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Health Providers’ Points of View on the Impact of the Project to Strengthen the Expanded Program of Routine Vaccination from 2014 to 2018 in the Barumbu Health Zone in Kinshasa, Democratic Republic of Congo

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Journal of Biosciences and Medicines 2022年第8期10卷 143-152页

作者： ngoyi kankiesa nestor Milambo Kapia Patrick Bope Kwete Minga Barthélémy Pembi Pembi Francy Muanyim Bope Pierre Nkumbi Malu Jeaont Tshiama Kabongo Elysée Sabuli Sewa Alexis Kafinga Luzolo Emery ISTM-Kinshasa/Community Health in Kinshasa Kinshasa Democratic Republic of Congo PNLCT Kinshasa Democratic Republic of Congo ISTM-Kinshasa/Occupational Health Safety and Environmental Management in Kinshasa Kinshasa Democratic Republic of Congo UPN-Kinshasa/Pedagogy and Didactics of Health Sciences Kinshasa Democratic Republic of Congo

According to the World Health Organization, approximately 3 million deaths are prevented each year in the world thanks to vaccination and then, in addition, each year, it makes it possible to avoid nearly 750,000 children suffering from serious physical, mental or neurological handicaps and 1.5 million other deaths could be avoided if the vaccination coverage is improved. However, vaccination coverage is often not achieved due to various difficulties encountered by health providers in the expanded program on vaccination activities. Yet, it is important to strengthen the program. This research paper aimed to assess health providers’ points of view on the impact of the project to strengthen the routine expanded program on vaccination in the Barumbu health zone in Kinshasa, Democratic Republic of Congo (RDC). To do so, we surveyed a convenience sample of 234 health providers involved in the implementation of the project, including 210 community relays, 9 permanent nurses, 9 health committee chairpersons and 6 health authorities. A questionnaire related to the objective of the research was submitted to them. After analyzing the data, we found that the points of view of health providers are negative. The performance of the vaccination program was not great. Several reasons were given for this, including the non-involvement of the political and administrative authorities, the failure to respect the funds disbursement circuit and the non-effective financing of vaccination activities in the Barumbu health zone in Kinshasa, DRC.

关键词： Point of View Health Providers Impact Strengthening Project Routine Vaccination

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Knowledge and Practices of Health Professionals on the Optimization of Radiation Protection in Diagnostic Radiology in Children and Adults in the General Referral Hospitals of Bukavu in South Kivu, DRC

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Journal of Biosciences and Medicines 2022年第7期10卷 97-113页

作者： Minga Barthelemy Bope Kwete Francy Pembi kankiesa nestor ngoyi Bope Pierre Muanyim Mukambilwa Docksin Byeka Kapia Patrick Milambo Bushebu Sylvie Mbulu Lupongu Arthur Munanga Luzolo Emery Kafinga ISTM-Kinshasa/Community Health Kinshasa Democratic Republic of the Congo ISTM-Kinshasa/Occupational Health Safety and Environmental Management Kinshasa Democratic Republic of the Congo UPN-Kinshasa/Pedagogy and Didactics of Health Sciences Kinshasa Democratic Republic of the Congo ISTM-Kinshasa/Medical Imaging Kinshasa Democratic Republic of the Congo

The aim of this research was to assess the knowledge and practices of radiological versus non-radiological health professionals on the optimisation of radiation protection in paediatric and adult radiology in BUKAVU hospitals. To achieve this, we surveyed a convenience sample of 73 health professionals including 23 radiologists working in the hospitals surveyed to assess knowledge and level of implementation of radiation protection principles. Also, physical parameters were taken for the calculation of entry doses in paediatric and adult radiology units for comparison with the International Commission on Radiological Protection (ICRP) diagnostic reference levels. After analysis of the data, the following was found: although radiologists have sufficient knowledge of radiation protection standards, technical constraints do not allow them to observe the dose limitation principle recommended by the ICRP. This is why several radiology departments, including those of the HPGRB, the MWANZI clinic and CIRIRI hospital, have proved to be very irradiating for children. However, radiologists and non-radiologists alike do not contribute positively to the optimisation of radiation protection in the diagnostic use of X-rays. Therefore, support in the implementation of radiation protection principles and regular monitoring of the units as well as replacement of non-standard equipment is necessary to promote patient and environmental safety by optimising radiation protection.

关键词： Optimisation Radiation Protection Knowledge/Practice Paediatric Radio Diagnostic Reference

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