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Children Family Break and Access to Health Care Law: What Knowledge and Attitudes in the City of Mbujimayi Democratic Republic of Congo
Anaclet Mbuyi Mishinda, Jean Christophe Bukasa Tshilonda, Guillaume Kabongo Mwamba, Valentin Kabambi Bukasa, André Mutombo Kabamba, Stany Wembonyama Okitotsho
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105386
Introduction: In the Democratic Republic of Congo, the right to health care is recognized to all children at both constitutional principles of the law on protection of the latter. Despite the existence of these instruments, access to health care continues to be a problem again. Thus, our study focuses on children with family breakdown and the right of access to health care: What about knowledge and attitudes in Mbujimayi/Democratic Republic of Congo. Methods: The study is the quantitative correlational type and focused on 600 children from broken homes in the city of Mbujimayi. She performed for a period of four months which is from 18 March to 18 July 2018. A questionnaire consisting of closed and open questions was used as an instrument for data collection. The Epi-Info software version 3.5 in 2010 was used for data analysis. Results: The majority of children in family breakdown is composed of those with more than 14 years with (52.8%); the average age is 15.5 years; 67.8% are male; 53% live east of the City of Mbujimayi; 60.5% are non-monogamous families; 53.8% are without levels; 67.5% are Christian and 71% cannot read or write. Conclusion: Knowledge of the right of access to health care and the question that access to health care den is an exclusive right granted to children from broken families is low. The attitude of children from broken front right of access to health care Mbujimayi is negative. So to improve this knowledge and attitudes, we suggest that parents support their responsibilities by supervising their children. Social actors and other stakeholders in the protection of children, help them reintegrate into society by providing them with a minimum of education/training to continue to do their fieldwork by sensitizing these children on their rights and especially on the right of access to health care to the Congolese State.
Predictive Factors of Childbirth by High in the City of Mbujimayi (Democratic Republic of Congo)
Kabunda Mbala John, Balela Kabasu Marie Claire, Kadima Cibangu, Mulumba Ntumba, Mbuyi Cipinda Fleur, Kakesa Tshimanga, Kabamba Nzaji Michel
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105912
Goal: Identifying predictors of cesarean delivery in the reference general hospitals of the city of Mbujimayi. Method: Study is analytical case-control study in the city of Mbujimayi precisely in all general hospitals of reference of this city during the period from 15 March to 14 June 2017 with 282 birth. A total of 94 caesarean which were considered as cases and 188 birth vaginally who were considered witnesses or 2 for each case of our series. Predictors of cesarean delivery were highlighted by the no logistic regression. Results: Predictors of cesarean delivery are: la parity of less than 4 [Oraj: 0.269 (0.108 - 0.670)]; prior dystocia [Oraj 11.99 (4.255 to 33.811)]. lSystolic hypertension [Oraj: 12.768 (1.791 - 91.029)]; Emergency evacuation [Oraj: 59.144 (16.053 - 217.904)]; lhas obstructed fetal presentation [Oraj: 10.092 (2.975 - 34.235)]; the abnormal appearance of the amniotic fluid [Oraj: 4.913 (2.035 - 11.862)] and APGAR 5 < 7 [Oraj: 4.133 (1.372 - 12.456)]. Conclusion: Predictors of cesarean delivery are: la parity of less than 4; prior dystocia; lSystolic hypertension; Emergency evacuation; lhas obstructed fetal presentation; the abnormal appearance of the amniotic fluid; and in the fifth minute Apgar < 7.
Seroprevalence of Hepatitis B Virus Infection (HBsAg) in Rural Blood Donors, Moba, Tanganyika Province, Democratic Republic of Congo (2014 to 2016)
Bukasa Héman Kabemba, Ebondo Patrick Kasendue, Muteba André Shiku, Tchoni Savant Mukena, Tshinkobo Chicco Kasolva, Nsomue Gentil Kabingie, Kabiswe Joelle Pungue, Tshite John Kitengie
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103434
Blood transfusion is a salutary practice in modern medicine, but it carries a high risk of transmission of transfusion transmitted infections (TTIs), especially in developing countries. The objective of this study is to determine the seroprevalence of viral hepatitis B among blood donors. This is a retrospective and descriptive cross-sectional study of the period from 2014 to 2016 at the Katele Health Reference Center (Moba, DR. Congo). We investigated HBsAg in blood donors by using Determine HBSAg. 1145 blood donors with an age mean of 30.6 ± 6.9 years and predominantly male (62.5%) were retained. The seroprevalence of hepatitis B infection from 2014 to 2016 was 3.9% (0.3% for 2014, 9.4% for 2015 and 0.7% for 2016). The family blood donors (83.2%) were the only carriers of HBsAg and were significantly associated with hepatitis B infection (p < 0.05). Age [OR = 0.70 CI 95% 0.34-1.44; p 0.338] and sex [OR = 0.72 95% CI 0.27-1.97; p 0.529] were not associated with the occurrence of hepatitis B in blood donors. The risk of transmission of HBV during transfusion remains high. We recommend the strengthening of transfusion safety measures, the abandonment of family donors for regular voluntary donors, the improvement of screening and diagnostic tests, the involvement of the national blood transfusion program in epidemiological surveillance and the mobilization of the population in favor of the fight against hepatitis B.
Seroprevalence Virus in Human Immunodeficiency Sickle Cell Anemia Duffy-46C/C in Democratic Republic of Congo—Case of the City of Kinshasa and Lubumbashi
P. Lungu Anzwal, A. Kambote Kalumba, J. Kasali Mwamba, Saragosti S. Sentob, H. Situakibanza Nani Tuma, Ekwalanga M. Balaka
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103697
Homozygous sickle cell disease undergoes multiple blood transfusions during their life because of chronic hemolytic anemia associated with their condition and the risk of infection is most convincing, for example vis-à-vis certain viruses such as HIV, the virus hepatitis. This study aims to determine the HIV seroprevalence among sickle cell anemia Duffy-46C/C. This is a cross-sectional descriptive study to determine HIV seroprevalence in Duffy-46C/C sickle-cell anemia, conducted at the Yolo Sud SS Joint Medical Center in St. Crispin in Kinshasa and Jason Sendwe Hospital in Lubumbashi, from 2015 to 2016. HIV seroprevalence of 505 subjects homozygous sickle cell Duffy-46C/C was established by Immuno-chromatography tests determined HIV1/2 test Uni-Gold to determine the anti-HIV antibodies. CD4 rate was also determined and plasma viral load. We collected 505 samples of blood from sickle cell anemia aged from 1 year to 65 years (mean age 15.6 years) with 235 subjects male and 270 female subjects. A positive serology was found in 6 cases (1.19%), including 5 female subjects of which 4 cases had received 1-5 transfusions and 2 cases were vaso-occlusive crisis (VOC). Viral load was determined, and 4 individuals were detectable and 2 were undetectable. Their CD4 levels were raised to more than 500 c/μL, ranging between 543 to 893 c/μl. The blood transfusion remains a risk in the transmission of HIV/AIDS among people polytransfusees, due probably to the window door. We will have to strengthen blood safety by equipping laboratories and blood banks with reliable early tests that detect viral RNA of HIV.
Risk Factors of Low Birth Weight in Mbujimayi City, Democratic Republic of Congo
Kanyiki Katala Moise, Banza Ndala Deca Blood, Mukendi Mukendi Jean René, Ciamala Mukendi Paul, Mukendi Ntumba Kennedy, Kaya Tompa Brigitte, Ilunga Bimpa Cedric, Kolela Kolela Alain, Mulewu Ngandu Hypolitte, Kabamba Nzaji Michel
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103501
The objective of this study was to identify and explain the factors influencing the birth of underweight children in the city of Mbuji-Mayi. Methods: This is not a paired case-control study of births registered from 1 to June 30, 2015 in maternity hospitals in three health zones selected for this study, cases are all children born with low weight and witnesses are all children born with a normal weight is 2500 g and more. The significance level was set at p < 0.05. Results: The proportion of LBW was 14.5%. The risk factors identified in this study are: Unmarried women [ORa = 2.92 (1.41 to 5.61)], not Luba Tribal origin [ORa = 1.71 (1.02 to 2.872)], anemia of pregnancy [ORa = 2.92 (1.79 to 4.75)], the non-attendance of the CPN [ORa = 1.92 (1.16 to 3.17)], preterm labor [ORa = 3, 11 (1.79 to 5.41)], diabetic mothers [ORa = 3.44 (1.91 to 6.21)], the history of malaria [ORa = 2 (1.23 to 3.26) ], multiparity [ORa = 2 (1.23 to 3.26)] and threatened abortion histories [ORa = 6.17 (2.82 to 13.52)] had statistical significantly associated with links é FPN.
Hussein Solomon,Cornelia Cone
Scientia Militaria : South African Journal of Military Studies , 2012, DOI: 10.5787/32-1-127
Abstract: This paper will unpack the nature of the state in the Democratic Republic of the Congo (D.R.C.) and explore the links between conflict and the state. The aim of this paper is to ultimately provide an answer to the question: ‘Is there a link between the nature of the state in the D.R.C. and the conflict in this country?’ and ‘If so, what is the link?’ The theoretical tenets of the argument will be encapsulated in a discussion that will juxtapose ‘strong states’ with African states. The nature of the state in the D.R.C., as an African state, will subsequently be explored. Lastly, links will be established between the nature of the state and conflict with particular reference to the situation in the D.R.C.
Ocular Pentastomiasis in the Democratic Republic of the Congo  [PDF]
Mihály Sulyok ,Lajos Rózsa,Imre Bodó,Dennis Tappe equal contributor,Richard Hardi equal contributor
PLOS Neglected Tropical Diseases , 2014, DOI: 10.1371/journal.pntd.0003041
Abstract: Ocular pentastomiasis is a rare infection caused by the larval stage of pentastomids, an unusual group of crustacean-related parasites. Zoonotic pentastomids have a distinct geographical distribution and utilize reptiles or canids as final hosts. Recently, an increasing number of human abdominal infections have been reported in Africa, where pentastomiasis is an emerging, though severely neglected, tropical disease. Here we describe four ocular infections caused by pentastomids from the Democratic Republic of the Congo. Two cases underwent surgery and an Armillifer grandis infection was detected by morphological and molecular approaches. Thus far, 15 other cases of ocular pentastomiasis have been reported worldwide. Twelve cases were caused by Armillifer sp., recorded almost exclusively in Africa, where such infections occur as a consequence of hunting and consuming snakes, their final hosts. Seven further cases were caused by Linguatula serrata, a cosmopolitan pentastomid whose final hosts are usually canids. Intraocular infections caused permanent visual damage in 69% and a total loss of vision in 31% of reported cases. In contrast, ocular adnexal cases had a benign clinical course. Further research is required to estimate the burden, therapeutic options and pathogenesis of this neglected disease.
The Instability of Political and Administrative Institutions in the Democratic Republic of the Congo  [PDF]
Chelo Kpats Guyguy, Xiaojun Xu
Open Journal of Social Sciences (JSS) , 2019, DOI: 10.4236/jss.2019.72005
Abstract: This article uses a historical approach to identify and analyze the factors leading to the instability of political and administrative institutions of the Democratic Republic of Congo from independence to the year 2017. There are multiple factors related to institutional instability in the DRC. Key among them includes the inadequate constitutional provisions, the difficulties caused by the non-application of democratic principles, the heterogeneity of the populace and frequent conflicts. Other contributors to the institutional instability experienced in the DRC include the politicization of the administration, the prevailing social-economic situation, poor governance, the non-observance of the laws, the poor distribution of the national wealth, foreign pressures and macroeconomic influences. The challenges due to institutional and political instability in the DRC provide opportunities for the Congolese state and its populace to re-invent itself to be a truly democratic space where the ambitions to develop and improve the living conditions of the people can be improved through stabilized and functional institutions.
Prevalence of Human African Trypanosomiasis in the Democratic Republic of the Congo  [PDF]
Dieudonne Mumba,Elaine Bohorquez,Jane Messina,Victor Kande,Steven M. Taylor,Antoinette K. Tshefu,Jeremie Muwonga,Melchior M. Kashamuka,Michael Emch,Richard Tidwell,Philippe Büscher,Steven R. Meshnick
PLOS Neglected Tropical Diseases , 2011, DOI: 10.1371/journal.pntd.0001246
Abstract: Human African Trypanosomiasis (HAT) is a major public health problem in the Democratic Republic of the Congo (DRC). Active and passive surveillance for HAT is conducted but may underestimate the true prevalence of the disease. We used ELISA to screen 7,769 leftover dried blood spots from a nationally representative population-based survey, the 2007 Demographic and Health Survey. 26 samples were positive by ELISA. Three of these were also positive by trypanolysis and/or PCR. From these data, we estimate that there were 18,592 people with HAT (95% confidence interval, 4,883–32,302) in the DRC in 2007, slightly more than twice as many as were reported.
Sustainable Urbanization’s Challenge in Democratic Republic of Congo  [cached]
Misilu Mia Nsokimieno Eric,Chen Shouyu,Zhang li Qin
Journal of Sustainable Development , 2010, DOI: 10.5539/jsd.v3n2p242
Abstract: In the context of rapid urbanization in Democratic Republic of Congo, overpopulation in Kinshasa’s city increasingly carries out chaos, inequalities, poverty, environmental degradation, open spaces loss , socio - economic tension, and spontaneous settlements and sprawl. This rapid urban growth occurs without planning and productive employment compounded by weak government involvements. These crisis situations put to the forefront sustainable urbanization as a priority issue for urban development with reference to the globalization and technology. This requires reconsidering urbanization process to stimulate economic growth and mobilize resources at local, national and global levels. A comprehensive reform based on an integrating vision of governance and collective commitment to manage efficiently natural resources. The paper reviews pragmatic approaches in urban planning decision in its whole refers to the dynamics of management, qualification and transformation of the city. The paper presents urban renewal as remedial action holding opportunities to improve environmental quality.
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