Médecine d'Afrique noire

Publisher: Association internationale pour la recherche médicale et les échanges culturels

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Other titles Revue médecine d'Afrique noire
ISSN 0047-6404
OCLC 30581698
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

  • No preview · Article · Jan 2016 · Médecine d'Afrique noire
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    ABSTRACT: Exclusive breastfeeding in low in our health facilities: the situation in a health district in Burkina Faso. Dembélé A. 1,& , Nayaga A. 2 , Kaboré I. 1 , Bambara M. 1,3 1Souro Sanou University Teaching Hospital. Department of Gynaecology, Obstetrics and Reproductive Medicine. Bobo Dioulasso, Burkina Faso. 2 Medical Center with Surgical Antenna, District Health of Do. 3Unit of Training and Research in Health Sciences, University of Ouagadougou. Burkina Faso Burkina Faso &Corresponding author: Dr Adama Dembele, Obstetrician Gynecologist, Department of Gynaecology, Obstetrics and Reproductive Medicine. Souro Sanou University Teaching Hospital BP 676 Bobo Dioulasso Burkina dembadama@hotmail.fr Abstract Objectives: To identify factors related to health services that limit the practice of exclusive breastfeeding at two facilities of the Regional Directorate of Health Senior basins Materials and Methods: This is a cross-sectional descriptive study which took place over a period of four months, from March to augst 2011. It concerned the maternity services at two facilities namely different level with Antenna Surgical Medical Center Health District C and the Centre for Health and Social Promotion of Accart City in the health district of Do. We conduct a comprehensive sampling gave us a sample of 96 people in these facilities. The survey was used as a means of investigation to collect data. The techniques used were non-participatory observation, the questionnaire and the interview through an interview guide, questionnaire, and an observation checklist. We assessed the level of knowledge and practice and providers regarding exclusive breastfeeding and the operational services on the promotion of exclusive breastfeeding. The data collected were analyzed using EPI INFO software version 3.2, the software world version 2007 and Excel 2007. Results: The level of achievement of our study was 94.11%. The majority of respondents or 62.5% of our sample was of midwives and skilled birth state, with a predominance of females 78%. None of the two structures has received no training or supervision in exclusive breastfeeding for 2 years. In knowledge and practices of exclusive breastfeeding, 76% of our sample had a score of performance and jurisdiction below 80%, that is to say, clearly insufficient. Regarding the operational services on the promotion of exclusive breastfeeding, whether in relation to the organization of the services or the existence of guidelines and documentation for the score reaches maternity CMA OD is 45% and 40 % for the CSPS to Accart City, well below the 80% required. Conclusion: this study highlight important shortcomings in the promotion of breastfeeding, especially exclusive breastfeeding in a health district of Hauts basins. It seems urgent, when we know the place of exclusive breastfeeding in the fight against child malnutrition, conduct a vigorous revival of this practice in our facilities. Keywords: exclusive breastfeeding knowledge and practices, personal and health services
    No preview · Article · Apr 2015 · Médecine d'Afrique noire
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    ABSTRACT: Summary Working conditions and prevalence of health problems among workers in the informal sector in urban transit in Kinshasa, Democratic Republic of Congo, D.R.C Activities in the informal sector, often escaping an application to current labor regulations in countries, tend to occupy workers in difficult working conditions. They also present several health problems related to work. Objective: To describe the working conditions in the informal urban transit sector in Kinshasa under the labor legislation and to determine health workers problems prevalence in this activity. Methods: Cross-sectional descriptive study aiming to explore a population of workers with two jobs, drivers (n = 184) and support staff (n = 288). A questionnaire on working conditions and health was used for data collection. For each health problem, the prevalence was calculated. Comparing the two positions, odds ratios and confidence intervals at 95% were estimated for these problems. Results: Regarding working conditions, we have noticed inadequate organization in relation to what provided in the labor code. Working duration was much longer without a rest day and a lack of learning modalities. About health complaints, compared to drivers, members of the support staff had higher prevalences and OR and CI 95%. It involved, low back pain OR = 1.16 (0.67-1.96), those of the upper limbs OR = 1.70 (1.03-2.82), those of lower limbs OR = 1.68 lower limbs pain (1.302-2.75), headache OR = 2.06 (1.11-3.85), abnormal tiredness OR = 2.40 (1.39 - 4.06) and sleep disorders OR = 1.86 (1.39-3.05). Conclusion: The informality of employment maintained in this sector, promotes the organization of work which escapes deliberately labor regulations. For survival needs, workers continue the exercise of this activity despite poor working conditions. They have further occupational health problems with high prevalence; the support staff seemed more vulnerable than drivers. Résumé Les activités dans le secteur informel, échappant souvent à une application de la réglementation du travail en vigueur dans les pays, tendent à occuper les travailleurs dans des conditions de travail difficiles. Ceux-ci présentent par ailleurs plusieurs problèmes de santé liés au travail. Objectif : Décrire les conditions de travail dans le secteur informel du transport urbain de Kinshasa au regard de la législation du travail et déterminer la prévalence des problèmes de santé des travailleurs au sein de cette activité. Méthodes : Etude transversale descriptive à visée exploratoire d'une population des travailleurs comprenant deux postes de travail, les conducteurs des taxis-bus (n = 184) et le personnel d'appoint (n = 288). Un questionnaire sur les conditions de travail et la santé a été utilisé pour la collecte des données. Pour chaque problème de santé, une prévalence a été calculée. En comparant les deux postes, des odds ratios et leurs intervalles de confiance à 95% ont été estimés pour ces problèmes. Résultats : Concernant les conditions de travail, on notait une organisation inadéquate par rapport à ce qui était prévu dans le code du travail. Les temps de travail étaient beaucoup plus longs sans jour de repos ainsi qu'une absence des modalités d'apprentissage. Quant aux plaintes de santé, comparés aux conducteurs, les membres du personnel d'appoint avaient des prévalences et OR avec IC à 95% plus élevés. Il s'agissait des douleurs lombaires OR = 1,16 (0,67-1,96), celles des membres supérieurs OR = 1,70 (1,03-2,82) et inférieurs OR = 1,68 (1,02-2,75), des céphalées OR = 2,06 (1,11-3,85), de la fatigue anormale OR = 2,40 (1,39-4,06) et des troubles du sommeil OR = 1.86 (1.39-3.05). Conclusion : L'informalité de l'emploi, entretenue dans ce secteur, favorise une organisation du travail échappant de manière délibérée à la réglementation du travail. Pour des besoins subsistance, les travailleurs poursuivent l'exercice de cette activité malgré des conditions de travail défavorables. Ils présentent en outre, des problèmes de santé au travail avec prévalences élevées, le personnel d'appoint paraissant plus vulnérable que les conducteurs.
    No preview · Article · Jan 2014 · Médecine d'Afrique noire

  • No preview · Article · Jan 2013 · Médecine d'Afrique noire