Journal of Public Health in Africa最新文献

{"title":"Perceptions about COVID-19 vaccine among healthcare workers in Rwanda: A mixed-methods study.","authors":"Erigene Rutayisire, François X Ndayambaje, Sembuche Senga, Raji Tajudeen, Darius Uzabakiriho, Solange Nikwigize, Marie F Muremba, Eric Remera, Tonny Muwonge, Leah Mbabazi, Rodgers R Ayebare, Francis Kakooza, Tamrat Shaweno, Nebiyu Dereje, Elizabeth Gonese, Mosoka P Fallah, Ayman Ahmed, Jean Claude S Ngabonziza","doi":"10.4102/jphia.v16i1.668","DOIUrl":"https://doi.org/10.4102/jphia.v16i1.668","url":null,"abstract":"<p><strong>Background: </strong>Healthcare workers (HCWs) are crucial for coronavirus disease 2019 (COVID-19) vaccination programmes, but their perceptions of the vaccine, particularly in low-income countries, are underexplored. This study investigated HCWs perceptions of the COVID-19 vaccination in Rwanda.</p><p><strong>Aim: </strong>This study aimed to understand HCWs' perceptions of the COVID-19 vaccine in Rwanda.</p><p><strong>Setting: </strong>A convergent mixed-methods study was conducted in 45 purposively selected health facilities in Rwanda.</p><p><strong>Methods: </strong>A sample of 230 HCWs was purposively calculated to include 45 health facilities from both rural and urban districts across Rwanda to participate in this study. Healthcare workers were selected conveniently ensuring representation of the different cadres. Furthermore, one participant per facility underwent an in-depth interview. Data were analysed using STATA 17 (quantitative) and Dedoose (qualitative) software. Descriptive analysis was applied and findings presented frequencies and graphical representations. Inductive thematic analysis was performed to identify key themes in the qualitative data.</p><p><strong>Results: </strong>Most participants were female, 183 (89%), and median age was 39 years. Most were nurses and/or midwives, 98 (42.6%) and all were fully vaccinated. A total of 59 (25.7%) HCWs had little or no confidence in answering patients' questions about COVID-19 and the vaccine. Despite this, 91.3% would recommend Ministry or World Health Organization (WHO)-approved vaccines and had a positive overall perception about COVID-19 vaccine.</p><p><strong>Conclusion: </strong>The positive perception of the COVID-19 vaccine among Rwandan HCWs aligns with the country's successful vaccination programme. This potentially reflects effective national strategies. Further research into Rwanda's COVID-19 response is however, warranted.</p><p><strong>Contribution: </strong>This study reveals discrepancies in HCWs vaccine confidence in Rwanda, highlighting the need for targeted educational interventions to strengthen national COVID-19 response efforts.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"668"},"PeriodicalIF":0.6,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144023688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge and perception of COVID-19 vaccination in two districts of Yaoundé.","authors":"Michelle S Djuidje Kamguia, Yves Le Grand Napa Tchuedji, Albert Ze","doi":"10.4102/jphia.v16i1.860","DOIUrl":"https://doi.org/10.4102/jphia.v16i1.860","url":null,"abstract":"<p><strong>Background: </strong>The coronavirus disease 2019 (COVID-19) pandemic has caused considerable problems throughout the world, with an impact on both public health and economic development. The rapid spread of severe acute respiratory syndrome coronavirus 2, has led researchers to progressively develop vaccines.</p><p><strong>Aim: </strong>This study aimed to assess the perceptions and knowledge of the population of two health districts in Cameroon about vaccination against COVID-19.</p><p><strong>Setting: </strong>This study was conducted in Cameroon from November 2021 to July 2022, targeting any Cameroonian citizen over 18 years residing in Yaoundé.</p><p><strong>Methods: </strong>We conducted a cross-sectional study in two health districts of Yaoundé (Nkolndongo and Cité verte) targeting residents of each selected district who were over 18 years. The minimum sample size was calculated using the vaccination coverage rate in each district. The sampling was systematic and the questionnaire included knowledge and perceptions about the COVID-19 vaccine. The data were processed using Graphpad 8.0.1 and Microsoft Excel 2016.</p><p><strong>Results: </strong>Of the 100 participants, 59% were women. Ninety per cent of the participants had not been vaccinated against COVID-19 and 80% of those vaccinated had received one dose of the vaccine. Participants showed poor adherence to the COVID-19 vaccine, except for hairdressers (<i>p</i> = 0.158) and students from secondary education (<i>p</i> = 0.158). Vaccination was the least known preventive method (3%). Most people were obliged to take the vaccine (80%) and most religions (75%) were associated with vaccine refusal (<i>p</i> ≤ 0.0005).</p><p><strong>Conclusion: </strong>Knowledge and perceptions of COVID-19 vaccination were low and were influenced by the socio-cultural environment. It is necessary to develop a national policy for the promotion of vaccination adapted to the socio-cultural environment when planning the introduction of a vaccine.</p><p><strong>Contribution: </strong>This study demonstrates the importance of socio -anthropological, religious and scientific indicators during the planification of introduction of new vaccine in the event of pandemic or new outbreak.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"860"},"PeriodicalIF":0.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12067608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening Africa's resilience to Mpox: Preparedness and response initiatives of the Pasteur network.","authors":"Delia D Djuicy, Benjamin Selekon, Christian Malaka, Aboubacar Soumah, Edgar Adjogoua, Hervé Kadjo, Offianan A Toure, Pierre Roques, Solène Grayo, Noël Tordo, Ousmane Faye, Abdourahmane Sow, François-Xavier Berthet, Vincent Lacoste, Soa Fy Andriamandimby, Hamidou L Ramatoulaye, Adamou Lagare, Haoua S Sabo, Ella Farra, Sandra G Ouangole, Gide Martial Yonga Wansi, Dieudonne G Essima, Jules Landry Mounchili Mouliem, Herman Philipe Nfombouot Njitoyap, Sandrine O Nkoum Kyane, Syndou Meite, Sara I Eyangoh, Mirdad Kazanji, Yap Boum, Rebecca Grais, Emmanuel Nakoune, Richard Njouom, Amadou A Sall","doi":"10.4102/jphia.v16i1.1026","DOIUrl":"10.4102/jphia.v16i1.1026","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1026"},"PeriodicalIF":0.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966699/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mpox after COVID-19 in Africa: Different epidemic, similar challenges.","authors":"Gloria P Gómez-Pérez, Shem O O Sam, Nicaise Ndembi, Tobias F Rinke de Wit","doi":"10.4102/jphia.v16i1.874","DOIUrl":"10.4102/jphia.v16i1.874","url":null,"abstract":"<p><p>Africa faces again a new outbreak of mpox, heavily burdening the Democratic Republic of Congo (DRC). Factors such as biological and ecological changes in the virus, waning of immunity to smallpox, socio-economic challenges, and global economic strain are fueling this epidemic. To analyse the drivers of the mpox outbreak in DRC, review the international and local response, and draw lessons from the COVID-19 pandemic to propose strategies for building epidemic-resilient healthcare systems in the region. The focus is on the DRC, where the mpox epidemic is concentrated, and the broader African region, assessing both rural and urban healthcare contexts. This study synthesises epidemiological data, global health policies, and local health system responses. Key insights are drawn from COVID-19 case studies, and assessment of access to diagnostics and vaccines. The DRC hosts over 95% of Africa's mpox cases, with significant challenges in human-wildlife interactions, poverty, and weakened healthcare systems exacerbated by COVID-19. Vaccine shortages, diagnostic delays, and uneven international support reflect a repeat of challenges seen during COVID-19. Localised vaccine and diagnostics production, improved risk communication, and digital health tools are highlighted as critical interventions. An epidemic-resilient healthcare framework, leveraging local production of medical products, regulatory empowerment, and real-time data collection, is essential for controlling mpox and future outbreaks. This study underscores the need for African-led solutions, addressing socio-economic drivers, enhancing local capacities, and fostering international solidarity to mitigate future epidemic threats.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"874"},"PeriodicalIF":0.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case management of mpox: Where we are and where we desire to be.","authors":"Solomon F Woldetsadik, Ebenezer O Daniel, John Masina, Joseph C Okeibunor, Samuel Boland, Hilary K Njenge, Nicaise Ndembi, Ngashi Ngongo, Otim P C Ramadan, Fiona Braka, Abdou S Gueye","doi":"10.4102/jphia.v16i1.1228","DOIUrl":"10.4102/jphia.v16i1.1228","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1228"},"PeriodicalIF":0.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unified continental approach to mpox preparedness and response: A model for Africa's future outbreaks.","authors":"Ngashi Ngongo, Nicaise Ndembi, Mosoka Fallah, Wessam Mankoula, Merawi A Tegegne, Moréniké Oluwátóyìn Foláyan, Jean Kaseya","doi":"10.4102/jphia.v16i1.877","DOIUrl":"10.4102/jphia.v16i1.877","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"877"},"PeriodicalIF":0.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating artificial intelligence into African health systems and emergency response: Need for an ethical framework and guidelines.","authors":"Nicaise Ndembi, Bethanie Rammer, Joseph Fokam, Uttam Dinodia, Sofonias K Tessema, Jean Philbert Nsengimana, Sarah Mwangi, Edem Adzogenu, Landry Tsague Dongmo, Bleddyn Rees, Brian O'Connor, Trevor A Crowell, Wilmot James, Vittorio Colizzi, Ngashi Ngongo, Jean Kaseya","doi":"10.4102/jphia.v16i1.876","DOIUrl":"10.4102/jphia.v16i1.876","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"876"},"PeriodicalIF":0.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building systems' resilience in the mpox outbreak response in Africa.","authors":"Ngashi Ngongo, Nicaise Ndembi, Tajudeen Raji, Mosoka Fallah, Wessam Mankoula, Jean-Marie Vianny Yameogo, Fiona Braka, Abdou Salam Gueye, Matshidiso R Moeti, Jean Kaseya","doi":"10.4102/jphia.v16i1.875","DOIUrl":"10.4102/jphia.v16i1.875","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"875"},"PeriodicalIF":0.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ensuring the continuity of essential health services during mpox response in the African region.","authors":"Miriam Nanyunja, Viviane Fossouo, Ebenezer Obi Daniel, Joseph C Okeibunor, Samuel Boland, Hilary K Njenge, Brice W Bicaba, Otim P C Ramadan, Solomon F Woldetsadik, Dick D Chamla, Fiona Braka, Abdou S Gueye","doi":"10.4102/jphia.v16i1.1227","DOIUrl":"10.4102/jphia.v16i1.1227","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"1227"},"PeriodicalIF":0.6,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perspectives of parents and adolescents on sexual and reproductive health information communication in Ghana.","authors":"Frank B Agyei, Doreen K Kaura, Janet D Bell","doi":"10.4102/jphia.v16i1.845","DOIUrl":"10.4102/jphia.v16i1.845","url":null,"abstract":"<p><strong>Background: </strong>Parent-adolescent sexual and reproductive health (SRH) information communication is known to be associated with positive SRH outcomes of adolescents. This determinant of positive SRH outcomes of adolescents is therefore receiving attention in research in the African region.</p><p><strong>Aim: </strong>This study therefore explored and integrated the perspectives of parents and adolescents on SRH information communication in Ghana.</p><p><strong>Setting: </strong>The study was conducted at the Asante Akyem North Municipality of Ghana.</p><p><strong>Methods: </strong>A qualitative descriptive design was used to interview 10 parent-adolescent dyad. Participants were purposively recruited from the Asante Akyem North Municipality in Ghana. Thematic analysis was done inductively using Braun and Clarke's approach. ATLAS.ti version 23.0.7 was used to store and manage data.</p><p><strong>Results: </strong>Three themes emerged, namely, SRH information communicated by parents and their adolescents, motivation for communicating SRH information, and SRH information communication skills. Some form of SRH information communication take place between parents and adolescents although they lack the requisite skills to communicate such information.</p><p><strong>Conclusion: </strong>An SRH information communication intervention, which is culturally appropriate, is needed to train both parents and adolescents to communicate SRH information in Ghana.</p><p><strong>Contribution: </strong>The study contributes to the understanding of SRH information communication by highlighting the influence of cultural norms, social support and parental engagement on adolescents' access to accurate information, which can inform the development of culturally sensitive interventions to enhance SRH communication between parents and adolescents.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"16 1","pages":"845"},"PeriodicalIF":0.6,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}