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Sexual Assault and Its Psychopathological Repercussions in the Life of Female Students in Northeastern Benin (2023)

Open Journal of Psychiatry 2024年第3期14卷 163-178页

作者： Ireti Nethania Elie Ataigba Djibrilla moussa Oumou Ousseyni Zika Fidélia Dotou Coovi Ignace Tokpanoude Anselme Djidonou djibo doum. m.iga Francis Tognon Tchegnonsi Prosper Gandaho Josiane Ezin Houngbe Faculté de médecine & Institut de Formation en Soins Infirmiers et Obstétricaux Université de Parakou Parakou Bénin Service de Psychiatrie Départemental du Borgou Alibori Centre Hospitalier Universitaire Parakou Bénin Organisation Non Gouvernementale de Soutien de Réhabilitation d’Insertion et de Réinsertion (SouRIR ONG) Parakou Bénin Faculté des Sciences de la Santé Université André Salifou de Zinder Zinder Niger Service de Psychiatrie H?pital National de Zinder Zinder Niger Faculté des Sciences de la Santé Université Abdou Moumouni de Niamey Niamey Niger Service de Psychiatrie H?pital National de Niamey Niamey Niger Faculté des Sciences de la Santé de Cotonou Université d’Abomey-Calavi Abomey-Calavi Bénin Service de Psychiatrie Centre National Hospitalier Universitaire - Hubert Koutoucou Maga de Cotonou Cotonou Bénin

Objective: The aim of the present study was to investigate the psychic repercussions of sexual assault among female students in Parakou in 2023. methods: Descriptive cross-sectional study conducted from December 2022 to July 2023 among all students at the University of Parakou. The sampling technique was stratified non-proportional at two levels. The dependent variable was self-reported sexual assault. The psychopathological repercussions linked to sexual assault and explored in these students were: post-traumatic stress disorder assessed with the Post Traumatic Stress Disorder Checklist-5 (PCL-5) scale;and current depression screened with the Patient Health Questionnaire-9 (PHQ-9) scale. Results: A total of 376 female students from the University of Parakou meeting the inclusion criteria were surveyed. The average age of the subjects surveyed was 20.56 ± 2.46 years, with extremes of 16 and 32 years. A predominance of subjects under 25 was observed. The prevalence of sexual assault among female students at the University of Parakou was 10.63%. The types of aggression suffered were mostly rape (18 people;45%) and sexual touching (16 people;40%), and the aggressors were mainly friends/boyfriends (13;32.5%), family members (12;30.0%) and people from the house/neighborhood (9;22.5%). Psychological repercussions included depression in 72.5% (29) of cases, with mild depression in 30% (12), moderate depression in 37.5% (15) and severe depression in 5% (2). Anxiety disorders were present in 27.50% (11) of victims. The risk factors associated with sexual assault in these students were gravidity (p = 0.014;OR = 15.32), unhappy life events (p = 0.01;OR = 17.24), and age of first sexual intercourse (p = 0.016;OR = 4.608). Conclusion: One in ten female students in Parakou has been sexually assaulted. Once again, preventive action through effective sex education is a means of fighting the problem that should be prioritized for every girl and boy from an early age. Psychological s

关键词： Sexual Assault Psychopathological Repercussions Benin 2023

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Factors Associated with Body Dysmorphic Disorder in Academia (Benin, 2021)

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Open Journal of Psychiatry 2023年第S2期13卷 461-478页

作者： Ataigba Ireti Nethania Elie Ousseyni Zika Oumou moussa Djibrilla Kpehounton Ezéchiel Wadoudou Koivogui David Sinet Sourabie Oumar Djidonou Anselme doum. m.iga djibo Tognon Tchegnonsi Francis Gandaho Proper Ezin Houngbe Josiane Faculté de médecine & Institut de Formation en Soins Infirmiers et Obstétricaux Université de Parakou Parakou Benin Service de Psychiatrie Centre Hospitalier Universitaire Départemental Borgou Alibori Benin Organisation Non Gouvernementale de Soutien de Réhabilitation d’Insertion et de Réinsertion (SouRIR ONG) Parakou Benin Faculté des Sciences de la Santé Université Abdou Moumouni de Niamey Niamey Niger Service de Psychiatrie H&#244pital National de Niamey Niamey Niger Faculté des Sciences de la Santé Université André Salifou de Zinder Zinder Niger Service de Psychiatrie H&#244pital National de Zinder Zinder Niger Faculté des Sciences et Techniques de Santé Université Gamal Abdel Nasser de Conakry Conakry Guinea Service de Psychiatrie Centre Hospitalier Universitaire Sour&#244 Sanou Bobo-Dioulasso Burkina Faso Faculté des Sciences de la Santé de Cotonou Université d’Abomey-Calavi Abomey-Calavi Benin Service de Psychiatrie Centre National Hospitalier Universitaire - Hubert Koutoucou Maga de Cotonou Cotonou Benin

Introduction: Body Dysmorphia Disorder (BDD) is a mental disorder characterized by an obsessive focus on a perceived defect in appearance. This disorder can be dangerous or life-threatening. Hence, there is the need for special attention. Objective: The aim of this study was to determine the prevalence of Body Dysmorphia Disorder (BDD) and to identify the factors associated with it. methods: This was a descriptive and analytical cross-sectional study that took place from December 2020 to October 2021, with a census of all medical students enrolled at the University of Parakou for the 2020-2021 academic year and who volunteered to participate. DSm 5 diagnostic criteria were used to assess BDD, and the Yale-Brown Obsessive-Compulsive Scale modified for Body Dysmorphic Disorder (BDD-YBOCS) was used to assess its severity. Results: A total of 669 people were included in the study. The prevalence of probable cases of BDD was 10.31%. Gender (female) (OR = 2.49;IC 95%: [1.45 - 4.26];p ma with cosmetic sequelae (OR = 2.95;IC 95%: [1.27 - 6.91];p = 0.012), depressive disorders (OR = 2.4;IC 95%: [1.12 - 5.15];p = 0.025), mockery/teasing or negative comments about physique (OR = 3.54;IC 95%: [2.06 - 6.12];p mental disappointments (OR = 2.89;IC 95%: [1.33 - 6.30];p = 0.008), and the importance attached to physical appearance (OR = 0.5;IC 95%: [0.31 - 0.82];p = 0.005) are associated with BDD. Its consequences are serious, with an altered quality of life that can lead to dropping out of school and suicidal ideation or behavior. Conclusion: Although little studied and little diagnosed, Body Dysmorphia Disorder (BDD) is a reality in the student environment of northern Benin. Further studies are needed to more define BDD in the Beninese socio-cultural context.

关键词： Body Dysmorphia Disorder Benin 2021

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Neurofibromatosis Type 1 Revealed by Ophthalmologic Complications: A Report of One Case in Ouagadougou, Burkina Faso

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Open Journal of Pediatrics 2015年第4期5卷 290-295页

作者： Caroline Yonaba Aichatou djibo Chantal Zoungrana Angèle Kalmogho Ousseine Diallo Patrice Tapsoba Noufounikoun méda Ludovic Kam Centre Hospitalier Universitaire Yalgado Ouedraogo Ouagadougou Burkina Faso

Type 1 neurofibromatosis is an inherited multisystem neurocutaneous disease predisposing to tumors development. Serious skin and ophthalmologic complications, although rare, can occur throughout life. Furthermore in children, unawareness of early symptoms may delay diagnosis. We report the case of A.T. 8 years old, admitted for exophthalmosis and facial deformity dating back to the age of 2 years. The diagnosis of neurofibromatosis was suspected in the presence of light brown skin spots scattered all over the body and subcutaneous nodules. Ophthalmologic examination revealed bilateral exophthalmosis, eyelids neurofibromas, blepharoptosis, Lisch nodules, corneal edema, and optic atrophy. Head CT scan clarified the nature and the extent of ophthalmologic lesions. Treatment was symptomatic. Neurofibromatosis is rarely reported in children in our setting;it is probably under diagnosed. Clinicians should think of this diagnosis in presence of certain specific symptoms and make a clinical assessment.

关键词： Neurofibromatosis Eye Complications Children Burkina Faso

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Factors Associated with Non-Compliance among Patients with Chronic Kidney Disease at the Departmental University Hospital of Borgou and Alibori in Parakou (Benin)

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Open Journal of Nephrology 2023年第4期13卷 420-434页

作者： Coovi Nonwanou Ignace Tokpanoude Séraphin Ahoui Damien Barikissou Georgia Elvire S. E. Djossou Sayo djibo Gottfried Agballa Ireti Nethania Elie Ataigba Ismaël Landry Paraiso Omer Adjibode Benoit S. Agossoukpe Rodrigue S. Kakpo-Zannou Badirou Aguemon Unité de Santé Publique de la Faculté des Sciences de la Santé (FSS) Université d’Abomey-Calavi (UAC) Cotonou Bénin Association des médecins Communautaires du Bénin (AmCB) Parakou Bénin Service de Néphrologie Centre Hospitalier Universitaire Départemental du Borgou Alibori (CHUD/B-A) Parakou Bénin Faculté de médecine (FmP) Institut de Formation en Soins Infirmiers et Obstétricaux (IFSIO) Parakou Bénin Service de Psychiatrie Centre Hospitalier Universitaire Départemental du Borgou Alibori (CHUD/B-A) Parakou Bénin

Introduction: Therapeutic compliance in chronic kidney disease (CKD) represents a major challenge for the prevention of this condition, which is both a non-communicable disease (NCD) and a complication of other NCDs. Non-adherence to treatment (NOT) is a factor in the poor prognosis of CKD in developing countries, particularly in Benin. The aim of this study was to evaluate therapeutic compliance (TC) and determine the factors associated with non-compliance in patients with chronic kidney disease undergoing treatment at the Departmental University Hospital of Borgou and Alibori in Parakou (CHUD/B-A). Patients and methods: This study was carried out in the Nephrology Department of CHUD/B-A. It was a cross-sectional, descriptive study with analytical aims that ran from December 25, 2022 to march 15, 2023 and covered data from 2017 to 2022. It involved 345 patient records meeting the diagnosis of CKD according to the KDIGO 2012 criteria. NOT was defined by a Girerd score evaluation greater than or equal to 3. Data processing and analysis were performed with R software version 4.3.0. Results: The mean age (SD) of patients was 50 years (±14.9). The prevalence of NOT was 57.1%. Potential predictors of non-adherence were: monthly revenue (p = 0.009), mode of admission (p = 0.001), phytotherapy (p = 0.040), traditional treatment (p = 0.049) and quantity of drugs (p = 0.042). Conclusion: Therapeutic compliance among chronic kidney patients still needs to be improved through awareness-raising sessions.

关键词： Chronic Kidney Disease Therapeutic Non-Adherence Girerd Assessment Chronic Renal Failure Benin

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Anesthetic Activities of Scheduled Surgery at CHU Gabriel Touré

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Open Journal of Anesthesiology 2021年第5期11卷 164-174页

作者： mangané moustapha Almeimoune Abdoul Hamidou Diop Thierno madane Soumaré Alfousseini Koita Siriman Sanogo Dramane Gamby Amadou Siadaly Babaya Dembelé Aladji Seydou Diango djibo mahamane Department of Anesthesiology and ICU H&ocirc pital Gabriel Touré Bamako Mali Department of Anesthesiology and ICU H&ocirc pital Gabriel Touré Bamako Mali Department of Anesthesiology H&ocirc pital IOTA Bamako Mali Department of Anesthesiology and ICU H&ocirc pital mè re-Enfant Bamako Mali

Concept: We opted for this study because the hospital unit Gabriel Touré was renovated with 7 surgical specialties. Our study was the very last study before the advent of coronavirus disease 2019 (COVID 19). Goal: Evaluate the anesthetic activities of the planned surgery at the University Hospital Center CHU Gabriel Touré. method and material: This was a descriptive prospective study carried out in the cold operating theater of the CHU Gabriel Touré from January to December 2018. It focused on all patients operated on for regulated surgery and who had benefited from anesthesia. Our data was entered and analyzed on SPSS 25 software. Word processing performed on microsoft WORD® 2016 and graphics on microsoft EXCEL® 2016. Results: During the study period 1700 patients were operated on in the operating room for scheduled surgery. The age range of 0 to 5 years accounted for (14.8%). The average age was 6.64 years;male predominance (52.6%) of operated patients with a sex ratio of 1.1. A history of general anesthesia was found in 62.1%. The classification of the American Anesthesia Society (ASA) ASA1 class represented 92.7%. Tonsillitis was the most common operative diagnosis (9.5%). Hernia cures and eventrations were the most common surgical technique (11.8%). General anesthesia was achieved in 65.3% of patients. Hypotension was the most common adverse event in the operating room, 44.5%. The intraoperative mortality was 0.11%. Conclusion: Our study covered the entire population anesthetized. It provided an update on the practice of anesthesia in the intensive care unit anesthesia. General anesthesia was the most used technique;a predominance of cardiovascular adverse events, occurring more often in induction and mainly favorable outcome with mortality intraoperative 0.11%. A growing presence of mAR and DES who had performed more than 30% of anesthesia.

关键词： Anesthetic Activities CHU Gabriel Touré Bamako

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Giant Intracranial Arachnoid Cyst Causing Acute Neurologic Symptoms

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World Journal of Neuroscience 2018年第3期8卷 363-369页

作者： Youssouf Sogoba Boubacar Sogoba Seybou Hassane Diallo Drissa Kanikomo Djenè Kourouma Oumar Coulibaly Issa Amadou moustapha mangané Hamidou Almeimoune madani Thierno Diop Youssoufa m.iga Broulaye Samaké djibo m. Diango Department of Neurosurgery Hopital Gabriel Touré Bamako Mali Department of Neurology Hopital Gabriel Touré Bamako Mali Department of Neurosurgery Hopital du Mali Bamako Mali Department of Pediatric Surgery Hopital Gabriel Touré Bamako Mali Department of Anesthesiology and ICU Hopital Gabriel Touré Bamako Mali

Intracranial arachnoid cysts (IAC) are benign lesions containing cerebrospinal fluid (CSF). most of them are clinically silent and remain static in size. However some may present with mild and slow progressive symptoms caused by the cyst. The authors present the case of 54-year-old woman who presented with acute symptoms of severe headache, vomiting, and gait disturbance of 2 day’s duration. She had no history of head trauma. On admission, neurological examination revealed that the patient had a Glasgow Coma Scale score of 15, and a left side hemiplegia. A CT scan revealed a hypodense fluid collection in the right frontoparietal region that mimicked an arachnoid cyst. The symptoms were improved after an emergency marsupialisation via craniotomy.

关键词： Arachnoid Cyst Neuroendoscopy microsurgical Fenestration

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management of Spinal Schwannomas in Gabriel TouréHospital: Review of 11 Cases

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Surgical Science 2018年第8期9卷 256-261页

作者： Youssouf Sogoba Boubacar Sogoba Drissa Kanikomo Seybou Hassane Diallo Djenè Kourouma Oumar Coulibaly Issa Amadou moustapha mangané Hamidou Almeimoune madani Thierno Diop Youssoufa m.iga Broulaye Samaké djibo m. Diango Department of Neurosurgery H&#244 pital Gabriel Touré Bamako Mali Department of Neurology H&#244 pital Gabriel Touré Bamako Mali Department of Neurosurgery H&#244 pital du mali Bamako Mali Department of Pediatric Surgery H&#244 pital Gabriel Touré Bamako Mali Department of Anesthesiology and ICU H&#244 pital Gabriel Touré Bamako Mali

Background: Spinal schwannomas are common tumors of spinal neoplasm and account for about 25% of intradural spinal cord tumors in adults. They are generally benign and slow-growing. Advanced in radiologic and surgical techniques have brought about better surgical results. The goal of surgical treatment must be total resection if possible. In this report, the authors present the incidence, clinical presentation, localization, and results of surgically treated spinal schwannomas. The results of a literature review are also presented. methods: Eleven consecutive patients with histologically confirmed spinal schwannomas were treated from January 2013 to December 2016 in the neurosurgical department of Gabriel Touré Hospital, Bamako, mali. Neuroradiological diagnosis was made, CT scan in 7 patients, and mRI in 4 patients. All patients were operated on via the posterior approach. All cases were surgically excised, and they were confirmed to be schwannomas by pathologists. The patients were followed for 6 to 38 months (mean 28 months). Functional outcome was assessed using the motor grade and sensory change. Results: There were 11 patients with 7 (63.6%) males and 4 (36.4%) females. The mean age was 40.3 years (range 23 - 62 years). The most common symptom at the time of diagnosis was radicular pain in 9 (81.8%) patients followed by motor weakness in 8 (72.7%) patients. The most frequent site of spinal schwannomas was the thoracic region in 5 (45.5%) patients. During surgery, Gross-total resec-tion was achieved in 8 patients (72.7%) and subtotal removal in 3 (27.3%) patients. Histological findings were benign schwannoma in all cases. Postoperative complications developed in two patients, including one with cerebrospinal fluid leakage and other one with wound infection. In the short-term follow-up period, most of the patients (90.9%) appeared to be improved in comparison with their preoperative neurological status. There was no operative mortality. Conclusion: In this study

关键词： Spinal Schwannoma Spine Surgery Recurrence

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Surgical Repair of Encephaloceles in Gabriel TouréHospital: Review of 17 Cases

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Open Journal of modern Neurosurgery 2018年第4期8卷 375-382页

作者： Youssouf Sogoba Drissa Kanikomo Boubacar Sogoba Djenè Kourouma Oumar Coulibaly Issa Amadou Seybou Hassane Diallo moustapha mangané Hamidou Almeimoune m.iga madani Thierno Diop Belco m.iga Leonie Diakité Fousseyni Traoré Youssoufa m.iga Yacaria Coulibaly Broulaye Samaké djibo m. Diango Department of Neurosurgery H&#244 pital Gabriel Touré Bamako Mali Department of Neurosurgery H&#244 pital du mali Bamako Mali Department of Pediatric Surgery H&#244 pital Gabriel Touré Bamako Mali Department of Neurology H&#244 pital Gabriel Touré Bamako Mali Department of Anesthesiology and ICU H&#244 pital Gabriel Touré Bamako Mali Department of Pediatrics H&#244 pital Gabriel Touré Bamako Mali

Background: Encephaloceles are congenital neural tube defects characterized by the protrusion of meninges and/or brain tissue from a defect in the skull. The incidence of the disease is about 0.8 - 5.6/10,000 live births. They are classified based on the location and type of skull defect as occipital encephalocele, encephalocele of the cranial vault, frontoethmoidal encephalocele, and basal encephaloceles. Surgical reduction being the first line treatment and resection of herniated structures may be necessary when the encephalocele is large. In the present study, the authors present their experience in treating 17 patients with encephaloceles. methods: This study is a retrospective analysis of 17 patients from January 2013 to December 2016 in Gabriel Touré Hospital, Bamako, mali. A history was obtained from the family at presentation. medical information before and during the pregnancy was compiled. All patients underwent CT scan as a routine preoperative imaging study, to evaluate the encephalocele and to plan the surgical procedure. The following data were recorded for analysis: age, sex, location of encephalocele, neurological status, operative method, postoperative complications and surgical results. Results: There were 10 (58.8%) female and 7 (41.2%) male patients. The patients ranged in age from 3 days to 36 months. The most common site of encephalocele sac was the occipital region in 14 (82.4%) cases followed by the frontal region in 2 (11.8%) cases and the vertex in 1 (5.9%) case. The sac size was less than 3 cm in 5 (17.6%) cases, 3 - 5 cm in 8 (47.1%) cases and more than 5 cm in 4 (23.5%) cases. Three (17.6%) children presented with CSF leakage. Hydrocephalus was present in the preoperative period in 6 (35.3%) cases;all of them required VP shunt procedure. None of the cases had a preoperative neurologic deficit. Surgical excision was performed in all cases. In the postoperative period, meningitis developed in 2 cases (11.8%), wound infection in 1 case (5.9

关键词： Encephalocele Neural Tube Defect Hydrocephalus Congenital malformation

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Blows and Voluntary Wounds of the Emergency Unite in Gabriel Toure Teaching Hospital in Bamako

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Surgical Science 2018年第9期9卷 334-343页

作者： mangané moustapha Diop Thierno madane Almeimoune Abdoul Hamidou Keita Soumaila Dembelé Aladji Seydou Youssouf Sogoba Konaté madiassa Koita Siriman Traoré Amadou Issa Amadou Badimi Siaka Abdoulaye Kanté Diallo Sadio Sangaré Harouna Dembelé Bakary Tientigui Togo Adegné Diango djibo mahamane Department of Anesthesiology and ICU H&#244 pital Gabriel Touré Bamako Mali Department of General Surgery H&#244 pital du Point G Bamako Mali Department of Anesthesiology H&#244 pital IOTA Bamako Mali Department of Neurosurgery H&#244 pital Gabriel Touré Bamako Mali Department of General Surgery H&#244 pital Gabriel Touré Bamako Mali Department of Anesthesiology and ICU H&#244 pital mère-Enfant Bamako Mali Department of Pediatric Surgery H&#244 pital Gabriel Touré Bamako Mali

Introduction: Voluntary assault and injuries are acts that damage the physical and psychological integrity of a human being. WHO in its global report on violence and health estimates that in 2000, 1.6 million people worldwide died as a result of self-harm, interpersonal or collective violence, resulting in an overall rate adjusted by age of 28.8 per 100,000 population. Because of the seriousness of this phenomenon and the heavy socio-economic and health consequences that they generate, it seemed important to us to undertake this study, which aimed to study the deliberate injuries in the emergency unite of the Gabriel Touré Teaching Hospital in Bamako. material and methods: This was a descriptive and cross-sectional study with a prospective study from September 1st, 2016 to August 31st, 12 months, covering 295 patients, including any patient received for voluntary injury consultation with a workable medical record and/or a full investigation record with or without requisition. Our data were collected on individual survey cards and subsequently analyzed with Word, Excel, IBm SPSS Statistics 22 software. Results: The majority of victims of assault and bodily injury were male with 83.1%;with a sex ratio of 4.9, the 18 to 28 age group was the most concerned with 163 cases of the 295 cases in our study, 55.2%. The extremes were 6 and 100 years old with an ectype at 11.08. The most affected ethnic group was Bambara with 38.6% (n = 114) followed by Fulani with 15.6% (n = 46). Students were the most affected at 24.7% (n = 73), followed by traders at 10%. The victims coming from outside Bamako are the most predominant with 22.4% (n = 66) followed by those of commune IV of Bamako 15.6% (n = 46). In 92.2% of the cases the mechanism was direct with n = 272. Of the lesions recorded in our study, wounds came first with 53.2% of cases. Radiography was the most used imaging at 44.7% (n = 89) followed by computed tomography at 34.7% (n = 69). The hemoperitoneum objectified by abdomin

关键词： Blows Wounds EU Gabriel Touré University Hospital

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Impacts of Agroecological Technologies Adoption on Agricultural Yield and Income for millet and Cowpea Producers from maradi and Zinder Regions in Niger

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Agricultural Sciences 2023年第12期14卷 1643-1652页

作者： Rabé m. moctar Issaka R. Salissou maman Chedi Baoua Ibrahim Faculty of Agricultural Sciences Djibo Hamani University of Tahoua Tahoua Niger Cabinet Sahel Maradi Niger SFR-RACINES University Abdou Moumouni of Niamey Niamey Niger Faculty of Agronomy and Environmental Sciences Dan Dicko Dankoulodo University of Maradi Maradi Niger

This article assesses the impacts of agroecological technologies adoption on the agricultural yields and incomes for millet and cowpea producers in Niger from both maradi and Zinder regions. For this purpose, a set of descriptive statistics methods are applied to data collected from 1950 producers from 80 villages. Results indicate that the density of semi, HPK variety, compost and IT 90 variety are the most adopted agroecological technologies with respective adoption rates of 87%, 69%, 64.3% and 64%. moreover, results show that millet producers that adopted agro-ecological technologies have on average multiplied by 2.00 and 2.96 times their production, in Zinder and maradi regions respectively. Besides, findings reveal that cowpea producers that adopted agro-ecological technologies have on average multiplied by 2.00 and 3.21 times their production, in Zinder and maradi regions respectively. Finally, results support that the improvement in millet and cowpea yields has led to increase in producers’ total income by 2 and 3 times respectively in Zinder and maradi regions. Since agroecological technologies improve agricultural yields and income, we suggest policy makers to recommend their adoption and diffusion.

关键词： Agroecological Technologies Agricultural Yields Agricultural Income Niger

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