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Search Results: 1 - 10 of 301398 matches for " Bukasa Tshilonda J. Christophe "
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Factors Associated with Inequalities in Access to Health Care to Mbujimayi (Kasai Oriental/DR Congo)  [PDF]
Kabongo Mwamba A. Guillaume, Bukasa Tshilonda J. Christophe, Kankologo Biakulamabo Christine, Mbuyi Kabeya J. Henock, Mbuyi Mishinda Anaclet, Kabambi Bukasa Valentin, Mishika Lukusa Patricia, Mutombo Kabamba André, Wembonyama Okitotshio Stanis
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105666
Objective: Mbujimayi like the other African cities where the environmental, social and economic problems, promote the development of urban pathology, several factors limit or promote access to quality health care services especially for slum dwellers. The objective of this study was to analyze factors associated with seeking care in this city. Material and Methods: This study was conducted in 2010 on the therapeutic use in six health zones of the 10 areas that make up the urban medical district of the city with a cross-sectional survey of 386 households. To study the association of different factors, we relied on crosstabs and statistical associations: we connected, one by one, the independent variables to those characterizing the use of care; we evaluated the significance of the statistical relationships subjecting the consequences we assume they induced the chi-square test. The degree of significance of the associations has been indicated by the value of p < 0.05. Data processing was carried out using the software Epi-Info 6 version 3.5. 1, 2008, and Excel for tables. Results: The results show that therapeutic routes are as diverse as health care supply is varied. It appears from this study that 94.8% of households had at least one case of disease, 70.5% used modern health care, 17.1% consulted traditional healers, 4.3% practiced self-medication and 8.1% gave up to care. 70.3% have resorted to private structures, 85.7% used private structures. The corresponding description said the gender of the household head, sex and age of the patient, the level of education of the household head, the distance, the supposed cause of the disease and care of financing are factors associated with access to both modern and traditional treatments (p < 0.05).
Children Family Break and Access to Health Care Law: What Knowledge and Attitudes in the City of Mbujimayi Democratic Republic of Congo  [PDF]
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.
Holistic Management of Persons with Mental Disorders: Cases of Caregivers Center Psycho Neuro Pathology (CNPP) in Kinshasa in the DRC  [PDF]
Mukongo Kapita Joseph, Kabongo Mwamba Andre Guillaume, Bukasa Tshilonda Jean Christophe, Kashala Td, Kapenga Kasongo Jj, Mutombo Kabamba Andre, Patricia Mishika Lukusa, Wembonyama Okitotsho Stany
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105558
Introduction People with mental disorders are found in all countries of the world, but their support depends on each conceptual and organizational modality in strength in their respective countries. A serious problem arises in the holistic care of these patients by the fact that there is a lack of interest by their families, NGOs and the Congolese state, what grows them to be wandering day and night to across the major arteries of the Capital without any support, nor their admission to hospitals. The small group that can be admitted for care in hospitals, is also confronted with the institutional realities that do not allow that holistic care, especially since it takes days and the improvement seems to be too slow and mutigious. Why this study with caregivers to evaluate their work in relation to holistic care. Material and Method Our study is descriptive correlational. The study population is made up of 136 caregivers working at the Neuro Psycho-Pathological Center (CNPP) in Kinshasa, than we regarded to be an exhaustive sample given the importance of the study. To collect the data, we used the live observation, the interview and the questionnaires administered to the caregivers. The study was conducted for 1 month from 03.01.2019 to 01.04.2019. The SPSS software version 20 enabled us to analyze the data of our research by resorting to the statistical calculation commonly used for the frequencies. We have presented the p-value at the threshold of 0.5. There is a significant link i.e. the p-value is from 0.001 to 0.499, at this moment our time null hypothesis is maintained and in the case of p-value 0.501 to 0.999. They are regarded as weakly significant, our assumption is automatically alternate. Results The results showed that 53.8% of careers were between the ages of 41 - 60; 69.8% of the male caregivers were compared to 30.8% female, 69.8% were the A3 nurses and 34.6% of these nurses had a seniority of 31 - 40 years. The study shows also that working conditions of carers characterized by the lack of means of transportation at 96.2%, the crisis turnover at 92.3%. There are significant differences enter some socio-professional characteristics (qualifications and seniority) and the implementation by caregivers of standards-based patient care and the ad-vancement of mental health, since all p values of X2 are less than 0.05. Therefore, being older and more qualified influences this application. Conclusion There are several laws around the world, including the Public Health Codes which include in their objectives the organization of a mental health service and the fight against mental illnesses, which implies the setting up of a Committee for the fight against mental illnesses and a structure that can take care of patients aftercare.
Early Marriage in Girls 12 - 18 Years: Frequency and Predisposing Factors in the City of Kabinda, Province Lomani/DRC Congo  [PDF]
Adeline Kasanj Kalum, Daniel Kitambo Kabiengele, Dieudonne Lumanu Mposhi, Regine Nkusu Kalenga, Bertin Mpaka Mpaka, Mediatrice Kasheta Mabondo, Kalala Odia, Ennock Mbuyi Kabeya, Valentin Kabambi Bukasa, Emmanuel Mpetemba Mubala, Jean Christophe Bukasa Tshilonda
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105268
Introduction: To determine the frequency and risk factors of early marriage among girls 12 - 18 years in the city of KABINDA. Material and methods: This study is descriptive cross. It was conducted in 5304 households in two Kamukungu health areas and Kilo located KAMUKUNGU neighborhood. The sample consisted of 1227 women of childbearing age, married at an early stage that had been subjected to a questionnaire that was used as data collection tool. Results: The early marriage rate among girls 12 - 18 years is 23.1%. Factors encouraging this early marriage are poverty (continued to unemployed parents, resourceful and load carriers) (33.9%), culture and custom (31.4%), family and social pressure (17.9%) and non-use of contraceptive methods (17.2%). Conclusion: Early marriage in our communities is an all too common phenomenon in the DRC in general and particularly in the province of South Kivu, or one in four women currently aged 40 - 45 had married before the age of 18. This is also the situation in the province of Lomani and precisely in the city of KABINDA. To do this, it would popularize laws and legal texts on the protection of children especially in education, and marriage continues to raise awareness of the city of KABINDA and prevent child marriage by bringing to 18, the minimum age for marriage and support oriented programs to protect and promote the rights of adolescent girls.
Knowledge and Rates of Use of Preschool Consultation by the Mothers in the Area of Health Tshitenge/Democratic Republic of Congo  [PDF]
Jean Christophe Bukasa Tshilonda, Augustin Kadiata Bukasa, Zelda Nkongolo Kitenge, Isaac Kalenda Ilunga, Cedrick Ilunga Bimpa, Jean Pierre Kufua Katukumbanyi, Dominique Kapitena Mangola, Astrid Kabanga, Benedicte Bileo, Axel Ngoyi, Therese Kapenga Mitanta, Olivier Ejiba Nyongonyi, Paulin Kabamba Lupueka, Alain Ngoyi Kibambe, Jean Felix Kabangu, Geremie Kazadi, Alexis Ntambwe Mayombo, Andre Kazadi Mukendi
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105064
Introduction: The postponement of the preventive activities of the Provincial Division of Health of East Kasai 2016 revealed que le level of attendance of the preschool consultation is decreasing less and less in the Health Area Tshitenge. Thus, this study set the goal of determining the knowledge and use of maternal pre-school counseling in the Health Area Tshitenge. Methods: The survey method was used by means of a questionnary administered to mothers in this region, but more specifically, we collected data from 422 mothers responsible for randomly selected children aged 0 to 5 in the four health. Results: After analysis and analysis of the data with the computer tool, we obtained the following results: the rate of use of the preschool consultation service is 60.7%; the level of education, occupation and the number of children under 5 years of age have a strong influence on the use of preschool counseling; lack of knowledge about the most important activity of preschool counseling has a negative influence on its use. There is a link between the use of the preschool consultation and the most important activity of the preschool consultation for the respondent; there is also a link between this and an appointment on the map; and finally, the cost judgment of SPC strongly influences its use. Conclusion: In order to raise this activity, the revitalization of preschool consultation activities in the Tshitenge health area, the reinforcement of the parents’ awareness on the use of preschool counseling from 0 to 59 months, and the revival of visits to homes for children whose mothers drop out of preschool counseling sufficient are a basis.
Prognostic of the New Nests of Seropositive Mothers Beneficiaries of the Prevention of Mother-Child Transmission in the City of Mbuji-Mayi/Drc  [PDF]
Jean Christophe Bukasa Tshilonda, Ivon Kasonga, Isaac Kalenda Ilunga, Moise Kanyiki Katala, Justin Tshibangu Kandala, Valentin Kabambi Bukasa, Ennock Mbuyi Kabeya, Nana Dikoma Misenga, Thérèse Kapenga Mitanta, Bertin Mpaka Mpaka, Mediatrice Kasheta Mabondo, Olivier Ejiba Nyongonyi, Paulin Kabamba Lupueka, Alain Ngoyi Kibambe, Alexis Ntambwe Mayombo, Emmanuel Mubala Mpetemba, Michel Kabamba Nzaji
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105267
Objective: The objective of this study is to evaluate the success of Moth-er-to-Child Transmission Prevention (PMTCT) is reducing the morbidity and mortality of newborns related to HIV/AIDS. Materials and Methods: This is a descriptive correlational study whose data collection is done in a transversal way from 01 to 30 June 2017 among HIV-positive women screened and we antiretroviral treatment in the health area targeted by this study. To collect this data, we used the semi-structured technical interview face-to-face using a questionnaire. Results: The results of the bivariate analysis revealed the HIV positive outcome in newborns of HIV-positive mothers is significantly related to the following factors (i.e,. p < 0.05): the parity of more than 5 children; lack of knowledge of some HIV infection pathways; lack of knowledge of some factors that promote the transmission of HIV from mother to child, such as: several infections in the mother; mixed feeding; lack of treatment of the mother; multiple pregnancies; non-monitoring of PMTCT activities; childbirth at home; mixed feeding and non-monitoring of PMTCT services with all pregnancies after-positive HIV diagnosis; lack of knowledge of the center offering the PMTCT service in service within its radius; poor monitoring of antiretroviral therapy and the effect of not HAVING applied to family planning method. Conclusion: The WHO advises inside this box to promote education, information and communication services for health that are ignored by the population using the available communication channels in the respective areas; apply mass communication to inform pregnant women about the existence of PMTCT services in health centers or hospitals.
Caesarean in Rural Environment of Eastern Kasai (Dr Congo): Evolution of Caesarean Section Rates in Kasansa and Tshilenge  [PDF]
André Guillaume Kabongo, Dady Kalala, Jean Christophe Bukasa, Deca Blood Banza, Christine Kankologo, André Mutombo, Stany Wembonyama
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104564
Objective: To analyze the evolution monthly of the disastrous Caesarean and to their influence one maternal mortality and infantile in the General hospitals of reference of Kasansa and Tshilenge. Methods: Descriptive retrospective study Bi-centric related to 434 Caesareans carried out to the maternity of the general hospital of reference of Kasansa and that of Tshilenge during years 2015 and 2016. Our dated were collected in the obstetric files, registers of the maternity and the operating room. Public garden Ki square is used to compare it with the percentages and T of Student for the comparison of the averages in two maternities, and the percentage of increase gold reduction was calculated with the formulated of growth used also in economy. Results: Two maternities received respectively in 2015, 549 and 227 childbirth, among which 136 Caesareans carried out with Kasansa and 72 in Tshilenge. During the Disastrous months (from January to December), Caesareans dropped by 68.2%, (10.7% to 3.4%) in Kasansa and of 71.1% with Tshilenge (from 19.7% to 2.8%). In 2016, 702 childbirth and 109 Caesareans with Kasansa and 376 childbirth and 117 Caesareans with Tshilenge. Disastrous Caesarean dropped by 7% (from 12.8% to 11.9%) with Kasansa and raised of 143.3% with Tshilenge (from 6% to 14.6%). Perinatal mortality dropped by 69.5% in 2015 and 51.8% in 2016 and maternal mortality dropped respectively by 100% in 2015 and in 2016 of 35.9%. Conclusion: During 24 months concerned with the study (of January 2015 with December 2016), the practice of the Caesarean Knew has fell into the two structures except for maternity of Tshilenge 2016. Thus, the improvement of the maternal forecast master keys rather by year improvement of the quality of the obstetric assumption of responsibility but not by the increase amongst operational childbirth. Thesis results encourage custom to analyze the participation of the various disastrous indications in the variation of the Caesarean in this medium.
Factors Associated with Acquired Infections Caesarian Wounds in Maternity Mbuji-Mayi/DR Congo  [PDF]
Jean Christophe Bukasa, Augustin Kadiata, Andre Guillaume Kabongo, Didier Lepelletier, Decas Blood Banza, Jean Jacques Bukasa, Félicien Ilunga, Andre Mutombo, Senghor Ngoyi Mbo, Angelique Bandimuna, Sébatien Kashimpo, Alexis Ntambwe, Stany Wembonyama
Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104437
Introduction: The purpose of this study is to analyze the factors associated with nosocomial infections of caesarean section wounds in the maternity hospitals of the city of Mbuji-Mayi. Methods: This study was conducted in 25 maternities of general referral hospitals, clinics and hospitals in the city of Mbuji-Mayi during the period from 1 February to 1 June 2017, out of 171 parturients cesarized that were followed during a period of 4 months. A survey questionnaire was used to collect the data. Results: Out of 171 parturients monitored, surgical site infection developed 52 (SSI), an incidence of 30.4%. After analysis, nine factors were identified as associated post-caesarean SSI in Mbuji-Mayi city (p ≤ 0.05): age (p = 0.000), anemia (p = 0.000), prolonged duration of labor delivery (p = 0.001), premature rupture of the membranes before caesarean section (p = 0.044), prolonged duration after-rupture of the membranes (p = 0.000), preparation of the operative site by shaving (p = 0.029), surgery by general practitioner (p = 0.023), duration of operation greater than 60 minutes (p = 0.040), non-compliance with asepsis during dressing (p = 0.000). Conclusion: The fight against nosocomial infections must be a permanent concern: the prevention and regular monitoring of these infections must be the control strategies of each hospital structure, under the watchful eye of a coordination center for the fight nosocomial infections.
Knowledge, Attitudes and Practices of Health Care Professionals on Ebola Virus Disease in Democratic Republic of the Congo  [PDF]
Kabemba Bukasa Héman
Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105504
Background: Ebola virus disease (EVD) remains a public health problem. Health workers are constantly at risk of contracting the disease because of the high risk of infection. The Democratic Republic of Congo is in its tenth epi-demic. Objective: This study aimed to determine the level of knowledge, atti-tudes and practices of care professionals about the occurrence of a possible outbreak of EVD. Methods: This was a prospective cross-sectional and de-scriptive survey of the care staff of the Moba administrative unit. The period from June to August 2018 was chosen. We administered an adapted CDC-2014 questionnaire to the health care providers in the targeted hospitals. Results: A total of 66 care professionals had participated in our survey. The means age of the respondents was 32 ± 2.1 years, with a male predominance (57.6%) and a nurse (75.8%). The majority of care professionals had good knowledge of the name and reservoir of the causal agent, the severity of the disease, the modes of prevention and the attitude to adopt in case of suspicion of Ebola virus disease, and the year of the last epidemic. On the other hand, the level of knowledge on the definition of the disease, the transmission routes, the virological and clinical aspects and even the number of epidemics that have already affected the Democratic Republic of Congo and the year of the first epidemic was insufficient. The majority of respondents (78.8%; p < 0.01) had never attended Ebola training. Conclusion: The level of knowledge of the care professionals was below expectations. Strengthening care professionals capacity on Ebola virus disease is imperatively required in a short time, given epidemic episodes
Epidemiological Profile of Treponema pallidum Infection in Blood Donors Candidates at Moba, Tanganyika Province, Democratic Republic of Congo  [PDF]
Bukasa Héman Kabemba, Ebondo Patrick Kasendue, Muteba André Shiku, Nsomue Gentil Kabingie, Mposhi Djolin Ngiele, Tshite John Kitengie, Kibambe Jérome Kahenga, Kabiswe Joelle Pungue
Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1103420
In sub-Saharan Africa, sexually transmitted infections (STIs) and transfusiontransmissible infections (TTIs) are a public health problem. Among them, we find the syphilis that the recipient of blood might contract in the absence of serological tests in the donor. The objective of this study was to determine the prevalence and profile of the individual at risk for transmission of Treponema pallidum among blood donation candidates. This is a single-center, retrospective and descriptive cross-sectional study over a period from 2015 to 2016 at the Katele Health Reference Center of Moba-Port in the Democratic Republic of Congo. The use of Rapid Plasma Reagin (RPR) was required for the detection of anti-treponematosis antibodies. The Epi Info 7.1 software was used to analyze the data at the significant threshold of p 0.05. Of 752 blood donors tested, 62.8% were male and the mean age was 30.3 ± 6.9 years with extremes ranging from 18 to 43 years. Family, replacement donors were the most encountered (93.7%). The seroprevalence of the Treponema pallidum infection in blood donation candidates was 5.2%. Age (18 to 30 years) was significantly associated with the risk of transmission of syphilis in the recipient of the blood (OR = 4.4; 95% CI [1.86-10.24]; p-value 0.005). In 0.9% of cases, an association with HIV was encountered. The risk of contracting syphilis after transfusion remains high in our environment. It is mandatory to continue to research the Treponema pallidum in the serum of any blood donor. Education of the population on prevention of sexually transmitted infections and transfusion safety measures (especially during the donor screening phase) should be strengthened.
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