Central African Journal of Public Health最新文献

{"title":"Risk Factors of Anaemia Among Pregnant Women in Banyo Health District, Adamawa Region of Cameroon","authors":"Caroline Teh Monteh, Justin Ndié, Joëlle Laure Sobngwi, B. Nkoum","doi":"10.11648/j.cajph.20190505.17","DOIUrl":"https://doi.org/10.11648/j.cajph.20190505.17","url":null,"abstract":"Background: Anaemia in pregnant women remains a major preoccupation in the fight against maternal and infant mortality. It constitutes a sure materno-infantile morbidity and mortality risk, premature delivery and small weight births. Objective: This study was aimed at determining the risk factors of anaemia among pregnant women in the Banyo Health District in the Adamawa Region, Cameroun. Materials and methods: A cross-sectional study was carried out for six weeks (September 17 to November 3, 2013) in 6 health facilities of the Banyo Health District. Included in this study were all pregnant woman received during prenatal consultation in the health facilities of the Banyo Health District who gave her consent to participate in the study. Data collection was done with the help of a questionnaire. A total of 297 pregnant women received during prenatal consultation in the 6 health facilities of the 5 health areas were chosen by the systematic consecutive sampling method. These women benefited from a haemoglobin test after a capillary blood draw was carried out which permitted a para-clinical evaluation of the anaemia. Data were analysed by Excel and SPSS 22 softwares. Results: The results showed that the mean haemoglobin rate was of 10.8±1.89 g/dl. 52.5% of pregnant women were anaemic amongst which 46% had mild anaemia, 48% had moderate anaemia and 6% had severe anaemia. 63% of the women with anaemia live in polygamous household and 55.7% do not wash their hands with soap after a meal. The prevalence of anaemia among pregnant women in the Banyo Health District was associate with the consumption of kaolin (OR=1.9 [1.1-3.9] p=0.049), irregular iron supplement intake (OR=2.9 [1.4-5.9] p=0.014) and the number of meal consumed per day less than or equal to 2 (OR=2.81 [2.13-5.9] p=0.007). On the other hand, regular fruit consumption (OR=0.28 [0.11-0.74] p=0.011), sound knowledge of the causes (OR=0.36 [0.19-0.68] p=0.002) and the consequences (OR=0.35 [0.19-0.7] p=0.003) of anaemia were significantly associated with lesser risk of anaemia among the pregnant women. Conclusion: The high prevalence of anaemia among pregnant women in the Banyo Health District remains a preoccupying health problem. It demonstrates the need of a global action in resolution of this public health problem. As such, there is a need to mobilize a preventive strategy with emphasis on sensitization, nutritional and health education. In addition, maternal systematic iron supplementation from the second trimester of pregnancy remains an imperative.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129220624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral Hygiene Practices and Prevalence of Dental Caries Among School Children in Niger State, Nigeria","authors":"M. Aliyu, Benedict Ubawike Akano","doi":"10.11648/j.cajph.20190505.16","DOIUrl":"https://doi.org/10.11648/j.cajph.20190505.16","url":null,"abstract":"The study investigated the oral hygiene practices and prevalence of dental carries among school children (6 – 12 years) in Niger State, Nigeria. A total of 477 pupils constituting 246 boys and 231 girls were used in the study. Stratified randomly sampling was used in selecting pupils from 9 public primary schools based on high, middle and low socio –economic levels. Data obtained from this study was analysed using percentages and Chi-Square statistic at 0.05 level of significance. Results of the study revealed that, the practice of toothbrushing was not statisfactory among pupils for the reason that a large numbers of pupils 202 (42.3%) did not brush their teeth at all. Also the prevalence and the number of dental caries were greater in the pupils of low socio-economic areas (66.5%) than the others. The high and middle socio-economic areas had a similar overall prevalence of dental caries of 59.4% and 60.1% respectively. Toothbrushing behavior among the pupils was strongly related to the parental education and their socio economic statuses however, there was no statistical significance in the prevalence of dental caries among the socio-economic groups. Health education programmes such as, brushing of teeth twice daily, especially at night before going to bed to improve oral hygiene practices was therefore recommended.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129673657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk Score to Predict Time-to Sputum Smear and Culture Conversions in Patients Treated with Shorter MDR Tuberculosis Regime in Guinea: A Retrospective Cohort Study","authors":"Alhassane Diallo, B. D. Diallo, L. Camara, Gladys Djuiga Fotso, S. Camara, B. Bah, Magassouba Aboubacar Sidiki, A. Barry, T. Diallo, C. Aboubacar, Neneh Bah, Fulgence N’Zabintawali, Souleymane Hassane Haroune, Miguel Lotshutshu, M. H. Diallo, O. Sow","doi":"10.21203/rs.2.14492/v1","DOIUrl":"https://doi.org/10.21203/rs.2.14492/v1","url":null,"abstract":"\u0000 Background Sputum smear and culture examination were used as bacteriological marker to monitor multidrug-resistant tuberculosis (MDR-TB) treatment. We aimed to identify the strongest contributing factors that affect time-to sputum bacteriological conversion, and to develop a practical risk scoreMethods Patients treated with shorter MDR-TB treatment regime between June 07, 2016 and June 22, 2018 from three major drug-resistance TB centres in Guinea, who had a positive smear or culture at baseline, and who had rifampicin resistance were analysed. Sputum bacteriological conversion was defined as two consecutive negative smear or culture taken at least 30 days apart. Cox regression model was used to analyse time-to initial sputum conversion, and to identify influencing factors. A simple risk score was constructed using the regression coefficients from each final model. Time-dependent AUC was used to determine the optimal time points of bacteriological conversion.Results 75% (173/232) of patients with a positive smear and culture at baseline were analyzed. A total, 90.2% (156/173) and 89% (154/173) of the patients had smear and culture conversions in a median of 59 days (inter-quartile range: 59 – 61) respectively. Lower colony count (< 3 +) of initial culture (aHR = 1.52, 1.09 – 2.14) and previously history of TB treatment (aHR = 2.10, 1.26 – 3.51) were more likely to have culture conversion, while only the higher BMI (aHR = 1.10, 1.03 – 1.18) was associated with rapid smear conversion. The predicted risk score from independent predictors showed good discrimination (0.855 ± 0.023 and 0.883 ± 0.02 respectively for smear and culture conversions). Time-to initial culture conversion provided a better discriminative capacity (AUC) to detect patients with higher chance to being treatment success during the first three months.Conclusion The identified predictors can be considered to improve the management of MDR-TB patients. The optimal time points for culture conversion was three months in shorter regime. Keywords: Conversion, Multidrug-resistant, Tuberculosis, Guinea.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114304760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chemical and Antioxidant Analysis of Spirulinaplatensis Products Available in Some Local Market","authors":"Soumen Sarkar, I. Jahan, R. Karim, A. Ud-Daula, Abu Taher Mohammed Mijanur Rahman, Salim Raza","doi":"10.11648/J.CAJPH.20190505.15","DOIUrl":"https://doi.org/10.11648/J.CAJPH.20190505.15","url":null,"abstract":"A comparative study was conducted to evaluate quality of Spirulinaplatensis products like powder and tablets that were manufactured by different companies in Bangladesh. The powder form was collected from Bangladesh Spirulina Company Ltd. and was named as SP-1. On the other hand, the tablets were collected from Eureka International, Life Line International and Evergreen Enterprise’s and were as named as SP-2, SP-3 and SP-4, respectively. The parameters investigated in this study were moisture content, ash content, acid insoluble and acid soluble ash content, crude fat content, nitrogen and protein content. Additionally, the amount of different solvent extracts, phytochemical screening, determination of total phenolic and flavonoids contents and antioxidant activity (DPPH radical scavenging activity), reducing power assay and total antioxidant activity and elemental analysis were also investigated. DPPH radical scavenging activity, reducing power assay and total antioxidant activity of all samples extract of four varieties showed significant/good/moderate activity, especially methanol and water extracts showed significant activity. All the four varieties of Spirulinaplatensis possessed good reducing power. Results of elemental analysis of four verities of Spirulinaplatensis showed significant difference. Analysis of mineral composition revealed the presence of sufficient amount of minerals such as sodium, potassium, iron and zinc. High levels of potassium were observed in all the samples. Heavy metals were also analyzed like lead, copper, chromium etc. Some of the samples were found to have contained lead in significant amounts. The reducing powers of the methanol and water extracts of four different samples (Spirulinaplatensis) were found to be significant in comparison with the standard ascorbic acid. The total antioxidant capacities of the methanol and water extracts of four different samples (Spirulinaplatensis) were found to be moderately significant in comparison with the standard ascorbic acid. From the result of this study, it is observed that different samples of Spirulinaplatensis contained different amount of physicochemical, chemical and antioxidant properties. However, among of the four products, SP-3 was found to have the best quality.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"180 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133436340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Uptake of Modern Contraceptive Methods Among Clients of Post-Abortion Care Services in Urban Guinea","authors":"T. M. Millimouno, A. Delamou, S. Sidibé, Delphin Kolié, J. Leno, T. Delvaux, Y. Hyjazi","doi":"10.11648/J.CAJPH.20190505.14","DOIUrl":"https://doi.org/10.11648/J.CAJPH.20190505.14","url":null,"abstract":"In West Africa, there are limited data on the uptake of modern contraceptive methods among post-abortion care (PAC) clients. This study aimed at describing the knowledge, attitudes and practices of PAC clients towards modern contraceptive methods and identifying the factors associated with the uptake of long-acting contraceptive methods in Guinea. We conducted a cross-sectional study from March to August 2014 with a sample of 426 PAC clients in two communal medical centres in Conakry. Data were collected using a structured questionnaire and analysed using Stata software, version 14. A logistic regression was conducted to identify the factors associated with the uptake of long-acting contraceptive methods. Overall 45,5 % were students, and among them, 66.9% had a secondary or higher level of education. Among the respondents 21,8% had a history of abortion. Induced abortion (83.6%) was the most common type of abortion leading women to seek PAC services. Most of clients (73.6%) had previously heard about family planning (FP), either at school (42.7%), in a health facility/pharmacy (26.5%) or in the neighbourhood (5.9%). Among them, only 34% had used a contraceptive method in the last six months prior to the PAC visit. However, 79.1% of the sample had an unmet need for FP. During the PAC visit, 86.6% of women expressed a desire to postpone any pregnancy in the next 12 months. Overall, 388 women (91.1%) adopted a modern contraceptive method. Most of women (n=375; 96.6%) obtained the chosen contraceptive method before discharge. The intra-uterine device (IUD) was the preferred contraceptive method for women (n=130; 34.7%) followed by implants (n=107; 28.5%). Having a history of abortion (OR= 2.5; CI= 1.3-4.7) and a non-desire for pregnancy in the following 12 months (OR= 4.8; CI= 2.0-11.5) were the factors statistically significantly associated with the uptake of long-acting contraceptive methods. In our context, induced or unsafe abortion mainly concerned students. There is a need to improve the uptake of contraceptive methods, especially among students and intensify awareness on the consequences of unsafe abortion among youths.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126659948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determinants on Levels of Nursing Faculty Support Towards Student Nurse Midwives Performance During Midwifery Clinical Practice","authors":"Millicent Gatwiri Kabiru, B. Omuga, L. Geteri, T. Ndwiga","doi":"10.11648/J.CAJPH.20190505.12","DOIUrl":"https://doi.org/10.11648/J.CAJPH.20190505.12","url":null,"abstract":"Background: This study focused on the midwifery clinical practice for student nurse midwives at Kenya medical training college and its constituent’s colleges. Chi square was used to establish the relationship between demographic factors, institutional support and social cultural factors, which correlated with midwifery clinical practice performance, for student nurse midwives during clinical training. Methodology; Mixed method was adopted where 300 final year Kenya registered community nurse students were randomly selected from 8 nursing campuses. Data was collected using a pretested, self-administered questionnaire, Focused group discussions from students, elicited the qualitative data. Ethical approval was granted by Great Lakes University of Kisumu ethical review committee and the Kenya Medical Training College Institutional Research Committee. Results; Data was analyzed using SPSS version 19 and presented using descriptive and inferential statistics whereby logistical regression was used to compare the outcomes. Qualitative data was transcribed into themes for comparison with quantitative statistical findings. The study identified crucial determinants of student nurse midwives performance, during midwifery clinical practice. This study found that there was significant relationship between good institutional support and clinical practice performance, in clinical assessments and progress report scores. Strong social cultural influence, was significantly related to clinical practice performance with those with strong influence, performing poorer than those that had weak influence [OR 0.48, 95% CI 0.26-0.89, p = 0.02]. However, demographic characteristics were not significantly related to performance in this particular study. Conclusion; The study concludes that faculty and clinical practice environment support was significant to good clinical practice performance and a good consideration in student nurse midwives training. Social cultural factors should be considered when training midwives, considering the sensitivity, of reproductive health issues among different communities in Kenya. Recommendation; The study recommends that nursing and midwifery faculties should enhance policies for lecturers and clinical instructors to teach and guide students during clinical practice. Social cultural issues should be addressed at training level, to optimize clinical practice performance and institutional support during student clinical practice.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126893218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Prognosis Nomogram of Treatment Outcomes for MDR-tuberculosis in Guinea (Conakry): A Retrospective Cohort Analysis","authors":"Alhassane Diallo, B. D. Diallo, L. Camara, M. Diallo, S. Camara, B. Bah, A. Camara, AS Magassouba, A. Barry, T. Diallo, Lotshutshu Miguel, M. H. Diallo, O. Sow","doi":"10.21203/rs.2.13071/v1","DOIUrl":"https://doi.org/10.21203/rs.2.13071/v1","url":null,"abstract":"\u0000 Abstract\u0000 \u0000Background: Despite the availability of the drug treatment for tuberculosis (TB) more than 75 years, mortality and drug resistance are increasing. Therefore, little data is available in Guinea. We aimed to develop and validate a prognosis nomogram of MDR-TB treatment outcomes.\u0000 \u0000Methods:A retrospective cohort study was conducted among men and women, aged 18 years or older, with MDR-TB, from three major drug-resistance TB centres in Guinea. We used the logistic regression to analyse treatment outcomes. Prognostic factors with a p value less than 0.05 from a multivariate model were used to build nomogram and assessed their performance based on discriminative c-index, and calibration using the Hosmer-Lemeshow (H-L) test. To derive the optimal cut-off point score, the Youden’s index method was used.\u0000 \u0000Results:Among 232 patients with MDR-TBenrolled and followed between June 07, 2016 and June 22, 2018, 218 were analyzed. All patients were resistant to rifampicin, which diagnosed by the Xpert MTB/RIF. The overall rate of success was 73%.Factors associated with successful treatment in drug-resistant TB patients were higher BMI more than 18.5 kg/m2(p = 0.0253; aOR = 2.94), good adherence to treatment (p = < 0.0001; aOR = 33.92), normal platelets count (p = 0.0053; OR = 1.004), and the absence of clinical symptoms such as chest pain (p = 0.0083; aOR = 3.19) and depression (p = 0.0308; aOR = 8.62). The discrimination (c-index= 0.848 [95% bootstrap CI, 0.780 – 0.916] in the derivation sample and 0.803 after correction for optimism) and calibration (H-LX2= 2.91 [p = 0.94]) were good. The optimal absolute risk threshold was 20%, corresponding to a sensibility of 95% and specificity of 58%.\u0000 \u0000Conclusion:Treatment success outcomes was lower than those recommended by the World Health Organization (75%). We recommend to improve the MDR-TB patient monitoring during treatment, nutritional status, and considering the psychological state. Our prognosis nomogram needs to be validated in an external population before it can be used in clinical practice.\u0000 \u0000Keywords:Nomogram, Multidrug-resistant, Tuberculosis, Guinea.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115435028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Asphyxia and the Occurrences of Perinatal Death in Anutapura General Hospital of Palu in 2018","authors":"Rosmala Nur, Nurhaya S. Patui, Sitti Radhiah, S. Rahayu, Elvaria Mantao, R. Larasati, Ulfa Aulia, Gabriella Bamba Ratih Lintin, H. R. Ngemba, S. Hendra","doi":"10.11648/J.CAJPH.20190505.11","DOIUrl":"https://doi.org/10.11648/J.CAJPH.20190505.11","url":null,"abstract":"Background and objective: Perinatal death is fetal death at 28 weeks of gestation or more and infant mortality in the first 7 days of life. WHO data in 2015 showed that 4.5 million babies died in the first year of life. This study aimed to find out the risk factors for perinatal death at Anutapura General Hospital (RSU) of Palu in 2018. Methods: The method used was observational research with a case control approach. The case subject was mothers who had perinatal death and the control group was mothers of infants who did not experience perinatal death. There were 22 case samples and 88 controls with baby age matching. Sampling was done by simple random sampling technique. Results: Data analysis used odds ratio test with α = 5%. The results showed that Asphyxia (OR = 3.988 and CI = 1.097-14.501), Low Birth Weight (LBW) (OR = 2.100 and CI = 0.800-5.510) and Congenital Abnormalities (OR = 5.190 and CI = 3.534-7.623). Conclusions: Asphyxia, LBW, and Congenital Abnormalities are risk factors causing perinatal death. Recommendations: The mothers are expected to get early familiarization regarding the signs in pregnancy, increase ANC visits to control maternal and fetal health and pregnancy planning.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126574786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment on Prevalence of Tinea Capitis and Its Associated Factors among School Children in Addis Zemen, Northwest Ethiopia, 2016","authors":"Sefanit Lulekal, Sineshaw Abera, Sisay Misganaw, Sisay Urgie, Sora Asfaw","doi":"10.11648/J.CAJPH.20190504.16","DOIUrl":"https://doi.org/10.11648/J.CAJPH.20190504.16","url":null,"abstract":"Tinea capitis also known as \"herpes tonsurans ringworm of the hair, ringworm of the scalp and tinea tonsurans is a cutaneous fungal infection (dermatophytosis) of the scalp. It is a common infection especially in poor socioeconomic settings. This study determines the high prevalence of Tinea capitis and its associated factors in school children in Addis Zemen, South Gondar, North west Ethiopia. The objective of this study is to assess Prevalence and associated factors of Tinea capitis among school children in Alabo elementary school, Addis zemen. A Cross sectional study was carried out among 405 school children in Addis zemen in 2016. The data were collected by interviewer administrated questionnaire and physical examination. The collected data was entered and analyzed by SPSS version 20, Binary logistic regression was done to assess the association between each independent and dependent variable. Hosmer-lemeshow goodness-of-fit was also done to assess the reliability of our data. P-value and odds ratio was done to assess the magnitude and strength of the correlation between covariates and dependent factor. Among 405 school children the prevalence of tinea capitis was 88 (21.7%) with 95%C.I=18.3-26.2; Of which it is significantly associated with age (AOR=5.92, 95%C.I= 1.51-23.21), family size (AOR=3.12, 95%C.I=1.25-7.81), occupational status of mother (AOR=0.193, 95%C.I=0.05-0.86), bed room sharing (AOR=5.62, 95%C.I=1.09-28.84), comb sharing (AOR=3.86, 95%C.I=1.68-8.87), and family member with same symptom (AOR=8.54, 95%C.I=3.26-22.35). in conclusion Tinea capitis is prevalent in Addis Zemen, Northwest Ethiopia, risking children to poor quality of life associated with different risk factors.Provision for prevention and control should be set in the community, schools and health facilities focusing on health education, sanitation and hygiene control programs.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127820061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of the 2014/2015 Ebola Outbreak on Malaria Management in Pregnant Women: A Comparative Study of an Ebola Affected and Unaffected Rural District of Guinea","authors":"Delphin Kolié, B. Camara, K. Kourouma, F. M. Grovogui, A. Delamou, A. Béavogui, V. Hermans, C. Muller, J. Edwards, J. Griensven, R. Zachariah","doi":"10.11648/J.CAJPH.20190504.13","DOIUrl":"https://doi.org/10.11648/J.CAJPH.20190504.13","url":null,"abstract":"This study aimed to measure the effects of Ebola outbreak on antenatal care attendance and malaria management in pregnant women in Guinea. A retrospective cross-sectional study was conducted in two rural malaria-endemic health districts: on the epicentre of the West African Ebola outbreak (Gueckedou) and the other spared by Ebola (Koubia). Data were compared over similar periods of high malaria transmission before, during and after the Ebola outbreak. There were substantial declines in antenatal care visits in Gueckedou, from a monthly average number of 7,208 before the outbreak to 3,151 (57% decrease) during and 2,843 visits (61% decrease) after it while this indicator increased across the same periods in Koubia. In Gueckedou, the number of SP first doses provided dropped from 2,566 before the outbreak to 1,263 (51% decrease) during and 1,010 (61% decrease) after the Ebola outbreak (P < 0.001) while in Koubia, the decline was by 13% and 24% during and after the outbreak from an average number of 499 doses before it (P < 0.001). Fever cases increased by 43% and 38% during and after the outbreak respectively in Gueckedou and by 28% during and 11% after the outbreak in Koubia. Untreated malaria cases represented 11% and 12% of confirmed malaria cases during and after the outbreak respectively compared to 3% before it in Gueckedou, while in Koubia no untreated case was seen across these periods. There is need to uphold malaria services during future outbreaks.","PeriodicalId":339086,"journal":{"name":"Central African Journal of Public Health","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121729454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}