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Factors Associated with the Use of Cervical Cancer Screening in the Mbour Health District (Senegal)

Open Journal of Obstetrics and Gynecology 2020年第4期10卷 604-614页

作者： Niang Khadim Tine Jean Augustin Diegane Thiam Ousmane Ly Toly diongue fatoumata bintou Diallo Amadou Ibra Faye Adama Ndiaye Papa Public Health Department Gaston Berger University (UGB) Saint-Louis Senegal Institut de Santé et Développement Cheikh Anta Diop University Dakar Senegal Mbour Department Hospital Thies Senegal

Cervical cancer with an estimated incidence between 1700 and 2000 new cases per year and mortality around 70% to 80% has become the leading cancer in Senegal. The objectives of this present work were to study the factors associated with cervical cancer screening in the Mbour health district in 2015. It was a cross-sectional, descriptive and analytical study carried out on a sample of 599 women chosen according to a two-stage survey. The survey used a questionnaire where data on individual characteristics, knowledge, attitudes and practices are collected during an individual interview after informed consent. The data collected were entered in the Epi Info 3.5.3 software and analyzed with the R 3.1.2 software. The average age was 44.4 years with a standard deviation of 8.9. The proportion of women screened for cervical cancer was 19.4%. Screening for cervical cancer was positively related to the possession of an income-generating activity (Adjusted OR = 2.39 [1.4 - 4.2]), increase of education and knowledge of a person suffering from cancer in the environment (adjusted OR = 2.40 [1.3 - 4.2]). Knowledge of the methods of diagnosis of cervical cancer was positively associated with cervical cancer screening (adjusted OR = 20 [11.1 - 33.3]). The lack of awareness and the lack of financial resources and education for women were the main obstacles to cervical cancer screening for women in Mbour. The health system should focus on building the capacity of women to fight cervical cancer.

关键词： Cancer Cervix Screening Women Senegal

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Study of Factors Associated with Anemia among Women in Reproductive Age in Kolda (Senegal)

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Open Journal of Obstetrics and Gynecology 2018年第7期8卷 688-699页

作者： Tine Jean Augustin Diégane Faye Adama Diop Sophie Niang Khadim Bassoum Oumar Leye Mamadou Moustapha Mbacke Sougou Ndeye Mareme diongue fatoumata bintou Diallo Amadou Ibra diongue Mayassine Camara Maty Diagne Dankoko Boubacar Seck Ibrahima Dia Anta Tal Department of Preventive Medicine and Public Health of the Cheikh Anta Diop University of Dakar (UCAD) Institut de Sante et Developpement (ISED) UCAD Dakar Senegal

Introduction: Anemia in women of reproductive age is a common health problem in the region of Kolda (Senegal). The objective of this research was to study the risk factors of anemia among women in reproductive age in Kolda (Senegal). Methodology: A cross-sectional, descriptive and analytical study of women in reproductive age and their households was conducted in the Kolda region between October and December 2015. This was a three-stage random sample survey. The data was collected during an individual interview. Logistic regression was used to identify the factors of this anemia. Results: In this study, 968 women of reproductive age were surveyed. The average age of women was 27 years with a standard deviation of 7.4 years. There were 10% of pregnant women, 36.3% of lactating women and 53.7% of women neither pregnant nor lactating. The average size of the households surveyed was 14 people and the 36.3% had an average economic level. The majority of households were equipped with traditional latrines (76.9%). Women were neither pregnant nor lactating in 53.7%, were uneducated in 70.7% and 81% used micronutrient-rich foods. The prevalence of anemic women was 55.2%. The factors associated with anemia in women in Kolda were the use of traditional latrines (ORa = 1.48 [1.0 - 2.1]), the woman’s pregnancy status (ORa = 5 [2.7 - 9.8]), non-education of the woman (ORa = 1.52 [1.1 - 2.0]), the existence of income-generating activity for the woman (ORa = 0.69 [0.5 - 0.9]), the processing of local products in the household (ORa = 0.5 [0.3 - 0.9]) and the use of at least one micronutrient rich food in the household (ORa = 0.73 [0.49 - 1.0]). Conclusion: The prevalence of anemia among women in reproductive age is still high in the Kolda region. To combat this phenomenon, awareness campaigns on iron and folic acid supplementation should be stepped up, the use of modern latrines should be promoted and the empowerment of women should be strengthened.

关键词： Anemia Woman Risk Factors Kolda Senegal

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Associated Factors with the Child’s Fully Immunized in the Tambacounda Health District (Senegal)

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Open Journal of Epidemiology 2020年第2期10卷 167-178页

作者： Khadim Niang Tidiane Gadiaga Jean Augustin Tine Omar Bassoum Fatou bintou diongue Amadou Ibra Diallo Adama Faye Ndiaye Papa Public Health Department Gaston Berger University (UGB) Saint-Louis Senegal. Medical Officer of Tambacounda health district Tambacounda Region Senegal Institut de Santé et Développement Cheikh Anta Diop University Dakar Senegal

To improve vaccination coverage among children under one year of age in the Tambacounda health district, a household survey was carried out among mothers or babysitters. The objective was to study the factors related to child’s fully immunized in children aged 12 to 23 months. The cross-sectional, descriptive and analytical survey was carried out during the month of April 2019. A multistage cluster survey selected a sample of 657 mothers and babysitters. The data was collected using a questionnaire made from the World Health Organization reference guide. Data entry and analysis were done with Epi Info software and R. Among the women surveyed, biological mothers were the most representative (96.9%). In the series, 74.1% had a good knowledge of the age for initiating vaccination, 78.2% knew the number of contacts. The vaccination record of the children was available in 92.2%, and 71.0% of them had presented an adverse event. The proportion of children fully immunized was 41.0%. Complete childhood vaccination was positively associated with income-generating activity in women (0R = 2.4) and the short distance (<100 m) between home and place of vaccination (OR = 1.5). It was also improved by having a qualified health worker as a vaccinator (OR = 1.4) satisfaction in relation to visit (OR = 2.0), the advice given by the vaccinator (OR = 1.7) and the fixing of the date of the next vaccination appointment (OR = 2.5). The implementation of a good strategy for improving the quality of immunization services is an important element for strengthening immunization coverage in the Tambacounda health district.

关键词： Vaccination Child Health Immunization Coverage Senegal

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Spirulina Supplementation in Pregnant Women in the Dakar Region (Senegal)

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Open Journal of Obstetrics and Gynecology 2017年第1期7卷 147-154页

作者： Khadim Niang Papa Ndiaye Adama Faye Jean Augustin Diégane Tine Fatou bintou diongue Maty Diagne Camara Mamadou Makhtar Leye Anta Tal-Dia Health and Development Institute (ISED) of Cheikh Anta Diop University of Dakar (UCAD) Dakar Senegal Public Health Department of Gaston Berger University (UGB) Saint-Louis Senegal

The fight against iron deficiency anemia in pregnant women is a public health priority, especially in sub-Saharan Africa. Spirulina is an alga very rich in iron, used as a dietary supplement. This research proposes to study its effect on the hemogloblobinaemia of pregnant women. This was a blind randomized cohort study with a supplemented group of spirulina (1500 mg/d) and a second supplemented with iron and folic acid supplementation (IFAS). Included in this study were pregnant women attending four health centers in the Dakar region, with pregnancy at 28th amenorrhea, agreeing to participate and not having complications or twin pregnancies. Follow-up of the two groups was identical throughout the study from the 28th week of amenorrhea to the 42nd postnatal day. The study was conducted among 920 women, evenly distributed among the groups. IFAS allowed a statistically significant increase in hemoglobinemia with an average gain of 0.3 g/dl between the 28th and 32nd weeks of amenorrhea (p = 0.022) and 0.2 g/dl between the 28th week and the delivery (p = 0.043). Spirulina supplementation showed statistically higher gains than those observed with IFAS. These gains were 0.48 g/dl between the 28th and 32nd weeks of amenorrhea and 0.36 g/dl between the 28th week and the delivery, with p values less than 0.001. Spirulina, more accessible to developing countries, is a good option to strengthen the arsenal of iron deficiency anemia control, and therefore maternal mortality.

关键词： Maternal Mortality Spirulina Iron Anemia Supplementation Senegal

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Determinants of Iron Consumption among Pregnant Women in Southern Senegal

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Open Journal of Obstetrics and Gynecology 2017年第1期7卷 41-50页

作者： Khadim Niang Adama Faye Jean Augustin Diégane Tine Fatou bintou diongue Banda Ndiaye Mame Bineta Ndiaye Papa Ndiaye Anta Tal-Dia Health and Development Institute (ISED) of Cheikh Anta Diop University of Dakar (UCAD) Dakar Senegal Micronutrient Initiative Dakar Senegal Public Health Department of Gaston Berger University (UGB) Saint-Louis Senegal

The anemia by iron deficiency is a public health problem. To palliate the multiple maternal and fetal consequences, the WHO recommends the iron supplementation during at least 90 days to all pregnant women. The goal of our study is to study the determinants of this consumption in the Kolda area (Senegal). It’s the analytical cross-sectional study referred. We use the survey by clusters with 2 levels and it’s about all of the women who gave birth in Kolda area between February 2013 and January 2014. The dependent variable was iron consumption during at least 90 days and the independents variables were grouped on personal factors, knowledge and practices. Data were collected during a personal interview face to face. We used logistic regression to identify the determinants of this consumption. The average age of women surveyed in 1442 was 25.5 years. They had knowledge of iron consumption (93%) and the number of antennal consultation (ANC) (66%). The prevalence of pregnant women who consumed iron at least for 90 days was 51%. The factors associated with consumption were schooling (ORa = 2.49 [1.54 - 4.03]), health awareness (ORa = 1.61 [1.25 to 2.07]), knowledge about number of ANC (ORa = 1.54 [1.18 - 2.00]), councils on the benefits of iron (ORa = 2.66 [1.77 - 4.00]), the household wealth index (ORa = 1.83 [1.04 to 3.19]), number of ANC (ORa = 2.05 [1.56 - 2.69]), age pregnancy on the first ANC (ORa = 2 [1.47 - 2.7]) and iron prescription (ORa = 1.64 [1.25 - 2.16]). The prevalence of iron consumption during at least 90 days is low in Kolda area (51%);however, its determinants are identified;we can solve the problem by increasing communicate more about iron supplementation and antenatal consultation.

关键词： Iron Consumption Anemia Pregnancy Maternal Mortality Senegal

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