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Effects of Health Record Computerization in the Context of the COVID-19 Pandemic in Burundi’ Hospitals: Propensity Score Matching

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Open Journal of Epidemiology 2022年第3期12卷 245-260页

作者： Florence Munezero Charles J. Sossa glele yolaine ahanhanzo Leodegal Bazira National Institute of Public Health Department of Research Bujumbura Burundi University of Abomey-Calavi Regional Institute of Public Health Ouidah Benin Faculty of Medicine University of Burundi Bujumbura Burundi

Introduction: A great number of software are currently used to digitalize the patient records in order to optimize the quality of services offered to patients. The objective of this study was to evaluate the effects of Electronic Health Records use in Burundi’s hospitals, taking into account the COVID-19 pandemic context. Methods: This was a quasi-experimental study based on difference in difference method. Ten district hospitals were included in the study, five of them had the Electronic Health Records and five of which did not yet have the Electronic Health Records. The hospital’s control group were chosen using the propensity score matching method. The period before the project’s implementation was 2014 and the period after were 2019 and 2020. Results: After 5 years of the Electronic Health Record’s implementation, the results showed an increase in outpatient consultation (70%), deliveries (more than 100%), caesarean sections (56%) and major surgeries (43%) indicators. The overall quality score of hospitals’ care had a regressive effect of 37% and the income from performance-based funding had an increase by 31%. The indicators which were affected by the context of the COVID-19 pandemic were especially outpatient consultation, caesarian section, income from performance-based funding decreased by 3%, 5% and 20% respectively. Conclusion: The effects of Electronic Health Records use are effective. As the COVID-19 pandemic impacted the hospital’s indicators negatively, the resilient strategies alongside the potential shocks are recommended.

关键词： Effects Health Record Computerization COVID-19 Hospitals Propensity Score Matching

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Factors Associated with Early Pregnancy among Adolescent Girls in Schools in Bohicon, Benin in 2022

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Open Journal of Obstetrics and Gynecology 2023年第11期13卷 1886-1908页

作者： Biao Mélissa glele ahanhanzo yolaine Mongbo Virginie Houngnihin Roch Togonou Fréjus Assogba Christelle Association for Education Sexuality and Health in Africa (APESSA)/Regional Institute of Public Health University of Abomey-Calavi Abomey-Calavi Benin Department of Epidemiology and Biostatistics Regional Institute of Public Health University of Abomey-Calavi Abomey-Calavi Benin Department of Policies and Health Systems Regional Institute of Public Health University of Abomey-Calavi Abomey-Calavi Benin Association for Education Sexuality and Health in Africa (APESSA)/Laboratory of Applied Medical Anthropology University of Abomey-Calavi (LAMA/UAC) Abomey-Calavi Benin Association for Education Sexuality and Health in Africa (APESSA) Abomey-Calavi Benin

Introduction: The growing phenomenon of early pregnancies in Benin has adverse consequences on the lives of adolescent girls, impacting various social, health, economic, and educational aspects. This study aims to identify the factors associated with early pregnancies in the municipality of Bohicon in 2022. Materials and Methods: This is a case-control study conducted in Bohicon, involving 47 cases and 94 controls from 16 secondary and technical schools. Cases were selected exhaustively, while controls were randomly drawn from girls aged 10 to 19 in the same class who had never been pregnant. Matching was based on the type of institution and class. Data were collected through a questionnaire and analyzed using Epi info 7.***.1.0 and STATA 15 software, employing multiple conditional logistic regression (5% significance threshold) to identify factors related to early pregnancies. Results: The average age of adolescents was 17.63 years ± 0.09 for cases and 17.12 years ± 0.13 for controls. Associated factors included age over 16 years (p = 0.049), the marital status of the adolescent (single) (p = 0.001), and the monthly pocket money of the adolescent less than 10,000 FCFA (p = 0.031). Conclusion: Three factors related to early pregnancies were identified. To counteract this phenomenon and promote responsible sexuality among adolescents, it is essential to strengthen communication efforts aimed at modifying behaviors.

关键词： Early Pregnancy Schools Factors Bohicon

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Factors Associated with Pregnancy Outcomes in Hypertensive Pregnant Women in a District Hospital in Benin

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Open Journal of Epidemiology 2021年第4期11卷 420-432页

作者： Saizonou Jacques glele-ahanhanzo yolaine Kpozehouen Alphonse Tawo Mondoukpè Ouendo Edgard-Marius Department of Policies and Health Systems Public Health Regional Institute Ouidah Benin Department of Epidemiology and Biostatistics Public Health Regional Institute Ouidah Benin

Introduction: Hypertension is a major cause of maternal and perinatal morbidity and mortality. This study aims at exploring the outcomes of pregnancy and associated factors in hypertensive pregnant women in Comè district hospital from 2014 to 2016. Methods: This is a retrospective, analytical study carried out in June 2016, involving a total of 345 hypertensive patients. Socio-demographic and medical features, including pregnancy and foetal outcomes parameters, were recorded in the case files. Top-down stepwise logistic regression was performed at the 5% threshold. Results: The frequency of hypertensive disorders during pregnancy was estimated at 7.32% and unfavourable outcomes at 35.65%. The adverse maternal outcomes recorded were postpartum death and haemorrhage whereas adverse foetal issues were prematurity, low birth weight, low Apgar scores, stillbirth and death. Factors statistically associated with pregnancy outcome were paucigravida (OR = 2.01 ([1.05 - 3.88]), p = 0.035), history of stillbirth (OR = 4.75 ([1.01 - 22.1]), p = 0.048) and anticonvulsant therapy (OR = 0.32 ([0.19 - 0.54]), p Conclusion: Adequate monitoring via Antenatal Care (ANC) check-ups, timely recourse to care and an effective communication strategy should reduce hypertensive disorders incidence and adverse outcomes in pregnant women.

关键词： Hypertensive Disorders Pregnancy Outcome Risk Factors Benin

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Evaluation of the Effectiveness of the 2019 School-Based Awareness Campaign on Road Driving in the Municipalities of Cotonou and Abomey-Calavi in Benin

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Open Journal of Preventive Medicine 2022年第12期12卷 281-301页

作者： Patrick Makoutode Charles Sossa-Jerome Boris Pleck Dansou yolaine glele ahanhanzo Moussiliou Noël Paraiso Ghislain Emmanuel Sopoh Regional Public Health Institute University of Abomey-Calavi Ouidah Benin

Being the leading death cause among young people in the world, road accidents are avoidable through the adoption of simple attitudes and behaviors. Handicap International Non-Governmental Organization (NGO) has launched an awareness campaign in secondary schools in the municipalities of Cotonou and Abomey-Calavito bring young Beninese users to adopt good attitudes and safe behavior while driving on the road. This study aims at assessing the effectiveness of this awareness campaign. It was an evaluative cross-sectional here-elsewhere type study, held in fourteen high schools in the cities of Cotonou and Abomey-Calavi, of which seven benefited from the campaign and seven did not. In each school, students were selected on the basis of two-stage random sampling. 656 students, 309 of whom were sensitized and 347 of whom were not, were included in this study. The campaign was quite effective. Students, teachers, and school officials’ perceptions of the campaign were positive. In addition, the sensitized students had a better level of knowledge (p = 0.001) and reported safer behaviors (p = 0.003) while driving on the road than those who were not aware. Although the effects are positive, they are still very small. Efforts must be continued and much remains to be done.

关键词： Road Accident Campaign High School Student Benin

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Socio-Medical and Demographic Factors Associated with Perinatal Mortality in a Southern Benin Health Zone Hospital in 2020: A Case-Control Study

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Open Journal of Preventive Medicine 2023年第8期13卷 227-238页

作者： Charles Sossa Jerome Lamidhi Salami Vicentia Akpédjé Gladis Cadete Vignon Bedie yolaine glele-ahanhanzo Patrick Charles Makoutode Badirou Aguemon Health Promotion Department Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Health Policy and Systems Department Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Department of Public Health Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin Department of Epidemiology and Biostatistics Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin

Background: Perinatal mortality remains a major public health concern in developing countries such as Benin. To better steer response interventions, this study was carried out in southern Benin with the aim of identifying the demographic and socio-medical factors linked to perinatal mortality. Methods: The case-control study, held from January 1 to December 31, 2020, covered 154 targets, including 77 cases of neonates deceased within the perinatal period and 77 live-born control neonates selected on a one-for-one basis. Univariate analysis using the McNemar test and logistic regression were used to identify risk factors for perinatal mortality, at a 5% threshold of significance. Results: Sahoué/mina ethnicities, only associated socio-demographic characteristic, increased the risk of perinatal death by 2.47 times (p = 0.008). Mother’s age, education, occupation, marital status, and household size were not associated (p > 0.05). Risk of death was increased 2.5 times when the mother was referred (p = 0.007), 3.3 times when she came from a hard-to-reach locality (p Conclusion: Although attention must also be paid to referral and access to care, this study identifies antenatal consultation as the main target of any intervention to reduce perinatal mortality.

关键词： Perinatal Mortality Associated Factors Antenatal Care Benin

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Contributions of the Measles Follow-Up Vaccination Campaign to Improving the Vaccination Coverage of Children Aged 6 - 59 Months in the Democratic Republic of the Congo in 2019

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Open Journal of Epidemiology 2023年第3期13卷 151-166页

作者： Lamidhi Salami yolaine glele-ahanhanzo Marcellin Mengouo Nimpa Charles Jerome Sossa Maria Carolina Danovaro-Holliday Julien Saleh Moïse Désiré Yapi John Samuel Tonda Epenge Otomba Elisabeth Musenga Mukamba Charles Patrick Makoutode Edgard-Marius Ouendo Policies and Health Systems Department Regional Institute of Public Health Ouidah Benin Department of Epidemiology and Biostatistics Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Immunization and Vaccines Development (IVD) Program Office of World Health Organisation Kinshasa DR Congo Health Promotion Department Regional Institute of Public Health Ouidah Benin Department of Immunization Vaccines and Biologicals (IVB) World Health Organization Geneva Switzerland Ministry of Public Health Hygiene and Prevention Kinshasa DR Congo

Background: In accordance with its measles elimination strategic plan 2012-2020, the Democratic Republic of the Congo (DRC) organized a follow-up vaccination campaign against measles from October to December 2019 in 26 provinces. This study aims to establish the contribution of this supplementary vaccination campaign to protecting children against measles. Methods: The survey was carried out in November 2020 among households of the DRC, according to the 2018 revised version of the World Health Organization’s stratified cluster sampling method, using multiple stage sampling. It targeted 280 children aged 6 - 59 months per stratum or province, with 10 children in each of the 28 selected clusters. Data collection using tablets with centralized and real-time data processing was preceded by enumeration to refine the household sampling frame. Clusters and households were selected by random draw. Data collected with CS Pro 7 software were analyzed with SPSS, Epi info 7 and Excel software to determine indicators and make before-after comparisons using the McNemar test, at a precision threshold of 5%. Results: Of the 8535 surveyed children, 89.5% were vaccinatedduring the follow-up campaign and 81.6% were vaccinated before. Only 3.7% had correctly completed campaign vaccination cards. Estimated vaccination coverage increased from 80.8% before the campaign to 92.6% after the campaign (p 0.001). Vaccination coverage after campaign against measles improved in all provinces (p < 0.001) except Bas-Uele and Maniema. Thirteen provinces reached the national coverage target of 95%, compared to five before the campaign. The proportion of zero-dose children dropped significantly after this campaign from 19.2% to 7.4% (p 0.001), and even fell below 1% in six provinces. Conclusion: This measles vaccination campaign improved overall vaccination coverage by 10% and reached more unvaccinated children. Efforts must continue to improve the retention of vaccination card, the adherence of unvac

关键词： Measles Democratic Republic of the Congo Child under 59 Months Vaccination Campaign

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