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Level of Implementation of Seasonal Malaria Chemoprevention in Children Aged between 3 to 59 Months in Koza, Far North Region of Cameroon

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Open Journal of Pediatrics 2023年第5期13卷 707-718页

作者： Djike Puepi Fokam Yolande Kamo Selangai Helene Noukeu Njinkui Diomede Missota Tchahe Mariane Gabrielle Wandji Yanelle Ganni Wele Wilfried Tedongfo Nicolas verla vincent sisyi Department of Internal Medicine and Pediatric Faculty of Health Sciences University of Buea Buea Cameroon Department of Pediatric Faculty of Medicine and Biomedical Sciences University of Garoua Garoua Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Dschang Dschang Cameroon Faculty of Health Sciences University of Buea Buea Cameroon Department of Public Health Faculty of Health Sciences University of Buea Buea Cameroon

Background: Seasonal Malaria Chemoprevention (SMC) is a strategy put in place by World Health Organisation (WHO) to fight against malaria in zones of high seasonal malaria transmission since the year 2012. This strategy has been implemented in the Far North and North regions of Cameroon since the year 2016. Despite the implementation of this program the number of cases and deaths from seasonal malaria among the under 5 seems to be rising in Koza health area. Objective: To determine the level of implementation of the SMC Program and its impact on the mortality of children aged 03 to 59 months during the season of high transmission. Methods: This was a community-based cross-sectional and 7-years retrospective study. Data was surveyed for 3 months in 3 health areas of Koza health area. Data were collected and typed in Kobo collect, cleaned in MS Excel and analyzed in SPSS version 25 to come out with descriptive statistics. Results: Among the 172 households, female children were mostly represented 99 (57%) The age group mostly represented was 2 years. The population knowledge on SMC’s overall score was above average. The overall coverage rate (4 cycles) was 84% from interviewed parents and 67.5% from SMC cards. More than 23% of children experienced at least one side effect with the most common being vomiting (72%). The population’s overall impression of the program was good at 85%. The trends SMC coverage showed a sinusoidal fluctuation from 2015 to 2021, 2016 to 2019 and 2020 to 2021. Conclusion: The coverage rate of SMC was high thus the program is well implemented.

关键词： Level of Implementation Children Parents/Tutors Seasonal Malaria Chemoprevention Koza

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Osteomyelitis in Children with Sickle Cell Disease: A Challenging Diagnosis: Case Report from Cameroon

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Open Journal of Pediatrics 2021年第2期11卷 208-214页

作者： Djike Puepi Fokam Yolande Kukwah Anthony Tufong Tagakou Mboula Jules Andang Paul Mayah Eposse Ekoube Charlotte Diomede Noukeu Njinkui Dominique Enyama Helene Kamo Selangai verla vincent Siysi Department of Internal Medicine and Paediatrics Faculty of Health Science University of Buea Buea Cameroon Buea Regional Hospital Buea South West Cameroon Department of Microbiology and Parasitology Faculty of Sciences University of Buea Buea Cameroon Department of Clinical Sciences Faculty of Health Sciences University of Bamenda Bamenda Cameroon Faculty of Health Sciences University of Buea Buea Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Treatment Centre of Sickle cell Disease Laquintinie Hospital Douala Cameroon Faculty of Medicine and Pharmaceutical Sciences University of Dschang Dschang Cameroon Faculty of Medicine and Biomedical sciences University of Ngaoundere Ngaoundere Cameroon

Introduction: Sickle Cell Disease (SCD) is the most prevalent genetic disease in the world predominantly in the African population with Sickle Cell Anaemia (SCA) being its dominant form. One of the most frequent complications of SCD is osteomyelitis. SCA is due to a point mutation in the beta globin chain of haemoglobin. This is responsible for the sickled shape of RBCs under low oxygen tension conditions leading to obstruction in the microcirculation. This leads to vaso-occlusive crises (VOC) which has a similar clinical presentation to that of osteomyelitis, another complication of SCD. Case Presentation: We present the case of a three-year-old girl with SCA who presented with an inability to bear weight in a febrile context. A diagnosis of VOC was initially made, which was later on changed to both a left chronic tibial and right distal femoral osteomyelitis following a series of biological, and imaging investigations. Surgical debridement and drainage were performed, resulting 9 weeks later in the involution of fever and leg pain. Conclusion: Osteomyelitis when associated with SCD is a dreadful and deathly disease in low income countrie

关键词： Chronic Osteomyelitis Sickle Cell Disease Child

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