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Belmokhtar Adil, Daoudi Rajaa
Youssef Zemmez, Naoufal Hjira
Zouheir Hafidi, Rajae Daoudi
Fatima-Zahra Agharbi
Ilhame Naciri, Nadia Ismaili
Hasnaa Zaouri, Baderddine Hassam
Mohamed Yunus Rafiq, Ibrahim Simiyu, Hannah Wheatley, Bourema Sissoko, Zachary Enumah, Kheri Tungeraza, Brian J. Hall
RésuméL'OMS définit l'hésitation vaccinale comme un retard dans l'acceptation ou le refus des vaccins malgré la disponibilité des services de vaccination. C'est un phénomène complexe qui varie en fonction du temps, du lieu et des vaccins. Dans cette tribune, nous mettons en évidence la variation spécifique contextuelle de la réticence au vaccin Covid-19 en Tanzanie. Nous suggérons que l'hésitation vaccinale contre la Covid-19 en Tanzanie est influencée par une charge élevée de maladies infectieuses, de faibles capacités de test et des caractéristiques démographiques.
John M. Marshall, Mahamoudou Touré, André Lin Ouédraogo, Micky Ndhlovu, Samson S. Kiware, Ashley Rezai, Emmy Nkhama, Jamie T. Griffin, T. Deirdre Hollingsworth, Seydou Doumbia, Nicodem J. Govella, Neil M. Ferguson, Azra C. Ghani
BackgroundAs malaria prevalence declines in many parts of the world due to widescale control efforts and as drug-resistant parasites begin to emerge, a quantitative understanding of human movement is becoming increasingly relevant to malaria control. However, despite its importance, significant knowledge gaps remain regarding human movement, particularly in sub-Saharan Africa.MethodsA quantitative survey of human movement patterns was conducted in four countries in sub-Saharan Africa: Mali, Burkina Faso, Zambia, and Tanzania, with three to five survey locations chosen in each country. Questions were included on demographic and trip details, malaria risk behaviour, children accompanying travellers, and mobile phone usage to enable phone signal data to be better correlated with movement. A total of 4352 individuals were interviewed and 6411 trips recorded.ResultsA cluster analysis of trips highlighted two distinct traveller groups of relevance to malaria transmission: women travelling with children (in all four countries) and youth workers (in Mali). Women travelling with children were more likely to travel to areas of relatively high malaria prevalence in Mali (OR = 4.46, 95 % CI = 3.42–5.83), Burkina Faso (OR = 1.58, 95 % CI = 1.23–1.58), Zambia (OR = 1.50, 95 % CI = 1.20–1.89), and Tanzania (OR = 2.28, 95 % CI = 1.71–3.05) compared to other travellers. They were also more likely to own bed nets in Burkina Faso (OR = 1.77, 95 % CI = 1.25–2.53) and Zambia (OR = 1.74, 95 % CI = 1.34 2.27), and less likely to own a mobile phone in Mali (OR = 0.50, 95 % CI = 0.39–0.65), Burkina Faso (OR = 0.39, 95 % CI = 0.30–0.52), and Zambia (OR = 0.60, 95 % CI = 0.47–0.76). Malian youth workers were more likely to travel to areas of relatively high malaria prevalence (OR = 23, 95 % CI = 17–31) and for longer durations (mean of 70 days cf 21 days, p < 0.001) compared to other travellers.ConclusionsWomen travelling with children were a remarkably consistent traveller group across all f
Khan Academy
Vidéos et exercices gratuits en français, notamment en biologie et en chimie.
Jaya A George, Jean-Tristan Brandenburg, June Fabian, Nigel J Crowther, Godfred Agongo, Marianne Alberts, Stuart Ali, Gershim Asiki, Palwende R Boua, F Xavier Gómez-Olivé, Felistas Mashinya, Lisa Micklesfield, Shukri F Mohamed, Freedom Mukomana, Shane A Norris, Abraham R Oduro, Cassandra Soo, Hermann Sorgho, Alisha Wade, Saraladevi Naicker, Michèle Ramsay
SummaryBackgroundRapid epidemiological health transitions occurring in vulnerable populations in Africa that have an existing burden of infectious and non-communicable diseases predict an increased risk and consequent prevalence of kidney disease. However, few studies have characterised the true burden of kidney damage and associated risk factors in Africans. We investigated the prevalence of markers for kidney damage and known risk factors in rural and urban settings in sub-Saharan Africa.MethodsIn this cross-sectional population study (Africa Wits-International Network for the Demographic Evaluation of Populations and their Health Partnership for Genomic Studies [AWI-Gen]), we recruited unrelated adult participants aged 40–60 years from four rural community research sites (Nanoro, Burkina Faso; Navrongo, Ghana; Agincourt and Dikgale, South Africa), and two urban community research sites (Nairobi, Kenya; and Soweto, South Africa). Participants were identified and selected using random sampling frames already in use at each site. Participants completed a lifestyle and medical history questionnaire, had anthropometric and blood pressure measurements taken, and blood and urine samples were collected. Markers of kidney damage were defined as low estimated glomerular filtration rate (eGFR; <60 mL/min per 1·73 m2), presence of albuminuria (urine albumin creatinine ratio >3 mg/mmol); or chronic kidney disease (low eGFR or albuminuria, or both). We calculated age-adjusted prevalence of chronic kidney disease, low eGFR, and albuminuria by site and sex and used logistic regression models to assess risk factors of kidney damage.FindingsBetween August, 2013, and August, 2016, we recruited 10 702 participants, of whom 8110 were analysable. 4120 (50·8%) of analysable participants were male, with a mean age of 49·9 years (SD 5·8). Age-standardised population prevalence was 2·4% (95% CI 2·1–2·8) for low eGFR, 9·2% (8·4–10·0) for albuminuria, and 10·7% (9·9–11·7) for chronic kidney
Bewuketu Terefe, Mahlet Moges Jembere, Dejen Kahsay Asgedom, Ayenew Molla Lakew
BackgroundHIV Pre-Exposure Prophylaxis (HIV PrEP) may help reduce the rate of HIV infection among women in sub-Saharan Africa (SSA). This study aimed to assess women’s knowledge and attitudes toward PrEP, a crucial component of HIV prevention, using nationwide data. It is the first study of its kind conducted in five SSA countries: Burkina Faso, Ghana, Côte d’Ivoire, Kenya, and Tanzania. The primary objective was to examine women’s knowledge and attitudes toward PrEP for the prevention of HIV infection, as well as to explore individual- and community-level factors associated with it.MethodsThe current study utilized the 2021/22 demographic and health survey datasets from five African nations, namely Burkina Faso, Côte d’Ivoire, Ghana, Kenya, and Tanzania. The analysis was performed using Stata 17. A weighted sample of 77,052 women of reproductive age participated in the survey. Univariate and multivariable multilevel logistic regressions were conducted to assess parameters related to knowledge and attitudes toward PrEP in these countries. In both the univariate regression and the final model, the significance of variables was determined using P values of ≤ 0.2 and < 0.05.ResultsOverall, only about 13.88 (95% CI: 13.64,14.12) of women had knowledge and attitudes toward HIV PrEP. The highest (34.29%) and lowest (5.61%) values were observed for Kenya and Tanzania respectively. Higher rates of knowledge, and attitude toward HIV PrEP among women were independently associated with age 25–34 years old (AOR = 1.52, 95% CI:1.41,1.64), and 35–49 years old (AOR = 1.56, 95% CI:1.43,1.69), primary education level (AOR = 1.79,95% CI:1.65,1.95), and secondary/higher education level (AOR = 2.92, 95% CI: 2.67,3.20), richer (AOR = 1.14, 95% CI:1.02,1.27), and richest (AOR = 1.21, 95% CI:1.06,1.37), employed women (AOR = 1.82, 95% CI:1.65,1.99), had media exposure (AOR = 1.49,95% CI:1.40,1.59),knowledge of modern contraception (AOR = 2.62, 95% CI: 1.94,3.43), had at least one ANC visi
Bernard Sawadogo, Sheba N Gitta, Elizeus Rutebemberwa, Mamadou Sawadogo, Nicola Meda
IntroductionIn Burkina Faso, 1230 women are diagnosed with cervical cancer every year and 838 die from the disease. Little is known about women's practices, knowledge and beliefs regarding cervical cancer. This study aims to describe women's practices regarding cervical cancer screening and to assess their knowledge and beliefs.MethodsCross-sectional study was carried out in Ouagadougou from 1st to 31st December 2012 interviewing 840 women aged 20 to 50 years about their knowledge, beliefs and practices regarding cervical cancer. Cluster sampling was used. Univariate and multivariate logistic regression analysis were performed. Chi square test was used and p-value < 0.05 was considered.ResultsOut of 840 women enrolled with mean age 29.5±7.77 years, 66.31% were married, 59.28% have not been to school or left school at primary level. While 64.2% of participants heart about cervical cancer, 8.5% heart about Human papillomavirus, 69.05% don't know that cervical cancer is preventable. 90.4% of participants were worried to develop cervical cancer, 96.67% would accept to be screened and 11.07% were screened for cervical cancer. In multivariate analysis, heart about cervical cancer (OR = 5.7; 95% CI: 2.21-14.69), know contamination mode of HPV (OR = 3.81; 95% CI: 2.27-6.39), heart about HPV (OR = 2.05; 95% CI: 1.11-3.81) and use of oral contraceptive (OR = 2.06; 95% CI: 1.25-3.39) were independently associated with screening history with p < 0.05.ConclusionKnowledge and belief regarding cervical cancer is limited among Ouagadougou women and screening rate is low. There is need to enhance health education regarding Human papillomavirus and cervical cancer.
Agartha Ohemeng, Eunice Berko Nartey, Esi Quaidoo, Richard Stephen Ansong, Matilda Steiner Asiedu
BackgroundDue to its severe adverse effect on child mortality, sickle cell disease (SCD) has been identified as a set of diseases of public health concern. The high mortality rate among children with SCD in Africa has been attributed to several factors including sub-optimal management and care. This study documented the nutrition-related knowledge and practices of caregivers of teenagers who suffer from sickle cell disease (SCD) to inform decisions on integrated management of the disease.MethodsThe study included caregivers (n = 225) of adolescents with SCD who attended clinic at selected hospitals in Accra, Ghana. Pre-tested semi-structured questionnaire was employed in the gathering of information related to general and nutrition-related knowledge about SCD, as well as data on their nutrition-related practices with regards to their children who suffer from SCD. Pearson’s Chi-square test and binary logistic regression analyses were applied to explore the relationship between caregivers’ nutrition-related knowledge and practice.ResultsNutrition-related knowledge among the caregivers studied was low, with less than a third of them (29.3%) of the sample being classified as having good knowledge. Caregivers who considered nutrition care when the child experienced crises were few (21.8%), and those with low nutrition-related knowledge were less likely to do this compared with caregivers having high knowledge (OR = 0.37, 95% CI = 0.18, 0.78). The common nutrition actions reported were the provision of more fruits/fruit juices (36.5%) and warm fluids such as soups and teas (31.7%). More than a third of the caregivers (38.7%) admitted that they faced challenges in caring for their adolescents with SCD, particularly in the area of finance for the needed health care.ConclusionOur study findings indicate that it is important to incorporate appropriate nutrition education messages for caregivers as part of a holistic management of SCD.Supplementary InformationThe online versio
Adama Sana, Christophe De Brouwer, Hervé Hien
IntroductionArtisanal gold mining is an activity ensuring the survival of about 700,000 families in Burkina Faso with a considerable contribution to the national economy. Techniques and chemicals used in the operation, have adverse impacts on health and the environment. Our study aims to evaluate the perceptions and knowledge of these different impacts among artisanal gold miners.MethodsA cross-sectional survey was conducted in artisanal gold mines Bouda and Nagsene in the region of the North of Burkina Faso. Two hundred miners over 18 years of age were interviewed.ResultsAll the participants have recognized that gold mining has health impacts and 88.5% felt these impacts as important with a significantly higher proportion among those with more than 3 years' seniority (p = 0.001). The environmental impacts were perceived as important by 64.5% of miners, with a significant difference according to the position (p = 0.004). Sixty percent (60%) of respondents could identify at least 3 of the 5 health impacts of gold mining listed and 49.5% acknowledged at least 3 impacts on the environment. The diggers had significantly more knowledge about the symptoms (p < 0.001).ConclusionStudy highlights the lack of knowledge of the Stampeders on the health and environmental impacts of artisanal gold mining. Findings might be used to develop more effective awareness campaigns in the future. Communication with diggers must focus on the risk perception because it appears that raising risk perceptions from low to high would have a major effect on behavior.
Firehiwot Workneh, Dongqing Wang, Ourohiré Millogo, Alemayehu Worku, Angela Chukwu, Bruno Lankoande, Nega Assefa, Elena C. Hemler, Michelle L. Korte, Abdramane Soura, Ayoade Oduola, Ali Sie, Wafaie W. Fawzi, Yemane Berhane
ABSTRACT.Coronavirus disease 2019 (COVID-19) is a public health emergency affecting the lives of millions of people globally. Different measures and extraordinary steps are being taken to contain the transmission of the virus. The levels of knowledge and implementation of preventive practices related to COVID-19 in sub-Saharan African countries are unclear. Additionally, there is a lack of evidence regarding the impacts of the pandemic on mental health. This study aimed to describe knowledge and practices related to COVID-19 and to assess mental health status among adults in three sub-Saharan African countries: Burkina Faso, Ethiopia, and Nigeria. A total of 1,797 adults were included in the survey, and data were collected using computer-assisted telephone interviews. The proportions of adults who identified more than 80% of COVID-19 symptoms, transmission methods, and prevention mechanisms were 69.9%, 79.2%, and 90.7%, respectively. The practice of preventive measures was relatively lower for avoiding social gatherings and disinfecting contaminated surfaces. Better education, urban residence, and believing the pandemic is real were factors associated with good knowledge on COVID-19 symptoms, transmission methods, and preventive actions. Additionally, being male was associated with good knowledge on symptoms and transmission methods, whereas being in an older age group was associated with knowledge of transmission methods. Mild, moderate, and severe psychological distress was reported by 20.6%, 5.9%, and 1.1% of the participants, respectively. Although this study found high levels of knowledge regarding COVID-19, interventions are needed to increase the uptake of recommended preventive practices among adults in sub-Saharan Africa.
E. Bonnet, Y. Beaugé, M. F. Ba, S. Sidibé, M. De Allegri, V. Ridde
BackgroundCOVID-19 constitutes a global health emergency of unprecedented proportions. Preventive measures, however, have run up against certain difficulties in low and middle-income countries. This is the case in socially and geographically marginalized communities, which are excluded from information about preventive measures. This study contains a dual objective, i) to assess knowledge of COVID-19 and the preventive measures associated with it concerning indigents in the villages of Diebougou’s district in Burkina Faso. The aim is to understand if determinants of this understanding exist, and ii) to describe how their pathways to healthcare changed from 2019 to 2020 during the COVID-19 pandemic.MethodsThe study was conducted in the Diebougou healthcare district, in the south-west region of Burkina Faso. We relied on a cross-sectional design and used data from the fourth round of a panel survey conducted among a sample of ultra-poor people that had been monitored since 2015. Data were collected in August 2020 and included a total of 259 ultra-poor people. A multivariate logistic regression to determine the factors associated with the respondents' knowledge of COVID-19 was used.ResultsHalf of indigents in the district said they had heard about COVID-19. Only 29% knew what the symptoms of the disease were. The majority claimed that they protected themselves from the virus by using preventive measures. This level of knowledge of the disease can be observed with no differences between the villages. Half of the indigents who expressed themselves agreed with government measures except for the closure of markets. An increase of over 11% can be seen in indigents without the opportunity for getting healthcare compared with before the pandemic.ConclusionsThis research indicates that COVID-19 is partially known and that prevention measures are not universally understood. The study contributes to reducing the fragmentation of knowledge, in particular on vulnerable and margina
Obstetric fistula is a sequela of complicated labour, which, if untreated, leaves women handicapped and socially excluded. In Burkina Faso, incidence of obstetric fistula is 6/10,000 cases amongst gynaecological patients, with more patients affected in rural areas. This study aims to evaluate knowledge on obstetric fistula among young women in a health district of Burkina Faso, comparing rural and urban communities. This cross-sectional study employed multi-stage sampling to include 121 women aged 18-20 years residing in urban and rural communities of Boromo health district. Descriptive statistics and multiple logistic regression analysis were used to compare differences between the groups and to identify predictors of observed knowledge levels. Rural women were more likely to be married (p<0.000) and had higher propensity to teenage pregnancy (p=0.006). The survey showed overall poor obstetric fistula awareness (36%). Rural residents were less likely to have adequate preventive knowledge than urban residents [OR=0.35 (95%-CI, 0.16–0.79)]. This effect was only slightly explained by lack of education [OR=0.41 (95%-CI, 0.18–0.93)] and only slightly underestimated due to previous pregnancy [OR=0.27 (95%-CI, 0.09–0.79)]. Media were the most popular source of awareness amongst urban young women in contrast to their rural counterparts (68% vs. 23%). Most rural young women became ‘aware’ through word-of-mouth (68% vs. 14%). All participants agreed that the hospital was safer for emergency obstetric care, but only 11.0% believed they could face pregnancy complications that would require emergency treatment. There is urgent need to increase emphasis on neglected health messages such as the risks of obstetric fistula. In this respect, obstetric fistula prevention programs need to be adapted to local contexts, whether urban or rural, and multi-sectoral efforts need to be exerted to maximise use of other sectoral resources and platforms, including existing routine health servic
BackgroundMalaria remains a major public health issue in most southern African countries as the disease remains hyper endemic. Burkina Faso continues to face challenges in the treatment of malaria, as the utilization of preventive measures remains low on a national scale. While it has been acknowledged that understanding women’s health-seeking behaviours, perception of malaria and its preventive measures will aid in the control of malaria, there is paucity of information on Knowledge, Attitudes and Practices among women in the reproductive age of 15–49 years in Burkina Faso. This study investigated women’s knowledge of malaria, attitudes towards malaria, and practices of malaria control in order to create a synergy between community efforts and governmental/non-governmental malaria control interventions in Burkina Faso.MethodsThe analysis used data from the 2014 Burkina Faso Malaria Indicator Survey (MIS). In total 8111 women aged between 15–49 years were included in the present study. We assessed women’s knowledge about 1) preventive measures, 2) causes and 3) symptoms of malaria, as well as malaria prevention practices for their children and during pregnancy. The socio-demographic characteristics were considered for Age, Religion, Education, Wealth index, Number of household members, Sex of household head, Household possession of radio, TV and Received antenatal care. Data were analyzed using STATA, version 14. Associations between variables were tested using a Chi-square and logistic regression, with the level of statistical significance set at 95%.ResultsA preponderant proportion of respondents were aged 15–29 years (mean age was 28.63±9.41). About three-quarters of the respondents had no formal education. An estimated two-third of the participants were of Islamic faith, while access to media and behavioural communication were generally poor. The level of knowledge was 53% for rural women and 68.2% for urban dwellers. In sum, there was 56.1% level of accurate kn
Amon Kanyesigye, Philliam Jabim, Clinton Ariho, Nkahebwa Asasira, Isaac Kigozi, Jimmy Asiimwe Tumwine, Juliet Natukunda, Sarah Kiguli, Lydia Nabawanuka Namakula, Rawlance Ndejjo
BackgroundSickle Cell Disease (SCD) is a hereditary disorder with significant public health implications such as chronic pain, and premature mortality. The disease is majorly in sub-Saharan Africa including Uganda. Amidst all this, research has reported low levels of awareness especially among young people such as university students who are the next generation of parents hence the need to conduct the research.ObjectivesThis study determined the knowledge of Sickle Cell Disease and its associated factors among undergraduate students at Makerere University.MethodsThis was only a quantitative cross-sectional study conducted across 10 Colleges at Makerere University among three hundred eighty-five (385) undergraduate students. The students were randomly selected and data collected using an online structured questionnaire designed using Kobo Collect application. Collected data was analysed using logistic regression in STATA 17 software to assess the association between knowledge and demographic factors.ResultsMost participants were between the ages of 18 and 22 (62.08%). While most students had heard of SCD (94.81%), a significant proportion reported that they did not know where SCD testing is done (55.06%) and had never tested for Sickle Cell Trait (92.73%). The mean knowledge score was 58.40%, with 84.68% having poor knowledge. Factors significantly associated with high SCD knowledge included being of Muslim religion (p=0.027) and knowing someone who had ever had SCD (p=0.030).ConclusionsThis study reveals low knowledge levels of SCD among undergraduate students at Makerere University, with higher knowledge associated with Muslim religion and knowing someone with SCD, highlighting the need for targeted educational interventions.
BackgroundDengue fever is an emerging public health concern in Burkina Faso, with increasing outbreaks and data gaps in population awareness. This study assessed knowledge, attitudes, and practices (KAP) related to dengue fever in all health regions of the country.Methodology/principal findingsA nationwide cross-sectional household survey was conducted in May 2022 using a stratified two-stage cluster sampling design. One rural and one urban area were selected per region. Heads of households or their representatives were interviewed using a structured questionnaire. Data were collected electronically and analyzed using Stata. A total of 1,568 participants were enrolled (52.0% male; 48.0% female). Overall, 66.3% had heard of dengue, with higher awareness in urban than rural areas. Only 49.0% correctly identified mosquito bites as the mode of transmission, and 29.9% did not know what dengue is. Most respondents (88.3%) stated that dengue can affect everyone. Regarding prevention, 80.2% reported sleeping under a mosquito net, 49.0% eliminated stagnant water, and 45.4% used mosquito repellents. In practice, 67.6% consistently slept under mosquito nets and 82.6% used repellents. Almost all respondents (98.6%) reported that they would consult a health professional if they had symptoms of dengue. However, knowledge about treatment and vaccination was limited, with 46.5% and 56.6% respectively reporting not knowing whether drugs or vaccines exist.Conclusions/significanceThis study highlights moderate awareness but substantial knowledge gaps and urban–rural disparities in dengue-related KAP in Burkina Faso. Strengthening community-based education and integrated vector control strategies is essential to improve prevention and reduce dengue transmission. Author summaryDengue fever is a mosquito-borne disease that is spreading in many parts of the world, including West Africa. In Burkina Faso, outbreaks have been reported in recent years, but little is known about what communiti
Alfred Anselme Dabilgou, Alassane Dravé, Julie Marie Adeline Wendlamita Kyelem, Fatimata Kinda, Christian Napon, Athanase Millogo, Jean Kaboré
BackgroundIn developing countries, there is a lack of epilepsy knowledge among health workers. The objective of this study was to assess the knowledge, attitude and practice concerning epilepsy among nurses and midwives working in primary health care settings in Ouagadougou.MethodsWe carried out a cross-sectional study in the health districts of Ouagadougou from August 1st to September 15th, 2017. All nurses and midwives working in three health districts were included in this study.ResultsA total of 213 participants with a mean age of 39.5 years were included in the survey; 79.81% of them had a general certification in secondary education and 62% had a professional experience of more than 10 years. About 99% of the participants had not received training on epilepsy-related care during the last six months. In addition, 74.5% of the participants had a good knowledge on epilepsy and 65% had a good practice toward epilepsy. The level of knowledge was associated with the workplace, years of training, and the professional experience. The level of knowledge about epilepsy was also associated with the level of education, while there was a significant link between professional status and nurses' level of practice in the management of seizures.ConclusionsEfforts must be made to provide continuing education for nurses in order to improve their knowledge on epilepsy.
A. A. Dabilgou, A. Dravé, J. M. A. Kyelem, A. Zoma, C. Napon, A. Millogo, K. Karfo, J. Kaboré
Background Migraine is a common neurological disorder characterized by severe headache attacks that may be debilitating. The objective of this study is to determine the knowledge and attitudes of general practitioners in the hospital districts of the city of Ouagadougou on migraine. Methods This cross-sectional study was carried out in hospital districts of Ouagadougou. The data were collected during three months from February 1 to April 30, 2020. Results The study included 116 general practitioners. Thirteen percent of them were suffering from migraine. All participants had previous experience with migraine diagnosis before the survey. Eighty percent of general practitioners had a good level of knowledge of ICDH-3 criteria (knowing 6-7 criteria). The most widely recognized IHS criteria were pulsatility quality (93.1%), photophobia or sonophobia (80.2%), and mild-to-moderate intensity (80%). Ninety-five (81.9%) general practitioners rarely ordered brain imaging. The most common acute treatments were nonsteroidal inflammatory drug (39.47%), paracetamol (44.74%), and derivate of ergot (3.95%). The most common preventive treatments were amitriptyline (27.8%), derivate of ergot (18.9%), and NSAID (16.7%). The majority of general practitioners (56.9%) have referred headache patients to a colleague or specialist. Conclusions Our study found that diagnostic criteria and acute treatment of migraine were well known by the majority of general practitioners, in contrast of preventive treatment.
Ismael Ayouba Tinni, Wendyam Nadège Yameogo, Yannick Laurent Tchenadoyo Bayala, Bakoubassé Aissata Son, Issa Ouedraogo, Fulgence Kabore, Wendlassida Joelle Stéphanie Zabsonre/Tiendrebeogo, Dieu‐Doné Ouedraogo
ABSTRACTBackground and AimsRheumatoid arthritis is still poorly understood by medical personnel in sub‐Saharan Africa, resulting in significant diagnostic delays. The aim of this study was to assess the knowledge, attitudes and practices of general practitioners and nonrheumatologist specialists regarding rheumatoid arthritis.MethodsThis was a descriptive and analytical cross‐sectional study from January 22 to February 22, 2024. Data were collected using an online self‐administered questionnaire from general practitioners and nonrheumatology specialists practicing in Burkina Faso. The association between variables was tested using the chi‐squared test. The significance level was set at 5%.ResultsOne hundred and forty‐five physicians completed the questionnaire. The mean age of the participants was 32.01 ± 4.066 [25; 47] years. The proportion of men was 62.10% (90). The proportion of general practitioners was 61.40% (89). The mean knowledge score was 12.51 ± 2.741 [4; 18] out of 20. Of the 145 physicians who completed the questionnaire, 22.76% (33) were confronted with rheumatoid arthritis in their practice. The mean attitude score was 9.64 ± 3.389 (3 − 16) out of 20. The mean practice score was 14.76 ± 2.292 (9 − 19) out of 20. Physicians with average/good knowledge had no idea about biotherapy in 72.90% (62) of the cases, compared to 27.10% (23) who had an idea about biotherapy (p = 0.001). Physicians with average/good knowledge had unfavorable attitudes in 58.30% (14) of cases compared to 41.70% (10) who had favorable attitudes (p = 0.42). Physicians with average/good knowledge had inadequate practices in 29.20% (7) of cases versus 70.80% (17) with adequate practices (p = 0.019).ConclusionThe majority of participants had an acceptable level of knowledge, attitude and practice regarding rheumatoid arthritis.
Ter Tiero E. Dah, Abdoul S. Moné, Désiré L. Dahourou, Kadari Cissé, Hamidou Savadogo, Nongognan I. Lengane, Zanga D. Ouattara, Abdoulaye Sawadogo, Linda A. Koubi, Isidore T. Traore, Samiratou Ouedraogo, Jocelyne Gare, Abdoulaye H. Diallo, Smaïla Ouedraogo, Blahima Konate, Koiné M. Drabo, Nicolas Meda
BackgroundRecent dengue outbreaks in Burkina Faso have caused substantial morbidity and mortality among semi-urban and urban populations.AimTo assess the knowledge, attitudes, and practices (KAP) among the population of Tougan, a semi-urban city, towards dengue.SettingBetween April 2024 and July 2024, a cross-sectional study was performed among residents and internally displaced populations (IDPs) in Tougan.MethodsParticipants aged 18 years and older, recruited through an adapted three-stage random sampling were eligible. Sociodemographic data as well as information on knowledge, attitudes, and practices (KAP) were collected using a questionnaire. Factors associated with good knowledge of dengue (i.e. knowledge score ≥ 11) were identified using logistic regression models.ResultsA total of 419 participants, including 130 (31.1%) IDPs, were enrolled in the study. The majority were male (53.9%), with a mean age of 38.5 years (standard deviation [s.d.] 12.9). The mean scores of KAP regarding dengue were 10.1 (s.d. 1.2), 13.5 (s.d. 1.9), and 9.4 (s.d. 2.2), respectively. Internally displaced populations had significantly lower levels of knowledge of dengue (adjusted odds ratio [aOR]: 0.49, 95% confidence interval [CI]: 0.29–0.81, p = 0.006) compared to residents. Moreover, participants with stagnant water at their home (aOR: 3.03, 95% CI: 1.84–4.96, p < 0.001) and those with good practices towards dengue (aOR: 3.39, 95% CI: 1.37–8.38, p = 0.008) had better knowledge.ConclusionContext-specific prevention messages on dengue and targeted interventions should be developed for IDPs and residents from semi-urban areas in Burkina Faso.ContributionThis study provides findings to enhance dengue awareness among vulnerable populations and preparedness for future epidemics.