Research Article
Practice of Screening for Arterial Hypertension in People Aged 18 and over in the Commune of Niakhene, in a Context of the Need for Information in Rural Senegal
Amadou Ibra Diallo*
,
Mamadou Moustapha Ndiaye,
Fatoumata Binetou Diongue,
Adama Sow,
Ibrahima Ndiaye,
Mbayang Ndiaye,
Lamine Gaye,
Mouhamadou Faly Ba,
Oumar Bassoum,
Jean Augustin Diègane Tine,
Ndèye Marème Sougou,
Mayassine Diongue,
Alioune Badara Tall,
Mamadou Makhtar Mbacké Lèye,
Adama Faye,
Ibrahima Seck
Issue:
Volume 11, Issue 1, February 2025
Pages:
1-15
Received:
9 December 2024
Accepted:
23 December 2024
Published:
7 January 2025
DOI:
10.11648/j.cajph.20251101.11
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Abstract: Introduction: Like urban areas, rural areas are facing lifestyle changes, with an increasingly sedentary lifestyle and an increase in cardiovascular risk factors such as obesity and arterial hypertension. This study aimed to investigate the awareness, prevalence, and control of arterial hypertension and associated risk factors in the town of Niakhene in rural Senegal. Methodology: This study was a cross-sectional, descriptive survey conducted in October 2020, targeting individuals aged 18 and older residing in the commune of Niakhene. A sample was drawn from a systematic random sample, stratified according to gender and age group. The questionnaire was based on a literature review. The knowledge score was derived from a set of 17 items evaluated using an optimized 5-point Likert scale. Results: 300 individuals were surveyed. The average age was 35.3 years (+/-16.9), 52.3% were female, 65.7% were married and 67.7% were predominantly uneducated. The signs cited were headache (74.0%), visual blur (63.7%), and ringing in the ears (60.0%). The average score was 54.6 (+/-13.1) and a score above the average was classified as good knowledge, accounting for 55.3% of the study population. Hypertension was associated with advanced age (40-59 years) (ORaj 2.7{1.21-6.28}) and higher education (ORaj 4.07{1.81-9.87}). Screening for arterial hypertension was found in 31.3% of patients and was associated with the 40-59 age group (ORaj 3.5{1.47-7.98}), the 60 and over age group (ORaj 3.5{1.47-7.98}) and the existence of a history of hypertension in the family (ORaj 2.76{1.56-5.0}). Conclusion: This study revealed that only 55.3% of participants had a good knowledge of hypertension and that only 31.3% had undergone screening. Older age and a history of hypertension in the family were the main factors associated with better knowledge and more frequent screening. These results highlight the need to improve awareness and health education for better management of hypertension in rural areas.
Abstract: Introduction: Like urban areas, rural areas are facing lifestyle changes, with an increasingly sedentary lifestyle and an increase in cardiovascular risk factors such as obesity and arterial hypertension. This study aimed to investigate the awareness, prevalence, and control of arterial hypertension and associated risk factors in the town of Niakhe...
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Research Article
Assessment of Core Capacities at the Designated Points of Entry According to the International Health Regulations 2005: Cote D’Ivoire
Bangaman Christian Akani*,
Youssouf Traoré,
Alfred Douba,
Awa Madaho Samassi-Sokodogo,
Dionkounda Aristide,
Marie Noelle Ano,
Nicaise Bernadin Lépri Aka
Issue:
Volume 11, Issue 1, February 2025
Pages:
16-26
Received:
2 December 2024
Accepted:
27 December 2024
Published:
16 January 2025
DOI:
10.11648/j.cajph.20251101.12
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Abstract: Background: rapid population growth, urbanization, and global interconnectedness have accelerated infectious disease spread, prompting WHO member states, including Côte d'Ivoire, to adopt the International Health Regulations (IHR) to strengthen surveillance, preparedness, and response at points of entry (PoE) and enhance global health security. Objective: to assess Cote d’Ivoire’s capacity to detect and respond to public health emergencies at designated points of entry (PoE), and indicate the strengths and weaknesses identified. Methods: a normative evaluation was carried out from August 1st to 30th, 2021, using the WHO tool for core capacity requirements at designated airports, ports, and ground crossings. Three PoE were selected as a purposive sample based on criteria including the type, highest volume of passengers, and international traffic. This tool collected information on three specific technical capabilities The tool generated scores for each core competency, always including routine (capacities), responding to events that might constitute a public health emergency of international concern (PHEIC), and coordination and communication. Data analysis was color-coded based on assigned scores. Results: Overall, the evaluation demonstrated that all POEs garnered a score surpassing 50%, except for the Noe crossing border (23%). AERIA obtained the highest score of 87%, following (53%). For routine capacity, PAA and Noe ground crossing border scored 28% and 30%, respectively, while AERIA scored 80%. Regarding PHEICs, the Noe ground crossing had the lowest proportion (40%). AERIA demonstrated superior strengths by virtue of the existence of comprehensive procedures and legally mandated administrative provisions for conducting inspections, the availability of sufficient medical services, and designated space to facilitate interviews with potentially infected or suspected travelers. One the opposite Noe has the most weaknesses include lack of an international communication network with competent authorities of the destination POEs, lack of simulation exercises to test the developed plans, unavailability of capacity for isolation or quarantine of sick travelers. Conclusion: Designated points of entry were not fully complied with international health regulations. Further efforts are still needed to bring designated points of entry up to RSI requirements.
Abstract: Background: rapid population growth, urbanization, and global interconnectedness have accelerated infectious disease spread, prompting WHO member states, including Côte d'Ivoire, to adopt the International Health Regulations (IHR) to strengthen surveillance, preparedness, and response at points of entry (PoE) and enhance global health security. Obj...
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Research Article
Evaluation of Prescribing Indicators in Children Under the Age of Five Years at the Bambey Referral Health Center (Senegal)
Oumar Bassoum*,
Walter Fuller,
Maty Diagne Camara,
Adama Sow,
Ndeye Fatou Ndiaye,
Mamadou Makhtar Mbacké Leye,
Ibrahima Seck
Issue:
Volume 11, Issue 1, February 2025
Pages:
27-34
Received:
13 January 2024
Accepted:
21 January 2025
Published:
10 February 2025
DOI:
10.11648/j.cajph.20251101.13
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Abstract: In Senegal, data on the responsible use of medicines in the paediatric population are poorly documented at the level of primary health care services. The aim of this study was to assess prescribing indicators in children under five years of age in the Bambey health center in Senegal. This was a retrospective study. The study population consisted of prescriptions for children seen in outpatient consultations between January 1 and June 30, 2021. The sample size was 600 prescriptions selected according to a simple random sampling stratified by month. Data were collected between June and August 2021. Data were analyzed using descriptive statistics. The mean age of the children was 24±19 months. Diseases of the respiratory system accounted for 41%. The number of drugs prescribed was estimated at 1,284; the average number per prescription was 2.14. The percentages of drugs prescribed under international non-proprietary names and according to the national essential medicines list were 32.32% and 66.82% respectively. In addition, 63.2% of prescriptions contained antibiotics, of which 70.2% belonged to the Access group of the AWaRe classification of antibiotics. Injectables were used in 1.5% of cases. This study showed that prescribing practices at the Bambey health center are generally irrational, with excessive use of antibiotics in particular. Among the consequences, the most serious is antibiotic resistance. Interventions to promote the proper use of drugs seem necessary. In addition, further studies, including an assessment of the availability of Access group antibiotics, should be considered in order to gain a better understanding of the problem of antibiotic resistance.
Abstract: In Senegal, data on the responsible use of medicines in the paediatric population are poorly documented at the level of primary health care services. The aim of this study was to assess prescribing indicators in children under five years of age in the Bambey health center in Senegal. This was a retrospective study. The study population consisted of...
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