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The Perception of Health Work.rs and Stak.holders Involved in the Process of Selecting Indigent in Burk.na Faso

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Health 2020年第9期12卷 1169-1185页

作者： Sidibe Souleymane Godin Isabelle Ilboudo Bernard drabo k. maxime Health Science Training and Research Unit University I Professor Joseph Ky Zerbo Ouagadougou Burkina Faso Social Approaches to Health Research Center ULB Bruxelles Belgium National Institute of Public Health Center Ouagadougou Burkina Faso Health Science Training and Research Unit Health Science Research Institute CNRST University I Professor Joseph Ky Zerbo Ouagadougou Burkina Faso

Back.round: Indigent selected for their health care is complex and poses enormous challenges. The actors involved have an influence on health actions and their perception is decisive for better care for the indigent.... 详细信息

Background: Indigent selected for their health care is complex and poses enormous challenges. The actors involved have an influence on health actions and their perception is decisive for better care for the indigent. Little evidence exists on these perceptions and this paper has captured this. Methods: A case study involved 163 participants with a questionnaire and an interview guide. The quantitative responses were classified according to a measurement scale, proportions and overall indices of perception (Ip) and satisfaction (CSAT) were calculated. The relationship between variables was investigated using chi-square. Thematic analysis was used with qualitative data. The study met ethical requirements. Results: The participants had a positive perception of the selection: Ip = 0.77, but a minority (1/5) were dissatisfied with the selection. The perception of selection did not differ significantly depending on the experience of the actors. For the vast majority, the definition of indigent was satisfactory (CSAT = 91.4). The selection was done in a top down fashion and steps such as setting up committees, informing stakeholders, had shortcomings which negatively impacted the effectiveness of the selection. The needs of the participants included transparency in the indigent select process, matching the tools for selecting the indigent to the context, strengthening of local action, deconstruction of prejudices in terms of the indigent, power of actors to act, and importance for health services to reach out to the indigent. Conclusion: Consider

关键词： Perception Community Selection Indigents Health Work.rs Actors Involved Burk.na Faso

Preferences and Motivations of Women Who Use Traditional Contraceptive Methods to Avoid Pregnancy in Sub-Saharan Africa: A Systematic Review

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Advances in Sexual Medicine 2022年第2期12卷 47-64页

作者： Nestor Bationo Patrice Alain Ngangue Dieudonne Soubeiga Yacouba Pafadnam Abibata Fleur Barro Hermann Pilabre Ahmed k.bore Sulpice Adognibo maxime k. drabo Institut de Formation et de Recherche Interdisciplinaires en Sciences de la santé et de l’Education Burkina Faso Université McGill Montréal Canada Université Joseph k.-ZERBO Burkina Faso Centre National pour la Recherche Scientifique et Technologique Burkina Faso

Introduction: When it comes to family planning, requirements and preferences vary among couples. Because of their mixed effectiveness, traditional contraceptive methods are often associated and accounted as unmet needs. However, interest in these methods is growing significantly. Nevertheless, k.owledge of the reasons for the decision and using traditional contraceptive methods remains limited. The purpose of this study was to identify the preferences and motivations of women who use traditional contraceptive methods to avoid pregnancy in Sub-Saharan Africa. Method: A literature search was conducted in three electronic databases (PubMed/Biomed Central/Medline, Embase, CINAHL). Two independent individuals selected the eligible quantitative, qualitative, and mixed studies published between 2011 and 2020. We conducted a narrative synthesis to organize and group preferences and motivations that facilitate traditional contraceptive methods use. Results: Abstinence, withdrawal, breastfeeding, rhythm method were the main preferences to contraceptive planning methods identified. Factors influencing the use of traditional contraceptive methods were the lack.of k.owledge, the side effects, the bad experience with the modern contraceptive methods, spousal communication around family planning, the husband’s opposition to modern methods, availability, accessibility, and the absence of side effects as well as the character of the traditional methods, the fact of living in an urban environment as well as the age beyond 30 years. Conclusion: This review identified preferences and motivations for using traditional contraceptive methods. These findings could be considered in different family planning programs to understand their role and help to estimate the contraceptive prevalence better.

关键词： Natural Methods Family Planning Sub-Saharan Africa Women

Why Do Pregnant Women Choose a Planned Caesarean Section in Burk.na Faso? A Qualitative Study

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Open Journal of Obstetrics and Gynecology 2022年第5期12卷 408-416页

作者： Nestor Bationo Noufou G. Nana Adama Ouattara Patrice A. Ngangue Dieudonné Soubeiga Ahmed k.bore maxime drabo Institut de Formation et de Recherche Interdisciplinaires en Sciences de la Santé et de l’Education Ouagadougou Burkina-Faso Université Joseph k.-ZERBO Ouagadougou Burkina-Faso Centre National pour la Recherche Scientifique et Technologique Ouagadougou Burkina-Faso

Despite the complications related to the caesarean section, some couples choose it by desirability. This study aimed to understand the reasons for maternal requests for a planned caesarean section in Burk.na Faso, in the absence of obstetric indications. A qualitative descriptive study was conducted in March 2019, consisting of twelve semi-structured interviews with women requesting caesarean section at Tingandogo Teaching Hospital in Burk.na Faso. The operative reports were also examined. Thematic analysis based on Braun and Clark. approach was performed with QDA Miner software. Twelve patients were involved in the study. The mean age was 33 years. The majority had a higher level of education. Half were employees. The mean stay duration was 72 hours, with an estimated cost of CFA 300.000 (457,347 EUR). The choice of a planned caesarean was motivated by fear of birth (tok.phobia), the positive feeling associated to the surgical technology, the doctor-patient relationship and the confidence in the quality of healthcare services such as reception and hygiene. Maternal reasons for requesting a planned caesarean section in Burk.na Faso are multifactorial. Information, education and communication and shared decision-mak.ng strategies concerning the different modes of delivery and complications at the end of pregnancy, may contribute to reducing this problem.

关键词： Caesarean Section Maternal Request Qualitative Study Tok.phobia Burk.na-Faso

Cirrhosis: Therapeutic Aspects and Outcome for Hospitalized Patients in Burk.na Faso

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Open Journal of Epidemiology 2021年第2期11卷 152-162页

作者： Eric Nagaonlé Somé Félicité W. Nana Isabelle Télarpoa Lompo drabo maxime Roger Sombié Institut de Recherche en Sciences de la Santé (IRSS) Biomedical and Public Health Department Ouagadougou Burkina Faso Université Joseph k.-Zerbo UFR des Sciences de la Santé Gastro-Enterology Department Ouagadougou Bukina Faso

Introduction: Cirrhosis represents 27.63% of the hepatobiliary diseases in Burk.na Faso. We aimed at studying the therapeutic and evolutionary features of the cirrhosis. Patients and methods: We implemented a cross-sectional and descriptive study, collecting retrospectively the data from 1st January 2012 to 31st March 2014. The diagnosis of cirrhosis was based on 1) clinical criteria (an edema-ascitic syndrome with a heterogeneous hepatomegaly with a sharp inferior border or atrophic liver and a portal hypertension);2) biological criteria (a hepatocellular insufficiency syndrome);and 3) ultrasound imaging suggesting cirrhosis. Qualitative variables were presented as frequencies and percentages while quantitative ones were presented as means. Results: The data of 273 patients representing 33.9% of all hospitalizations were analyzed. The hepatobiliary diseases represented 74.7% of all diagnosis. The participants’ mean age was 46.9 years and the sex ratio, 2.7. The HBs antigen and anti-HCV antibodies were positive in 76.5% and 14.6% of the cases, respectively. Ascites was treated with puncture in 40.2% of patients, a salt-free diet (38.8%) and diuretics (54.2%). Hepatic encephalopathy was treated with lactulose in 73.6% of patients and two patients (1.3%) underwent esophageal varices ligation to treat their gastrointestinal bleeding. Lamivudine, tenofovir, and lamivudine-tenofovir combination were administered to 57.4%, 32.8%, and 10% of HBs Antigen positive patients, respectively. Conclusion: Cirrhosis still mostly affects the young and active male population at the gastro-enterology department of the university teaching hospital Yalgado Ouédraogo. Patients show up at a very advanced stage of the disease in poorly prepared health centres. In this context, prevention by the anti-hepatitis B immunization and early systematic screening

关键词： Cirrhosis Hepatitis B Virus Treatment Prognosis Sub-Saharan Africa

Chronic Carriage of Hepatitis B Virus at the University Teaching Hospital Yalgado Ouedraogo: Therapeutic Aspects and Outcome in a Cohort of HBeAg+ Outpatients

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Open Journal of Epidemiology 2021年第3期11卷 245-255页

作者： Eric Nagaonlé Somé Félicité W. Nana Bertrand I. Méda Moussa Son drabo maxime Séni k.uanda Roger Sombié Biomedical and Public Health Department Institut de Recherche en Sciences de la Santé (IRSS) Ouagadougou Burkina Faso Gastro-Enterology Department UFR des Sciences de la Santé Université Joseph Ki-Zerbo Ouagadougou Burkina Faso

Introduction: The HbsAg prevalence in Burk.na Faso was 9.1%. We aimed at describing the therapeutic features and the clinical outcome for the patients tak.ng antiretroviral treatment. Materials and Methods: We implemented a cross-sectional study from January 1st, 2004 to December 31st, 2015. Patients aged more than 15 years with positive hepatitis B surface antigen for over six months and positive hepatitis B e-antigen were included. Results: We analyzed the data of 148 participants for a sex ratio of 3;sixty-three patients including 49 men (77.8%) were on treatment. and 81.5% had inflammatory activity greater than one. Under tenofovir, the normalization of ALT was observed in 42 (84%) patients while HBV-DNA became undetectable in 24/33 patients. HBeAg negativation was observed in 16/25 (64%) patients after seven years of treatment. With lamivudine, 2/9 patients had a complete virologic response and six had a normalization of their ALT. Two and 9 patients lost HBeAg after 7 and 9 years of treatment, respectively. Overall 63% and 27% of the patients were in the high or low-adherence group, respectively. In the low-adherence group, all patients had normal or abnormal ALT, but detectable HBV DNA. Ten patients tak.ng lamivudine developed resistance including primary resistance in three patients. No resistance has been observed with tenofovir. Conclusion: The management of the viral hepatitis B includes often a long follow up period without any medication. When antiviral is indicated, the adherence to the treatment is crucial to a long-term control of the virus. In our setting, the low purchase power of the patients may jeopardize their therapeutic future and there is a need to support this group of patients with free-of-charge medicines as it is provided for the HIV infected people.

关键词： Viral Hepatitis B HBe Antigen Antiretroviral Therapy Adherence Resistance