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Prevalence and Factors Associated with Obesity and Overweight Among Primary Schoolchildren in Three Municipalities of Conakry, Guinea: A Cross-Sectional Study
Kadio Jean-Jacques Olivier Kadio,
Niouma Nestor Leno,
Diao Cisse,
Adrien Fapeingou Tounkara,
Foromo Guilavogui,
Guede Kogbo Zohonon Elsa Stephanie,
Yao Emmanuel Kotchi,
Koffi Jean-Charles Koidjane,
Sidikiba Sidibe,
Alexandre Delamou,
Alioune Camara,
Abdoulaye Toure
Issue:
Volume 8, Issue 4, August 2022
Pages:
134-144
Received:
24 June 2022
Accepted:
9 July 2022
Published:
20 July 2022
DOI:
10.11648/j.cajph.20220804.11
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Abstract: Background: Childhood obesity is a growing phenomenon in the world. Few studies have been conducted to investigate its risk factors in Guinea. The objective of this study was to estimate the prevalence of overweight and obesity, and to identify their associated factors among primary schoolchildren of Conakry city, Guinea. Methods: It was a cross-sectional study conducted in March 2016 among the 5th grade primary schoolchildren from three municipalities (communes) of Conakry (capital city), Guinea. Children were selected by using the multi-stage random sampling. Multivariate logistic regression was used to identify associated factors with obesity and overweight. Results: The prevalence of obesity was 2.5% (95% CI: 1.9-3.1) and of overweightness was 9.0% (95% CI: 7.9-10.3). Female gender (AOR = 1.78, p = 0.04), non-consumption of fruits (AOR = 2.38, p = 0.005) and traveling to school in car or bus (AOR = 2.26, p = 0,005) were risk the factors of obesity. Multivariate analysis also showed that students of Matoto primary schools (AOR = 1.68, p = 0.003), girls (AOR = 1.36, p = 0.003), children who go to school by car or bus (AOR = 3.40, p = 0.001), those who make between 15-30 minutes go to school (AOR = 8.36, p = 0.03), and children with sedentary lifestyle (i.e. spending their free time watching TV) (AOR = 1.66, p = 0.04) were independently associated with being overweight. Conclusions: Obesity and overweightness are frequent in primary schools of Conakry. This study suggests the need to develop prevention programs and policies focused on the monitoring of individual and collective nutritional status and early detection of obesity or overweightness among pupils, to contribute to the prevention of the occurrence of future chronic diseases in the Guinean population (diabetes, arterial hypertension, cerebrovascular accidents, etc.), which are in full expansion alongside epidemic communicable diseases.
Abstract: Background: Childhood obesity is a growing phenomenon in the world. Few studies have been conducted to investigate its risk factors in Guinea. The objective of this study was to estimate the prevalence of overweight and obesity, and to identify their associated factors among primary schoolchildren of Conakry city, Guinea. Methods: It was a cross-se...
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Assessment of the Satisfaction of Patients Hospitalized and Those Who Recovered from COVID-19 in Guinea in 2021
Sadou Sow,
Idrissa Diallo,
Manengu Casimir Tshikolasoni,
Abdoulaye Sow,
Fode Bangaly Diakité,
Check Tidiane Sidibe,
Alpha Oumar Diallo,
Amadou Bailo Diallo,
Ibrahima Mariama Barry,
Georges Alfred Kizerbo,
Ahmadou Barry,
John Chukwudi,
Traore Tieble,
Julien Ngoudoung Anoko,
Mamadou Oury Balde
Issue:
Volume 8, Issue 4, August 2022
Pages:
145-150
Received:
6 June 2022
Accepted:
28 June 2022
Published:
20 July 2022
DOI:
10.11648/j.cajph.20220804.12
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Abstract: It is recognized that patient satisfaction is an indicator of the quality of care. The objective of this work was to assess the satisfaction of hospitalized patients and those who recovered from COVID-19 in epidemiological treatment centers. A descriptive study for evaluation was carried out between December 03 and 18, 2020 in the health districts of Kaloum, Dixinn, Ratoma, Matam, Matoto, Coyah, Boké, and Kindia. Data collection was done by investigators through structured interviews using a validated questionnaire. A total of 472 people participated in the survey, including 118 in hospital and 354 cured; the sex ratio is 2.18. More than 50% of participants are satisfied with the hospitalization sites; cured people are more satisfied than hospitalized people 22% vs. 18%. Almost a quarter of the participants, 22% were frustrated at the level of sampling sites and the rendering of results. The delay in the sampling sites and the pain felt during the test are the main causes of the frustrations. The evaluation of the satisfaction of hospitalized and recovered patients helped to know the causes of the frustrations in a health emergency context during which there was a large influx of patients both in epidemiological treatment centers. However, further studies are required to complete this one to explore other areas of patient satisfaction better.
Abstract: It is recognized that patient satisfaction is an indicator of the quality of care. The objective of this work was to assess the satisfaction of hospitalized patients and those who recovered from COVID-19 in epidemiological treatment centers. A descriptive study for evaluation was carried out between December 03 and 18, 2020 in the health districts ...
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Waiting Time in the Chain of Care for COVID-19 in Guinea, 2020-2021
Sadou Sow,
Alpha Oumar Diallo,
Manengu Casimir Tshikolasoni,
Idrissa Diallo,
Abdoulaye Sow,
Fode Bangaly Diakité,
Check Tidiane Sidibe,
Aamadou Bailo Diallo,
Jean Konan Kouame,
Georges Alfred Kizerbo,
Ahmadou Barry,
John Chukwudi,
Traore Tieble,
Mamadou Oury Balde
Issue:
Volume 8, Issue 4, August 2022
Pages:
151-157
Received:
10 June 2022
Accepted:
4 July 2022
Published:
20 July 2022
DOI:
10.11648/j.cajph.20220804.13
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Abstract: Introduction: SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2), emerged in December 2019 in Wuhan, China. The objective of this study was to assess the waiting time at each stage of COVID-19 case management in Guinea. Methodology: Prefectures with confirmed COVID-19 cases were the setting for this study. This was an evaluative cross-sectional survey of 440 participants. We performed a descriptive analysis of the data over periods: March- June and July-November 2020. The study focused on health professionals practicing in the epidemiological treatment centers and diseases. Results and discussion: The study involved a total of 440 participants including 125 health workers, 299 discharged cured (67.95%) and 141 still hospitalized (32.05%). About 90.36% of the subjects surveyed came from five communes of the special city of Conakry, namely Matoto (26.14%), Matam (14.55%), Ratoma (22.95%), Dixinn (13.18%) and Kaloum (4.55%) and the prefectures of Coyah (4.09%) and Dubreka (4.09%). Regarding gender, in total, 68.41% of the subjects surveyed were men and 31.59% were women, i.e. a sex ratio of 2.17. The waiting time for the results was longer between March and June compared to July and November without any statistically significant difference. The results of our study showed that the professional experience does not influence the change of attitude among the agents of care in the epidemiological treatment centers.
Abstract: Introduction: SARS-CoV-2 (Severe Acute Respiratory Syndrome Coronavirus 2), emerged in December 2019 in Wuhan, China. The objective of this study was to assess the waiting time at each stage of COVID-19 case management in Guinea. Methodology: Prefectures with confirmed COVID-19 cases were the setting for this study. This was an evaluative cross-sec...
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Factors Associated with Vaccination Against Hepatitis B Among Health Workers in the Health District of Mali (Guinea)
Sadou Sow,
Alpha Oumar Diallo,
Casimi Manengu Tshikolasoni,
Mamadou Oury Balde,
Abdoualye Sow,
Ahmadou Barry,
Jean Konan Kouame,
Mory Filany Keita,
Sory Diallo
Issue:
Volume 8, Issue 4, August 2022
Pages:
158-162
Received:
6 June 2022
Accepted:
28 June 2022
Published:
28 July 2022
DOI:
10.11648/j.cajph.20220804.14
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Abstract: Viral hepatitis B virus infection is a global public health problem. Healthcare workers are most at risk. The objective of this study was to determine the vaccination coverage rate against hepatitis B and to identify risk factors associated with vaccination status among health professionals in the health district of Mali. This was a cross-sectional and analytical study that involved 202 workers in public health structures in the health district of Mali. Data were collected from June 2, 2020 to July 31, 2020. Multivariate analysis was used to look for factors associated with vaccination status. The chi-square test and the confidence intervals at (95%) were calculated for the qualitative variables. A total of 202 healthcare workers (HCWs) were interviewed with an average age of 34.2 years. 21.78% of participants declared a partial or complete vaccination against the hepatitis B virus. Only 12 (5.93%) participants declared having received three doses. Men were the most numerous (70.45%). The lack of information on hepatitis B was 64.97%. Vaccination was associated with the following factors: gender (P= 0.011), occupation (p= 0.009)), and fear of being contaminated in the event of BEA (p = 0.000). This study shows that only 21.78% of respondents know they are vaccinated. Lack of information on hepatitis B (64.97%) was the main cause of non-vaccination on HBV.
Abstract: Viral hepatitis B virus infection is a global public health problem. Healthcare workers are most at risk. The objective of this study was to determine the vaccination coverage rate against hepatitis B and to identify risk factors associated with vaccination status among health professionals in the health district of Mali. This was a cross-sectional...
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Evaluation of COVID-19 Vaccination Acceptance in Guinea: Evidence from a Cross-Sectional Study of 1087 Students from 10 Public and Private Universities in Conakry in 2021
Niouma Nestor Leno,
Abdoulaye Toure,
Kadio Jean-Jacques Olivier Kadio,
Sinan Serge Armel Kouame,
Alexandre Delamou,
Alioune Camara
Issue:
Volume 8, Issue 4, August 2022
Pages:
163-171
Received:
27 June 2022
Accepted:
13 July 2022
Published:
28 July 2022
DOI:
10.11648/j.cajph.20220804.15
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Abstract: Introduction: Vaccination is currently the main prevention strategy advocated by governments around the world to stop the spread of this devastating COVID-19 disease pandemic. The objective of this study was to determine the level of acceptance of COVID-19 vaccination among students in the city of Conakry and to identify the factors that influence this acceptance. Methods: This was a cross-sectional study with an analytical purpose carried out among students of 10 universities in Conakry. Medians were used to summarize quantitative variables and proportions to summarize categorical variables. The adjusted Odd Ratio calculated in the multivariate logistic regression was used to identify factors associated with acceptance of vaccination. The associations observed in this study were not due to confounding by any of the other variables in the model. A p-value <0.05 was considered statistically significant. Results: A total of 1087 students were interviewed. They were predominantly female (55.66%) and young with a median age of 22 years (21 - 24). The proportion of students who accepted the COVID-19 vaccination was 74.5%; this leaves a refusal percentage of 25.5%. Letting nature take its course, fear of side effects, and the speed with which vaccines are put on the market were the main reasons given by students for refusing the COVID-19 vaccine, with respective percentages of 93.8%, 67.5% and 39.6%. Studying in a non-biomedical field (AOR: 2.101, CI 95%: [1.893 - 2.853]), believing that traditional plants are effective for the treatment of COVID-19 (AOR: 1.550, CI 95%: [1.076 - 2.223]), and having poor knowledge of COVID-19 vaccines (AOR: 2.029, CI 95%: [1.399 - 2.942]) were main factors associated with non-acceptance of COVID-19 vaccination. Conclusion: This study showed that the acceptance rate of COVID-19 vaccination was generally good among students in Conakry (74.5%). There is therefore no real problem of reluctance to be vaccinated against COVID-19 in this population group. The refusals (24.5%) to be vaccinated observed in this study are essentially linked to the poor access to information and the low level of knowledge about COVID-19 and anti COVID-19 vaccines. Strengthening information strategies for students, especially those in non-biomedical fields, could significantly reduce these refusals.
Abstract: Introduction: Vaccination is currently the main prevention strategy advocated by governments around the world to stop the spread of this devastating COVID-19 disease pandemic. The objective of this study was to determine the level of acceptance of COVID-19 vaccination among students in the city of Conakry and to identify the factors that influence ...
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Determinants of Hospitalization Refusal of COVID-19 Patients in Treatment Centers in Conakry, Coyah, Dubreka, and Kindia March-December 2020
Sadou Sow,
Check Tidiane Sidibe,
Manengu Casimir Tshikolasoni,
Idrissa Diallo,
Fode Bangaly Diakité,
Abdoulaye Sow,
Alpha Oumar Diallo,
Ahmadou Barry,
Amadou Bailo Diallo,
Jean Konan Kouame,
Georges Alfred Kizerbo,
Traore Tieble,
John Chukwudi,
Mamadou Oury Balde
Issue:
Volume 8, Issue 4, August 2022
Pages:
172-176
Received:
10 June 2022
Accepted:
11 July 2022
Published:
29 July 2022
DOI:
10.11648/j.cajph.20220804.16
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Abstract: Detection, notification, investigation, and treatment are the most effective public health measures in disease management. The objective of the present study was to identify the determinants of COVID-19 patients’ refusal to go to epidemiological treatment centers for their care. This was a descriptive cross-sectional study on a sample of COVID-19 patients. Data analysis was done with Epi-info software. The opinions were grouped into themes and analyzed by triangulation. A total of 73/218 patients were surveyed (33.5% participation rate). Among them 38.36% were from Matam and 20.55% from Matoto. The probability of hospitalization after refusal was higher in women than in men (OR = 5.6 CI (1.3-23.4) and P-value = 0.023. And that of being hospitalized after refusal was lower in the under 40s (OR = 0.18 CI (0.05-0.7) and P-value = 0.023). These differences are statistically significant. The reasons for refusal were denial of the disease, the quality of the offer and the stigma.: I am not sick, they confused the results, I was lied to for the test, the stigma, the lack of support from the family, the time to waiting for results, self-medication, ETC. This study made it possible to describe the determinants of the refusal of COVID-19 cases to accept CT-Epi care. A study combining refusals and hospitalized ones would be necessary.
Abstract: Detection, notification, investigation, and treatment are the most effective public health measures in disease management. The objective of the present study was to identify the determinants of COVID-19 patients’ refusal to go to epidemiological treatment centers for their care. This was a descriptive cross-sectional study on a sample of COVID-19 p...
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Essential Health Services at Onset of the COVID-19 Pandemic: Chronicles from a South-West Nigeria Town
Olukemi Titilope Olugbade,
Macellina Yinyinade Ijadunola,
Fausat Adedayo Oyedele,
Olaoti Oyeyemi Ogundare,
Kayode Thadius Ijadunola
Issue:
Volume 8, Issue 4, August 2022
Pages:
177-188
Received:
16 June 2022
Accepted:
5 August 2022
Published:
24 August 2022
DOI:
10.11648/j.cajph.20220804.17
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Abstract: Introduction: The Corona Virus Disease (COVID-19) triggered an unprecedented disruption in social, economic, political and healthcare delivery mechanisms worldwide. Reports have documented the effects of the COVID-19 pandemic on healthcare services in many countries and its impact on the delivery of these services. Few studies in Nigeria have given exact details of the extent of disruptions of these essential services. The objectives of our study were to identify essential services offered during the pandemic response, elicit opinions of healthcare workers about the services accessed by clients during the lockdown and since pandemic onset, and assess the distribution and trends of health services and hospital attendance, before and during this period in a Comprehensive Health Centre in South-West Nigeria. Methods: We conducted a desk review of hospital records and interviews with health workers respectively, across units offering essential services in the Out-Patient Department of the Urban Comprehensive Health Centre (UCHC), Ile-Ife using descriptive data analysis. Information retrieved from the facility’s registers for a one-year period from June 2019 to June 2020 was reviewed to compare trends before the pandemic. Key Informant Interviews with twelve service providers in the facility were conducted to identify related issues the frontline health workers experienced working during this period. Results: Using the mean attendance per service unit prior to the pandemic onset as a reference, essential services in the General Outpatient department reduced by 74% in April and 65% in May 2020; by 86% in the Laboratory in April and 55% in May, by 83% in the Family Planning clinic in April 2020 and by 53% in June 2020. Essential services in the Immunization Clinics reduced by 54% in April and improved by 21% in May 2020. No services were offered in the Nutrition Clinic. in the Antenatal Clinic and the Labor Ward. The five themes that emerged from thematic analysis of the qualitative component were; knowledge of COVID-19 prevention measures, challenges encountered at the onset of COVID-19 lockdown, perception and opinions on the disruption the COVID-19 pandemic caused health workers, barriers to effective health care delivery at the time of pandemic and coping with disruptions in services. Conclusion: This study highlights important insights on the need to support Nigeria and other countries in sub-Saharan Africa during the response to COVID-19 or other outbreaks and how to build better health systems that will be able to withstand further pandemics without disruptions of essential health services.
Abstract: Introduction: The Corona Virus Disease (COVID-19) triggered an unprecedented disruption in social, economic, political and healthcare delivery mechanisms worldwide. Reports have documented the effects of the COVID-19 pandemic on healthcare services in many countries and its impact on the delivery of these services. Few studies in Nigeria have given...
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