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Study of the Factors Associated with Home Delivery in a Situation of Free Care in Senegal

Open Journal of Epidemiology 2017年第4期7卷 326-336页

作者： Adama Faye anta tal-dia Daouda Faye Instute of Health and Development Cheikh Anta Diop University Dakar Sénégal Dental Public Health Service Cheikh Anta Diop University Dakar Sénégal

Introduction: Home delivery is still a health problem in Kolda (Senegal). The aim of this work is to study the factors associated with the place of delivery in a situation of free care delivery. Method: A descriptive and analytical cross-sectional study was carried out. Sampling was in two-stage clusters. The study focused on women who gave birth in the last 12months. The data were collected during an individual interview at home. The collection focused on knowledge, attitudes and practices about delivery. Logistic regression was used to explore the determinants of childbirth at the level of health facility. Results: The average age was 25.4 ± 6.5 years. Among the interviewed women, education was reported in 35% of the women and 55% of women estimate that the closest health facility is within 5 km to their home. The time to get to the nearest health facility is less than 15 minutes for 39% of the interviewed women. The prevalence of home delivery was 43.5%. Home delivery was related to the remoteness of the health facility (2.43 [1.75 - 3.37]) but also to incomplete antenatal care (2.52 [1.59 - 4.00]). Support groups highlighted difficulties of access to health facilities because of remoteness. Interviews revealed a lack of involvement of husbands in seeking care for women. Cultural barriers are still there. Conclusions: Despite the gratuity of delivery, the remoteness of health structures and socio-cultural factors are still barriers to access to care for pregnant women. These aspects must be taken into account in health policies. Multi-lateral interventions should be implemented to provide solutions for this health problem.

关键词： Home Delivery Free Care Health Facility Senegal

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Air Pollution Related to Traffic and Chronic Respiratory Diseases (Asthma and COPD) in Africa

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Health 2017年第10期9卷 1378-1389页

作者： Fatou K. Sylla Adama Faye Mamadou Fall anta tal-dia Institute of Health and Development-Public Health and Preventive Medecine Cheikh Anta Diop University (UCAD) Dakar Senegal Laboratory of Toxicology and Hydrology Cheikh Anta Diop University (UCAD) Dakar Senegal

Introduction: Chronic respiratory diseases (CRD) are obvious effects of air pollution and the third reason of death in developing countries. In Africa, air pollution from road traffic is one of the main causes of poor air quality. We set out to systematically review existing published researches on traffic related to air pollution and CRD, particularly asthma and Chronic Obstructive Pulmonary Disease (COPD) in Africa. Methods: A literature search of PubMed, Scholar and LISSA databases, published journals, reference articles, published up to 31 December 2016, has been done by using a research strategy procedure. Texts were reviewed for inclusion. Studies were included if they met the following criteria: 1) the relationship between asthma or COPD with ambient air pollution related to road traffic was studied and 2) the population included people from Africa or lived in Africa. Articles written in English and French were included. Results: Fifty-five articles were selected in this review, of which twenty-seven were on air pollution and CRD in Africa. The proximity of the residence or workplace to the traffic is associated with an increased risk of asthma with a dose-response relationship. The estimated prevalence of COPD varies between 2.7% and 38.5%. Conclusion: There is little research on traffic related to air pollution and CRD in Africa. Strategies to reduce traffic related to air pollution in African cities have been proposed in order to have a healthier ambient air.

关键词： Air Pollution Traffic Africa Asthma COPD

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Oral care offerings in populations of Ferlo (Senegal): The contribution of traditional dentistry

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Open Journal of Epidemiology 2013年第2期3卷 89-92页

作者： Massamba Diouf Gilles Boetsch anta tal-dia Jean Jacques Bonfil CNRS—UMI 3189 “Environnement Santé Sociétés” Faculté de Médecine Secteur Nord Marseille France Service d’Epidémiologie Faculté d’Odontologie Marseille France Service de Santé Publique et Médecine Préventive Faculté de Médecine Université Cheikh Anta Diop Dakar Sénégal

The aim of this study was to examine whether the offering of traditional treatments can constitute a positive contribution to integrate in an oral public health care settings. Method: This was a cross-sectional study involving 300 people living in the area of Ferlo in East Central Senegal. Selected individuals must be residents of the area over the age of 15 years. Cluster sampling was used as a recruitment method. Data collected concerned the type of oral health care used whether modern or traditional, the periodontal condition (plaque, gingival and bleeding index, attachment loss, pocket depth and CPITN). Dental status was evaluated by DMFT. The data were analyzed with R software and the Student’s t test was used to compare the averages of indices in both groups at the threshold of 5%. A co-variance analysis was allowed in order to determine associations between some indices and therapy type in multivariate approach. Results: Averages of dental and periodontal indices were globally higher in people using modern therapies. DMFT, CPITN and gingival index increased significantly when the type of therapy was modern after adjustment on the plaque index and age. Conclusion: The traditional dentistry could constitute a positive contribution to a public health care, especially in a context of developing country. However, this practice should be guided and validated by a research-based evidence to allow better use of the therapeutic processes, and promote the health of populations.

关键词： Oral Care Supply Senegal Traditional Dentistry

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Assessment of Women’s Dietary Diversity in Southern Senegal

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Food and Nutrition Sciences 2018年第10期9卷 1192-1205页

作者： Jean Augustin Diégane Tine Khadim Niang Adama Faye anta tal dia 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: Lack of dietary diversity is a nutritional problem among poor people in developing countries whose daily diet is usually based on a starch source with one or two additional components. Senegal has food insecure regions such as Kolda and Kedougou despite improved agricultural production. This study aims to investigate the determinants of dietary diversity in the Kolda and Kedougou regions. Methodology: It was a cross-sectional, descriptive and analytic household-level study in two southern regions of Senegal (Kolda and Kedougou) between October and December 2015. This was a three-stage random sample survey. Dietary diversity in women of reproductive age was measured using the Women’s Dietary Diversity Score (WDDS) recommended by Food and Agriculture Organization of the United Nations (FAO). The WDDS is a global qualitative indicator of nutrition, which counts the number of food groups consumed by a person in the 24 hours preceding the survey. The data was collected during an individual interview. Linear regression was used to identify the associated factors of dietary diversity. The free and informed consent of the individuals surveyed and the protection of anonymity were respected. Results: A total of 1926 women were surveyed. The mean of WDDS was 2.9 with a standard deviation of 1.4. The Kedougou department has a better WDDS with 3.3 (±1.2) followed by the Kolda department with a score of 3.2 (±1.3). The higher the household’s welfare score, the better the WDDS with a ßcoefficient of 0.11 [0.09 - 0.13]. Households that are in urban areas have a better score than households in rural areas (0.27 [0.13 - 0.41]). The improvement of knowledge in food diversification, in good culinary practice improves the dietary diversity score in women. Conclusion: The WDDS is low in the southern regions of Senegal. To improve dietary diversification in this area, the practice of good cooking practices, the accessibility of micronutrient-rich foods, and the decisio

关键词： Dietary Diversity Women Kolda Kedougou Senegal

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Study of the Determinants of the Use of Breast Cancer Screening in Women 35 to 65 Years in the Region of Thies (Senegal)

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Open Journal of Epidemiology 2018年第4期8卷 201-212页

作者： Jean Augustin Diegane Tine Khadim Niang Adanminakou Samiratou Adama Faye anta tal dia Department of Preventive Medicine and Public Health Cheikh Anta Diop University Dakar Senegal Institute of Health and Development (ISED) UCAD Dakar Senegal

Introduction: In Senegal, breast cancer is the second most common cancer of women after cervical cancer. It is a cancer accessible to clinical and radiological screening. The objective of this study was to study the determinants of the use of breast cancer screening among women aged 35 to 65 in the Thies region in 2015. Material and Methods: It was a descriptive and analytical cross-sectional study. It was conducted with a sample of women selected using a two-stage cluster survey. The study used a questionnaire to collect data on the individual characteristics of women, knowledge, attitudes and practice on breast cancer and quality of care in an individual interview at the homes of women after consent. The data was entered on the Epi Info 3.5.3 software and analyzed with the R 3.3.3 software. A description of qualitative variables across proportions and quantitative variables by mean and standard deviation was performed. Parametric or non-parametric tests were used to examine the association between the dependent variable (breast cancer screening) and explanatory variables (predisposing factors, resources, health needs) according to their applicability conditions and at a risk α equal 5%. Finally, all variables with p less than 0.25 were used to construct an explanatory model by simple logistic regression. Results: The study involved 960 women aged 35 to 65 years. The average age was 43.8 years with a standard deviation of 8.3 years. The rate of breast cancer screening was 25.7%. Educated women (OR adjusted = 1.89 [1.25 - 2.85]), women who resided in urban settings (adjusted OR = 1.79 [1.05 - 3.04]), those who experienced at least one risk factor for breast cancer (OR adjusted = 2.71 [1.81 - 4.06]) were more likely to use screening breast cancer. In contrast, women with low socioeconomic status (adjusted OR = 0.66 [0.45 - 0.97]) were less likely to be screened. Conclusion: Level of education, knowledge of breast cancer and having received screening advice are factor

关键词： Cancer Breast Screening Determinant Senegal

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Traffic Air Pollution and Respiratory Health: A Cross-Sectional Study among Bus Drivers in Dakar (Senegal)

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Open Journal of Epidemiology 2018年第1期8卷 1-13页

作者： Fatou K. Sylla Adama Faye Mor diaw Mamadou Fall anta tal-dia Institute of Health and Development-Public Health and Preventive Medecine Cheikh Anta Diop University (UCAD) Dakar Senegal Laboratory of Physiology and Functional Explorations University of Cheikh Anta Diop Dakar Senegal Laboratory of Toxicology and Hydrology Cheikh Anta Diop University (UCAD) Dakar Senegal

Introduction: Road traffic exposes bus drivers to the detrimental effects of air pollutants on respiratory health. This study determined the frequency of chronic respiratory illnesses and its related factors among bus drivers in Dakar, Senegal. Methods: This study had a cross-sectional design conducted in a total of 178 bus drivers in Dakar, Senegal. A questionnaire was used to inquire about socio-economic characteristics, occupational factors and respiratory symptoms of bus drivers. Lung function tests were used to determine the presence of asthma and Chronic Obstructive Pulmonary Disease (COPD). The relationship between our variables of interest and respiratory diseases was determined by logistic regression analysis. Results: The results of the study show that 57.9% of bus drivers had a chronic cough, and 65.7% had recurrent cold. Lung function tests showed that 38.8% of bus drivers had asthma and 30.3% COPD. Multivariate analysis found that recurrent cold increased the risk of asthma (OR = 6.3, 95% CI: 1.12 - 35.79) and COPD (OR = 7.7, 95% CI: 1.14 - 52.8). The respiratory health status of bus drivers depended on the work area (OR = 3.2, 95% CI: 1.13 - 9.31). Conclusion: The respiratory symptoms and illnesses observed among bus drivers are associated with their exposure to air pollutants from road traffic.

关键词： Air Pollution Bus Drivers Asthma COPD Senegal

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Availability,Management and Use of Priority Life-Saving Medicines for Under-Five Children in Two Health Districts in Senegal:A Cross-Sectional Study

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Health 2020年第2期12卷 204-218页

作者： Oumar Bassoum Abou Ba Alioune Badara tall Oumou Khairy Kane Adama Faye Ibrahima Seck anta tal-dia Department of Preventive Medicine and Public Health Faculty of MedicinePharmacy and OdontologyCheikh Anta Diop UniversityDakarSenegal Institute of Health and Development Cheikh Anta Diop UniversityDakarSenegal University Service of Pediatrics Faculty of MedicinePharmacy and OdontologyCheikh Anta Diop UniversityDakarSenegal National Hospital Center Dalal Jam DakarSenegal Department of Community Health Alioune Diop UniversityBambeySenegal Faculty of Medicine Pharmacy and OdontologyCheikh Anta Diop UniversityDakarSenegal

Under-five mortality remains a major concern in the world and in Senegal. It is mainly due to preventable and treatable diseases with priority life-saving medicines for under-five children. This study evaluated the availability, management and use of these drugs in two health districts in Senegal. A descriptive cross-sectional study was conducted in the health districts of Guediawaye and Pete from 01 November 2018 to 31 January 2019. The health district of Guediawaye is in the region hosting the Senegalese capital while that of Pete is located in the region of Saint Louis, northern Senegal. Nine drugs that can prevent and treat malaria, diarrhea, pneumonia and malnutrition were selected. An inventory form and a self-administered questionnaire were used to collect data that was analyzed with SPSS and expressed as a percentage and average. Drug availability was 50.4% and 54.3% in Guediawaye and in Pete, respectively. Average stock-out duration in the past three months was estimated at 22.6 and 26 days, respectively. The drug management was marked, on the one hand, by a good availability of stock cards in the two districts with proportions equal to 100% and 94.1%, respectively, and on the other hand, by the presence of expired stocks in Pete (12.2%). About 79% and 88% of prescribers reported prescribing the basket drug, respectively. These results show that access to priority life-saving medicines for children remains a challenge. Measures to be taken should include improving the distribution channels and training of health professionals. Further studies should be conducted in other health districts to better understand the barriers to access to child health services.

关键词： Priority Life-Saving Medicines Access Under-Five Children Senegal

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Perceptions of Actors on the Community-Based Maternal and Neonatal Health Services Project at the Kolda and Sedhiou Regions

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Health 2018年第12期10卷 1749-1763页

作者： Alioune Badara tall Jean Augustin Diegane Tine Awa Gaye Abdoul Aziz Ndiaye Adama Faye anta tal-dia UFR SDD/Bambey University Bambey Senegal FMPOS/ISED/UCAD Dakar Senegal

Introduction: The health of mothers and children remains a major concern in developing countries. Infant and maternal mortality rates, although declining, are still high. Access to health services is a major obstacle to reducing maternal and infant mortality. To support the Ministry of Health and Social Action in the implementation of its Strategic Plan for Reproductive Health (2012-2015), the NGO Micronutriment Initiative has developed a project based on community-based maternal and neonatal health services (CBMNHS) in the Kolda region. The general objective of this study is to collect the perceptions of the actors on the Community-Based Maternal and Neonatal Health Services project in the Kolda and Sedhiou regions. Method: This was a qualitative study consisting of an evaluation of the activities carried out within the framework of the CBMNHS project at the level of the intervention zone. The study focused on support groups, community actors, post nurses and implementers of the intervention. Sampling was comprehensive for community actors and nurse heads. Focus groups and in-depth individual interviews were used to assess the perceptions of women and support groups, as well as to better understand the dynamics of the intervention. The content analysis was performed to exploit the qualitative data. Results: All local and national health authorities interviewed are unanimous about the relevance of the project. The project’s strategies are essentially community-oriented. Thus, a large number of committees have been set up. A total of 1258 support groups were set up during the project, distributed as follows: 260 grandmother groups (Grandmothers Strategy);266 groups of pregnant women (Pregnant Women’s Solidarity Circles);248 Care Group;468 community watch and alert circles and 16 Future Fathers’ Groups (Future Fathers’ Solidarity Circles). These committees aimed to involve women of reproductive age, mothers, mothers-in-law and fathers. More than 70% of women surveyed

关键词： Perception Maternal and Neonatal Health Community Kolda

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Epidemiological and Clinical Aspects of Domestic Violence in Senegal

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Health 2017年第10期9卷 1404-1415页

作者： Mamadou Makhatr MBacké Leye Ibrahima Seck Adama Faye Mayassine Diongue Ousseynou Ka Marème Sougou Ndeye anta tal dia Department of Preventive Medicine and Public Health University Cheikh Anta DIOP of Dakar (UCAD) Dakar Senegal Department of Preventive Medicine and Public Health UCAD Dakar Senegal University of Bambey Diourbel Senegal

Introduction: Despite being under-reported, domestic violence remains a significant challenge in Senegal. The aim of this study is to provide a descriptive analysis of the epidemiological and clinical factors characterizing domestic violence in Senegal. Methodology: A descriptive and retrospectively observational study was conducted. The data was collected from the court records of female victims of physical and/or sexual violence registered from 2006 to 2015. Female victims of physical and/or sexual violence at the hands of their husbands who had a court record at one of Senegal’s high courts during this period were also included. All records that met the inclusion criteria were selected for the study, and the data was analyzed using Epi Info 3.3.2. Results: According to the court records of 148 female victims of domestic violence, the average age of the victims was 30.6 ± 10.1 years. More than 3/4 (76.4%) of the victims were housekeepers, 82.4% of whom were uneducated. The average age of the perpetrators was 40.4 ± 11.4 years, and they were self-employed in the informal sector in 47.3% of the cases. Additionally, more than 3/4 (78.4%) of the perpetrators were uneducated. Eleven women (8% of the victims), were abused while pregnant. Physical violence was predominant (95.3%), while those associated with sexual assault accounted for 4.7% of cases. Of the 7 recorded cases of sexual violence, 3 were cases of unwanted sexual touching, and all cases of physical violence were cases of assault and battery. The violence took place at the home of the perpetrators in 81.8% of cases. In 84.7% of the cases, victims received treatment and care within 24 hours or less. Among the victims, 73% showed clinical lesions. Contusions, hematomas and penetrating wounds were most frequent, representing 23.1%;19.4% and 13.9% of cases respectively. Conclusion: Despite the low number of cases registered in the judicial system in the past ten years, much more violence is occurring without bein

关键词： Violence Domestic Women Couple Prevention Senegal

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Study of Factors Associated with the Age of Natural Menopause in Menopausal Women Aged 30 to 80 Years from the Keur Massar Health District in 2015 (Senegal)

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Health 2020年第10期12卷 1333-1344页

作者： Fatoumata Binetou Diongue Adama Faye Khadim Niang Jean Augustin Diégane Tine Amadou Ibra diallo Rodrigue Magloire Eyema anta tal-dia Health and Development Institute Cheikh Anta Diop University of Dakar Dakar Senegal

Introduction: Menopause is a biological phenomenon that occurs at a more or less early or late age in the life of every woman. The general objective is to study the factors associated with the age of natural menopause in menopausal women aged between 30 and 80 years who have gone through down Keur Massar health district in 2015. Methodology: This was an observational, cross-sectional, descriptive and analytical study conducted in Keur Massar health district from December 1st to 10th, 2015. Two-stage cluster sampling was conducted. Data were collected during an individual interview at home after consent. They covered socio-economic conditions, health and nutrition status, gynecological-obstetrical history, and lifestyle. A multivariate analysis was performed using the Cox model with a 5% risk of alpha error. Results: A total of 627 postmenopausal women were surveyed. Mean age of these women was 54.5 years (±8.6 years). A proportion of 72.1% of the women was married and 46.7% was in school. Mean age of natural menopause was 47.1 years (±5.03 years). The median age of natural menopause was 47 years. Factors associated with the age of natural menopause were high parity of more than 4 children (Hra = 0.35 [0.13 - 0.92]), the existence of frequent childhood illnesses (Hra = 1.72 [1.13 - 2.64]), use of the intra-uterine device—IUD—as a modern contraceptive method (HRa = 0.39 [0.24 - 0.63]), sibling size (HRa = 0.85 [0.78 - 0.93]), family size (HRa = 1.03 [1.01 - 1.06]), and polygamy regime (HRa = 0.56 [0.37 - 0.85]). Conclusion: Many factors in childhood as well as during the period of female genital activity can impact the age of natural menopause. It is then important to improve the health status of women, children and the standard of living of the population.

关键词： Age Menopause Associated Factors Survival Senegal

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