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Knowledge, Attitudes and Practices of the Populations of Dapaong and Its Surroundings in Togo on Sodium/Salt and Potassium Intakes

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Open Journal of Epidemiology 2023年第2期13卷 113-127页

作者： Tchasso Serge Kenao jerôme charles sossa Moussiliou Noel Paraiso Mofou Belo Mouawiyatou Bouraima Ghislain Sopoh Smaila Alidou Dadja Essoya Landoh Assima-Essodom Kalao Victoire Agueh Department of Health Promotion Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Faculty of Health Sciences University of Lome Lomé Togo Department of Health Policy and Systems Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin Departement of Science Joseph KI-ZERBO University Ouagadougou Burkina Faso World Health Organization Guinee Togo Ministry of Health Lome Togo

Background: Food plays an important role in human health. A healthy diet contributes to the improvement of the health of populations. A diet high in sodium/salt and low in potassium has been shown to contribute to cardiovascular disease. The objective of this study was to assess the knowledge, attitudes and practices (KAP) of the inhabitants of Dapaong and its surroundings on dietary intakes of sodium/salt and potassium. methods: This was a cross-sectional study conducted from 1 November to 15 December 2022 involving 400 adults aged 25 to 44 years. Sampling was done using the probability method and the multistage random sampling technique with proportional allocation. These two methods were applied to select villages, households, and primary targets in each locality according to whether the area of residence was urban or rural. The electronic kobocollect questionnaire was administered to people in households and the interview guide was to resource persons, administrators and community leaders to collect the data. Results: Overall, 80.25% of the respondents had low knowledge of sodium/salt intakes;88.50% had poor attitudes towards the use of foods that provide more sodium/salt and 92.75% had behaviours that were not conducive to reducing excessive salt consumption. With regard to potassium, the same trend was observed in the order of 91%, 72% and 73.75%. Conclusion: The KAP levels of the people studied were not good. The populations are prone to cardiovascular disease. A multisectoral nutritional intervention would be essential to improve the knowledge of the populations on sodium/salt and potassium intakes and therefore favourable to the fight against CVD/NCD.

关键词： KAP Sodium/Salt Potassium Togo

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measurement of the Effects of Nutritional Education for Reducing Sodium Intakes and Increasing Potassium Intakes

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Food and Nutrition Sciences 2023年第5期14卷 436-450页

作者： Tchasso Serge Kénao jerôme charles sossa Moussiliou Noel Paraiso Smaila Alidou Ghislain Sopoh Toyi Tchamdja Dadja Essoya Landoh Mofou Bélo Tchaa Abalo Bakaï Department of Health Promotion Regional Institute of Public Health University of Abomey-Calavi Cotonou Benin Department of Public Health Joseph KI-ZERBO University Ouagadougou Burkina Faso Department of Health Policy and Systems Regional Institute of Public Health University of Abomey-Calavi Cotonou Benin Faculty of Science and Health University of Kara Kara Togo World Health Organization Lomé Togo Faculty of Health Sciences University of Lomé Lomé Togo National Malaria Control Programme (PNLP) Lomé Togo

Background: The Togolese population, like those around the world, frequently consumes foods high in salt/sodium and low in potassium, thus exposing them to cardiovascular disease (CVD). Nutritional intervention can help reverse this consumption pattern and reduce related CVD morbidity and mortality. The objective of this study was to measure the effects of a nutrition education intervention on the consumption frequencies of foods rich in sodium and potassium. methods: The study was a quasi-experimental before- and-after study, conducted from 08 January to 16 April 2023. It involved 200 adults aged 25 - 64 years, randomly selected from two areas: an intervention area and a non-intervention area. Data were collected in two phases at 3-month intervals in both groups. The intervention consisted of nutrition education (awareness raising and cooking demonstrations) on reducing salt/sodium intake and increasing potassium-rich food intake. The kobocollect electronic questionnaire was administered to the respondents to collect data on the frequency of consumption of foods rich in sodium and potassium. Results: The median age of the respondents was 33 years old (30;38) and 56% of the participants were women, 44% and 69% respectively in the control and intervention groups. Most participants lived in rural areas (51%), 52.4% and 49.5% in the control and intervention groups respectively. Overall, 4% (p individuals reduced their frequency of adding salt at mealtime from more than 3 times a week to less than 3 times, i.e., 5.6% in the intervention group and 1.7% in the control group. The proportion of individuals who consumed meals with green leafy vegetable sauces was reduced from more than 3 times a week to less than 3 times, i.e., 7.5% (p meals. The same trend was observed for increased consumption of gree

关键词： Nutrition Education Consumption Frequency Sodium/Salt Potassium Togo

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Assessing Community Health Interventions in Reducing Infant and Child Mortality in the Southeastern Benin

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Open Journal of Preventive medicine 2024年第1期14卷 17-28页

作者： charles sossa jerome Daouda Gbadamassi Lamidhi Salami Colette Azandjeme Clémence metonnou Moussiliou N. Paraiso Health Promotion Department Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin National medical and Sanitary Institute University of Abomey-Calavi Cotonou Benin Health Policy and Systems Department Regional Institute of Public Health University of Abomey-Calavi Ouidah Benin

Background: To reduce infant and child mortality in Benin, a package of high-impact interventions per healthcare level was implemented in 2009. This study aimed to assess the quality of community-based health interventions in reducing infant and child mortality within the municipality of Pobè in southeastern Benin. methods: This was a cross-sectional evaluative study carried out in November 2021 focused on children aged 0 - 59 months, their mothers, health workers, community facilitators, community health workers and the Town Hall health focal point. Mothers and their children were targeted by cluster sampling, and exhaustive selection was used to recruit all other participants. Predetermined scores based on rating criteria were used to assess the quality of community health interventions using the “input, process and outcome” of Donabedian approach. Results: Over 300 mother-child couples, 46 community health workers, 7 health agents, 1 community facilitator and 1 health focal point from Pobè town hall were surveyed. Intervention quality was judged as “average”, with a score of 73.80%. The “inputs” and “outcomes” components were the weakest links. Conclusion: Improving access to the inputs needed by community health workers can enhance the quality of PIHI interventions.

关键词： Community-Based Interventions Infant and Child Mortality Benin

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Epidemiology of Low Birth Weight in the Lake Areas of Cotonou (Benin Republic)

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Open Journal of Epidemiology 2023年第3期13卷 218-234页

作者： Gbèmahon Roger Houssou Colette Sylvie Azandjeme Nadia Fanou Clémence Germaine metonnou charles Jérôme sossa Regional Institute of Public Health University of Abomey-Calavi (UAC) Ouidah Benin Faculty of Agronomic Sciences University of Abomey-Calavi Abomey-Calavi Benin

Introduction: Low birth weight is a significant public health problem worldwide, particularly in low-and-middle-income countries. This study aimed to investigate the epidemiology of low birth weight in the lake areas of Cotonou. methods: A cross-sectional analytical study included 931 records of women who gave birth in 2022 in the Cotonou 1-4 health zone. Completed maternity records were included in this study, except for premature births and congenital malformations. Birth weight was the dependent variable. Sociodemographic, obstetrical, preventive care and child-related data were collected using a digitized form. These data were analyzed using SPSS software to determine the prevalence and factors associated with low birth weight using multiple logistic regression analysis. Results: The prevalence of low birth weight was 16.30%. Factors related to this prevalence were non-use of mosquito nets during pregnancy (OR = 2.72;CI: 1.275 - 5.805), twin pregnancy (OR = 9.97;CI: 3.869 - 25.696), previous abortion (OR = 1.61;CI: 1.034 - 2.515), low number of pregnancy (OR = 3.97;CI: 1.276 - 12.393), trimester of first antenatal visit (OR = 3.47;CI: 1.821 - 6.638) and birth size less than 45 cm (OR = 5.98;CI: 2.965 - 12.083). Conclusion: The prevalence obtained from this study justifies the need to support pregnant women in this health zone. It is, therefore, essential to strengthen communication and health promotion strategies for women before, during, and after pregnancy.

关键词： Low Birth Weight Pregnant Women Lake Areas Cotonou

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Knowledge, Attitudes, and Practices Relating to Food and Nutrition among Pregnant Women Attending Antenatal Clinics at menontin Hospital (Benin)

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Health 2023年第11期15卷 1202-1217页

作者： charles Jérôme sossa Lamidhi Salami Clémence Germaine metonnou Eloïse Tozoukan Colette Azandjeme Virginie Mongbo Moussiliou Noël Paraïso Health Promotion Department Regional Institute of Public Health University of Abomey-Calavi Abomey-Calavi Benin Department of Health Policy and System Regional Institute of Public Health University of Abomey-Calavi Abomey-Calavi Benin Department of Food Technology Engineering Ecole Polytechnique d’Abomey-Calavi University of Abomey-Calavi Abomey-Calavi Benin

Introduction: Pregnancy is a critical period during which environmental factors such as nutrition can affect the optimal development of the fetus. This study aims to evaluate the knowledge, attitudes, and practices in food and nutrition among pregnant women in antenatal consultation at menontin Hospital in 2021. methods: This was a cross-sectional, descriptive study including 96 pregnant women at menontin Hospital in Cotonou. Variables including socio-anthropological data, level of knowledge of nutritional requirements and their consequences on malnutrition, and description of physical activity practices were collected using a questionnaire and data on pregnant women’s dietary practices, macronutrient consumption, and fruit and vegetable consumption were documented using a food frequency questionnaire. Results: The majority of pregnant women (88%) were unaware of their nutrient needs during pregnancy. Only 49.6% of them took at least three meals and two snacks a day, and 45% practiced less than 30 minutes of physical activity per day. The consumption of carbohydrates, proteins, and lipids were respectively in the proportions of 36.5%, 50%, and 38.5%. It was also found that 48% of pregnant women did not consume fruits and vegetables daily. Conclusion: The pregnant women followed in the Mènontin area hospital had a low level of knowledge in terms of food and nutrition during pregnancy. Consequently, their attitudes and practices were unfavorable to good nutrition for both the mother and the child.

关键词： Knowledge Attitudes Practices Nutrition Pregnancy Bénin

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Performance Evaluation of a Communication Plan Implementation for Behaviour Change in People at Risk of Type 2 Diabetes in the Commune of Tchaourou in Benin

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Journal of Diabetes mellitus 2022年第4期12卷 224-242页

作者： Clémence Germaine metonnou Colette Sylvie Azandjeme charles Jérôme sossa Moussiliou Noël Paraïso Bio Nigan Victoire Damienne Agueh Department of Promotion Regional Institute of Public Health University of Abomey-Calavi Abomey-Calavi Benin Laboratory Sports Performance Health and Evaluation National Institute of Youth Physical Education and Sport (INJEPS) University of Abomey-Calavi (UAC) Porto-Novo Benin

Introduction: There are very few programmes to delay or prevent diabetes in Africa. This study aims to evaluate the communication plan implementation to reduce risk factors for Type 2 diabetes in people at risk. methods: The cross-sectional evaluative study focuses on the resources used for the implementation of the programme, the activities carried out and the beneficiaries of the programme. The non-probabilistic method was used to select. All target populations under study with appropriate sampling techniques. The performance of the communication plan implementation for behaviour change was assessed through the three sub-variables of evaluation of Donabedian health programmes: structure, process and results. The components assessment was based on the Varkevisser scale. The performance of the communication plan implementation for behaviour change was obtained by the sum of the scores of the three sub-variables. Results: The performance of the communication plan implementation for behaviour change was satisfactory in all programme villages at 89%. The establishment of the research team, the management team and the technical team, the availability of financial resources on a timely basis, the follow-up of nutritionists, sports teachers and peer educators, the implementation of the programme package and the home coaching of the targets were effective in all the programme villages of the study. The scores for structure performance, process performance, and results performance were 100%, 95%, and 83.8%, respectively. The involvement of the entire research team, the commitment of local authorities and the motivation of the targets were also important in the obtained result. Conclusion: This study shows that effective T2D preventive communication is possible at community level in Benin and probably in Sub-Saharan Africa.

关键词： Implementation People at Risk Type 2 Diabetes Benin

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Dietary Vitamin K Restriction and Effectiveness of Vitamin K Antagonists Prescribed at the CNHU-HKM University Cardiology Clinic/BENIN

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Food and Nutrition Sciences 2023年第10期14卷 928-940页

作者： Clémence Germaine metonnou charles Jérôme sossa Lamidhi Salami Rébécca Sabgohan Colette Azandjeme Camelle Mizehoun-Adossoda Virginie Mongbo 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 Abomey-Calavi Benin School of Nutrition-Dietetics Faculty of Health Sciences University of Abomey-Calavi Cotonou Benin

Introduction: Their efficacy in preventing thrombotic and embolic events has been proven in numerous studies, but their narrow therapeutic index requires particular vigilance, especially in terms of biology. In addition, treatment-related hemorrhagic complications are not uncommon. This study explores the influence of dietary vitamin K restriction on the efficacy of antivitamin K treatment at the University Cardiology Clinic of CNHU-HKM. methods: Cross-sectional and descriptive study that took place from 25 April to 29 August 2019. Patients’ dietary behaviors and successive INR values were collected. Information on dietary intake was obtained by 2 non-consecutive 24-hour recalls. The effectiveness of VKA treatment was assessed by the “Time in Therapeutic Range” (TTR) of the INR. VKA treatment was considered effective for a TTR greater than 65%. Results: At the end of this study, 40 patients were surveyed. The mean age of the participants was 58.05 years ± 13.32 years, with a sex ratio of 1.35. Complete arrhythmia due to atrial fibrillation was the main indication for VKA treatment (37.50%) and fluindione was the most commonly prescribed drug (77.50%). The duration of treatment was less than or equal to 2 years in 47.5% of the subjects surveyed. Before starting treatment, 85% of patients received advice on restricting vitamin K-rich foods, and 45% of patients reported “food burnout” after a period of compliance with the restriction. The majority of respondents (97.50%) complied with the restriction on vitamin K-rich foods. All respondents had high energy intakes and a poor distribution of macronutrients, with a predominance of carbohydrates and proteins. 2.5% of respondents were on effective anti-vitamin K therapy with a TTR of over 65%. Conclusion: Restriction of vitamin K-rich foods is not conducive to effective treatment with vitamin K antagonists.

关键词： Antivitamin K Dietary Restriction Vitamin K Therapeutic Efficacy

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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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Prevalence and Predictors of Double Burden of Malnutrition within Households in Africa: A Systematic Review

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Food and Nutrition Sciences 2023年第10期14卷 908-927页

作者： Reynald Santos charles sossa jerome Colette Azandjeme Carmelle Mizehoun-Adissoda Clémence metonnou Department of Health Promotion Regional Institute of Public Health (IRSP) of Ouidah Ouidah Benin School of Nutrition and Dietetics Faculty of Health Sciences (FSS) of Cotonou Cotonou Benin

In recent years, there has been growing interest in the emergence of double burden of malnutrition (DBM) in Africa. In this study, we reviewed the literature on double burden of malnutrition in households, reviewing previous studies investigating the prevalence of DBM in Africa and the factors associated with it. To identify relevant studies, we consulted the Pubmed and Cochrane electronic databases, using specific search terms. A total of seventeen articles met the eligibility criteria. These articles were published between 2012 and 2022, and their data were collected between 2000 and 2019. Twelve of these studies used secondary data, including demographic and health surveys. The age of children and adults varied from study to study. All studies used Body Mass Index as a nutritional indicator for adults. For children, the height-for-age Z-score was most commonly used, while weight-for-age, weight-for-height and Body Mass Index-for-age were less commonly used. The national prevalence of double nutritional burden in households ranged from 1.71% to 38.7%, depending on the country and the year. However, direct comparisons between studies were limited due to differences in combinations of undernutrition, overweight or obesity. Among the factors associated with double nutritional burden within households, the most frequently cited in the selected articles were urban/rural residence, income or socioeconomic status, age of child and mother, household size and mother’s level of education. However, no study assessed physical activity, and very few examined the diet of household members. It is essential to take these different parameters into account when designing and implementing interventions to prevent the DBM in Africa. Community and societal factors will also need to be studied and taken into account in these interventions.

关键词： Double Burden of Malnutrition Household Prevalence Associated Factors Africa

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Sociodemographic and Economic Factors Associated with Urinary Bilharzia in the Municipalities of Sô-Ava, Aguegues and N’Dali in Benin

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Open Journal of Epidemiology 2023年第4期13卷 342-359页

作者： Josias Olutobi Ahamidé charles Jérôme sossa Yolande Sissinto Edmond Yétongnon Pélagie Boko-Collins Romaric Tchèbè Achille Ayalè Edgard-Marius Ouendo Regional Institute of Public Health (IRSP-OUIDAH) University of Abomey-Calavi (UAC) Abomey-Calavi Benin Parasitology Laboratory (Faculty of Health Sciences) University of Abomey-Calavi (UAC) Abomey-Calavi Benin Laboratory of Analysis of Social Dynamics and Development (LADYSD) Faculty of Agronomic Sciences (FSA) University of Abomey-Calavi (UAC) Abomey-Calavi Benin Sightsavers Benin-Togo Cotonou-Lomé National Programme for the Control of Transmissible Diseases (PNLMT-Ministry of Health) Cotonou Benin Laboratory of Applied medical Anthropology (LAMA) (Faculty of Arts and Human Sciences (FASH) University of Abomey-Calavi Abomey-Calavi Benin

Introduction: This research, conducted in the municipalities of Aguégués, Sô-Ava, and N’dali in Benin, focused on identifying socio-demographic and economic factors associated with urinary bilharzia in 415 school-aged children from 8 to 14 years. Using urine test strips and filtration techniques, the study found prevalences ranging from 11.88% to 34.53% across the municipalities. method: Epidemiological data (urine) were collected and examined with test strips to assess the presence of terminal haematuria: the prevalence of infestation and parasite density was quantified using the filtration technique. Socio-demographic and economic factors were recorded using a questionnaire to assess the correlation with disease. Results: Prevalences of 34.53% (N = 48 out of 139), 13.53% (N = 18 out of 133) and 11.88% (N = 17 out of 143) respectively for the municipalities of Aguégués, N’dali and Sô Ava were calculated. The study showed that the variables “age”, “sex”, “religion” and “socio-professional” activity were not significantly correlated with bilharziasis (p > 0.05) and it appears that these factors are not related to bilharziasis in the surveyed households. While age, sex, religion, and socio-professional activity showed no significant correlation with bilharziasis, factors like agriculture, fishing, and place of residence were statistically significant in relation to the disease. Conclusion: The findings suggest that these socio-demographic and economic factors impede the elimination of schistosomiasis in the examined areas.

关键词： Schistosomiasis Prevalence Sociodemographic and Economic Factors Municipalities School-Aged Children

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