a history of tuberculosis. In the absence of germs in the urine or semen, the diagnosis of certainty is based on histological examination of biopsy fragments of the testicle or epididymis. Delayed treatment results in impaired fertility, such as oligospermia or azoospermia due to reversible or irreversible organic damage to the genitalia.

关键词： Tuberculosis Epididymis Testicle

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