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Impact of Therapeutic Education on the Viral Load of HIV Infected children and Adolescents on Antiretroviral Therapy at the Douala Laquintinie Hospital, cameroon

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International Journal of clinical Medicine 2019年第3期10卷 109-121页

作者： c.lixte ida penda Anne-cécile Zoung-Kanyi Bissek Serge clotaire Bilong Loic-Ardin Boupda cécile Okala Francis Atéba Ndongo Grace Dallé Ngondi Else c. Moukoko Eboumbou Louis Richard Njock Olivier Koki Ndombo clinical Sciences Department Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon Laquintinie Hospital Douala Douala Cameroon Faculty of Biomedical Sciences University of Yaoundé 1 Yaoundé Cameroon Division of Operational Research in Health Ministry of Public Health of Cameroon Yaoundé Cameroon National HIV Drug Resistance Surveillance and Prevention Working Group Yaoundé Cameroon Groupe Technique central—cNLS Yaoundé Cameroon Biological Sciences Department Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon clinical Biology Laboratory General Hospital Douala Cameroon chirurgical Department Faculty of Medicine and Pharmaceutical Sciences University of Douala Douala Cameroon chantal Biya Foundation Mother-Child Centre Yaoundé Cameroon

Introduction: One of the biggest challenges for HIV-infected adolescents on antiretroviral therapy (ART) is the long-term maintenance of viral suppression, which is the third 90% goal of UNAIDS. Therapeutic Education (TE), process of acquiring abilities and skills that help the patient to live optimally with his illness is one of the strategies that contribute to the achievement of viral suppression through the therapeutic adhesion contract and the follow-up of the patient. The aim of this study was to evaluate the impact of TE on the virologic response of children and adolescents aged 8 - 19 under ART and followed up at the Laquintinie Hospital of Douala (LHD). Method: A cross-sectional study was conducted at the Pediatric Unit of the HIV/AIDS Accredited Treatment center (ATc) at LHD from February to May 2016. children and adolescents aged 8 to 19 years on ART, followed in ATc/LHD whose parents had agreed to participate in the study, and who had achieved at least one viral load before and after initiation of TE, were recruited consecutively during routine medical follow-up. Data were collected from patients’ medical records and questionnaires administered to study participants. Results: A total of 198 children and adolescents were included in this study with an average age of 14 years (±3). In this study population, 86.1% of children aged 8 - 10 years had acquired knowledge of the importance of taking medications, 95.4% and 97.3% of adolescents aged 11 - 14 years and 15 - 19 years had knowledge of medication schedules respectively. Among children and adolescents with undetectable viral load prior to initiation of TE, 76.5% maintained an undetectable viral load after initiation of TE. In addition, 72.3% of those whose viral load was detectable before initiation of TE had acquired an undetectable or decreasing viral load after initiation of TE. The only exposure factor significantly associated with maintaining undetectable viral load after initiation of TE was

关键词： HIV children Adolescents Therapeutic Education cameroon

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Adolescent Pregnancy: Epidemiological Survey in Schools and Obstetrical Outcomes in Douala (cameroon)

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Open Journal of Obstetrics and Gynecology 2020年第9期10卷 1163-1175页

作者： Essome Henri Eposse Ekoube charlotte Egbe Obinchemti Thomas D. c. Kedy Koum Halle Ekane Gregory Nana Njamen Théophile penda ida c.lixte Boten Merlin Tocki Toutou Grâce Foumane Pascal Laquintinie Hospital in Douala Douala Cameroon Faculty of Medicine and Pharmaceutical Sciences of Douala University of Douala Douala Cameroon Douala General Hospital Douala Cameroon Faculty of Health Sciences of Buea University of Buea Buea Cameroon Faculty of Medicine and Biomedical Sciences of Yaoundé University of Yaounde 1 Yaounde Cameroon

Introduction: According to the World Health Organization (WHO), adolescence is the period of growth between 10 and 19 years of age. complications from pregnancy are the second leading cause of death for adolescent gir... 详细信息

Introduction: According to the World Health Organization (WHO), adolescence is the period of growth between 10 and 19 years of age. Complications from pregnancy are the second leading cause of death for adolescent girls aged 15 to 19 worldwide. Objective: In order to reduce the phenomenon of early pregnancy, we set out to determine its prevalence as well as its outcome among adolescent girls in secondary schools in the Douala 3rd district in Cameroon. Methodology: To achieve our objective, we conducted an analytical case-control study from November 08, 2018 to June 26, 2019, in ten secondary establishments in the Douala 3rd district. Included in the study were all adolescent girls, students in one of the secondary schools in the said district who agreed to participate in the study. Data analysis was done using SPSS 20.0 software. The significance threshold was set at p 0.05. Results: A total of 445 adolescent girls were selected, including 89 cases and 356 controls. In 87.6% of the cases, the pregnancy was accidental and 58.4% used voluntary abortion. The univariate analysis of the results showed that the factor associated with the occurrence of teenage pregnancies was the age above 17 years (OR = 1.44;CI = 1.31 -

关键词： Pregnancy Adolescence clandestine Abortion

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