scholarly journals Barriers and facilitators to kangaroo mother care implementation in Cote d’Ivoire: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Kadidiatou Raïssa Kourouma ◽  
Marie Laurette Agbré-Yacé ◽  
Daouda Doukouré ◽  
Lassina Cissé ◽  
Chantière Some-Méazieu ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Healthcare Providers ◽  
Kangaroo Mother Care ◽  
Decision Makers ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

Abstract Background Kangaroo Mother Care (KMC) is a high impact, low technology and cost-effective intervention for the care of preterm and low birth weight newborn. Cote d’Ivoire adopted the intervention and opened the first KMC unit in 2019. This study aimed to assess barriers and facilitators of KMC implementation in Cote d’Ivoire, a year after its introduction, as well as proposed solutions for improving KMC implementation in the country. Method This was a qualitative study, using semi-structured interviews, carried out in September 2020 in the first KMC unit opened at the Teaching Hospital of Treichville. The study involved healthcare providers providing KMC and mothers of newborn who were receiving or received KMC at the unit. A thematic analysis was performed using both inductive and deductive (Consolidated Framework for Implementation Research-driven) approaches. NVivo 12 was used to assist with coding. Results A total of 44 semi-structured interviews were conducted, 12 with healthcare providers and 32 with mothers. The barriers identified were lack of supplies, insufficiency of human resources, lack of space for admission, lack of home visits, lack of food for mothers, lack of collaboration between health services involved in newborn care, increased workload, the beliefs of carrying the baby on the chest, father’s resistance, low rate of exclusive breastfeeding, lack of community awareness. Facilitators identified were training of healthcare providers, strong leadership, the low cost of KMC, healthcare providers’ perceived value of KMC, mothers−healthcare providers’ relationship, mothers’ adherence to KMC and the capacity of the KMC unit to network with external organizations. The proposed solutions for improving KMC implementation were volunteer staff motivation, intensifying education and counselling of mothers and families, the recruitment of a psychologist and the involvement of all stakeholders. Conclusion Our study highlighted the challenges to implement KMC in Cote d’Ivoire with unique and specific barriers to implementation. We recommend to researchers and decision makers to respectively design strategies and adopt intervention that specifically address these barriers and facilitators to a better uptake of KMC. Decision makers should also take into account the proposed solutions for a better implementation and scaling up of KMC.

scholarly journals Barriers and Facilitators to Kangaroo Mother Care Implementation in Côte D’Ivoire: A Qualitative Study

2021 ◽  
Author(s):  
Kadidiatou Raissa Kourouma ◽  
Marie Laurette Agbré Yacé ◽  
Daouda Doukouré ◽  
Lassina Cissé ◽  
Chantière Somé-Meazieu ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Healthcare Providers ◽  
Kangaroo Mother Care ◽  
Decision Makers ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

Abstract BackgroundKangaroo Mother Care (KMC) is a key high impact intervention, low technology and cost-effective for the care of preterm and low birth weight newborn. Côte d’Ivoire has adopted the intervention and opened the first KMC unit in 2019. After one year of functioning, we aimed to assess barriers and facilitators of KMC implementation as well as proposed solutions to improve KMC implementation in Côte d’Ivoire.MethodThis was a qualitative study, using semi-structured interviews, carried out in September 2020 in the first KMC unit opened at the Teaching Hospital of Treichville. The study involved healthcare providers providing KMC and mothers of newborn who were receiving or received KMC at the unit. A thematic analysis was performed using Nvivo 12.ResultsA total of 44 semi-structured interviews were conducted, 12 with healthcare providers and 32 with mothers. The barriers identified were lack of supplies, insufficiency of human resources, lack of space for admission, lack of home visits, lack of food for mothers, lack of collaboration between health services involved in newborn care, increased workload, the beliefs of carrying the baby on the chest, partner resistance, low rate of exclusive breastfeeding, lack of community awareness. Facilitators identified were training of healthcare providers, leadership, the cost of the intervention, the value of the intervention for healthcare providers, mothers −healthcare providers relationship, mothers’ adherence to KMC.The proposed solution to improve KMC implementation were volunteer staff motivation, intensifying mothers and families education and counselling, the recruitment of a psychologist and the involvement of all stakeholders.ConclusionsOur study highlighted the challenges to implement KMC in Côte d’Ivoire with unique and specific barriers to implementation. We recommend to researchers and decision makers to respectively design strategies and adopt intervention that specifically address these barriers and facilitators to a better uptake of KMC. Decision makers should also take into account the proposed solution for a better implementation and scaling up of KMC intervention.

scholarly journals Ethnopharmacological Study of Plants Used against Malaria by Traditional Healers in the Department of Bouna, North-Eastern Côte d'Ivoire

2020 ◽  
pp. 11-22
Author(s):  
Koffi Akissi Jeanne ◽  
Tano Konan Dominique ◽  
Kangah Orphée Michelle Alerte ◽  
Rasmane Na Ahou Kaddy ◽  
Ehoulé Kroa ◽  
...  
Keyword(s):  
Medicinal Plants ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Traditional Healers ◽  
Oral Route ◽  
Structured Interviews ◽  
Ethnobotanical Survey ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Therapeutic Alternatives

Mosquitoes have developed resistance, hence the need for anti-malarial medicines. This resistance calls for therapeutic an interest to therapeutic alternatives, including the medicinal plants. An ethnopharmacological survey was conducted amongst 15 Traditional Healers, recommended by the National Program for the Promotion of Traditional Medicine using semi-structured interviews in the city of Bouna. The ethnobotanical survey conducted in 2019 has enabled the identification of 32 plant species belonging to 30 genera and grouped into 19 families. The most represented families were Fabaceae (5 species) Anacardiaceae (4 species), Annonaceae (3 species), Rubiaceae, Zingiberaceae, Asteraceae, and Combretaceae with 2 species each. The species were mostly trees (63.63%). Leaves were the most frequently used parts of the plants (44.4%). The results of our investigations show that the most used mode is the decoction (42.22%). The oral route (60%) is the most used mode of administration. These species complete the non-exhaustive list of medicinal plants that the populations of Cote d'Ivoire use. It was found out that, people in this area commonly use medicinal plants with trust they have built on the curative outcome witnessed. However, this creates a further work to test for the antiplasmodial activity and to develop of Traditional Improved Medicines (MTAs).

Adolescent access to and utilisation of health services in two regions of Côte d'Ivoire: A qualitative study

2019 ◽  
Vol 14 (9) ◽  
pp. 1302-1315 ◽  
Author(s):  
Chantal Donahue ◽  
Julia Robinson ◽  
Samuel Adam Granato ◽  
Fatoumata Tirera ◽  
Doroux Aristide Billy ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Services ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

scholarly journals Ethnobotanical knowledge of medicinal values of Loranthaceae used to treat human diseases by local ethnic Agni Sanwi from Aboisso and Maferé in Côte d'Ivoire

2020 ◽  
Vol 4 (1) ◽  
pp. 039-050
Author(s):  
Amon Anoh Denis-Esdras ◽  
Ahoulou Assoum Stanislas ◽  
Achah Jacques Auguste Alfred Bognan ◽  
Sebe Fiba Doriane ◽  
Soro Dodiomon ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Vascular Plants ◽  
Côte D’Ivoire ◽  
Woody Species ◽  
Traditional Healers ◽  
Ethnobotanical Knowledge ◽  
Structured Interviews ◽  
Informant Agreement ◽  
Cote D’Ivoire ◽  
Côte D'ivoire

Loranthaceae are hemiparasitic vascular plants that develop on other woody species. They are used in traditional medicine to treat various pathologies. The present study is a contribution to the knowledge of the medicinal potential of Loranthaceae used in care by Agni Sanwi of Aboisso and Maferé, in the South-East of Côte d'Ivoire. Ethnobotanical surveys were conducted with 50 herbalists and 17 traditional healers using semi-structured interviews. Three (3) species (Globimetula braunii, Phragmanthera capitata and Tapinanthus bangwensis) divided into 3 genera used to treat 35 diseases were identified. They have been cited in the formulation of several remedies. Malaria, typhoid fever, diarrhea and fontanelle were the most commonly reported conditions. Leaves and leafy twigs are the main organs used. The decoction has been predominant in the acquisition of remedies. The drink was the most cited as a method of administering treatments. The Frequency of Citations (FC) of the Loranthaceae employed in the care and medicinal Informant Agreement Ratio (med.IARs) of the respondents were determined. T. bangwensis had the highest FC (95.52%) and med.IARs (0.73). The therapeutic potentials of Loranthaceae have been highlighted and deserve to be popularized through complementary phytochemical investigations.

scholarly journals Stratégies De Maintien Des ONG Locales En Côte d’Ivoire : Cas Des ONG OEuvrant Dans Le Domaine De L’eau, L’hygiène Et L’assainissement Dans La Zone Duekoué-Guiglo

2017 ◽  
Vol 13 (5) ◽  
pp. 165
Author(s):  
Coulibaly Brahima
Keyword(s):  
Qualitative Study ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Field Staff ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Interview Guide ◽  
Protection Strategies

Local NGOs working in the field of health and specifically the preventive encounter many difficulties. To survive, they use various strategies. Our goal is to show the strategies used by these players to stay on the field. Through a qualitative study, we administered an interview guide for managers and field staff of these organizations. The data collected showed that the actors of local NGOs carry out protection strategies, prevention, promotion and transformation.

scholarly journals Lutte Contre Le Tabagisme Et Les Maladies Non Transmissibles En Côte d’Ivoire

2018 ◽  
Vol 14 (17) ◽  
pp. 235
Author(s):  
Aloko-N’guessan Kouadio Joël-Henri Gilles
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Legal Framework ◽  
Point Of View ◽  
Financial Resources ◽  
Structured Interviews ◽  
Cote D’Ivoire ◽  
Thematic Content Analysis ◽  
Côte D'ivoire ◽  
The World

WHO is in charge of the fight against smoking and its consequences in the world. This institution makes recommendations to its member states in order to help them contain the scourge of smoking. The present study therefore evaluates the level of integration of these various recommendations of the WHO in the context of the fight against smoking in Côte d’Ivoire. It starts from the observation that the fight against smoking in Ivory Coast has produced for several years mixed results. From a methodological point of view, the approach adopted in this study is essentially qualitative. It consisted of conducting semi-structured interviews, a quantitative thematic content analysis and a bibliographic synthesis. Through this approach, we have achieved results that highlight the inadequacy of the legal framework and tobacco control tools in Côte d’Ivoire and the weakness of financial resources allocated to the fight against smoking in this country.

scholarly journals Les Déterminants Des Conflits De Compétences Dans Le Processus De Décentralisation En Cote d’Ivoire

2016 ◽  
Vol 12 (17) ◽  
pp. 334 ◽  
Author(s):  
Guiriobe Paumahoulou Jean-Arsene
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Structured Interviews ◽  
Local Authorities ◽  
Political Factors ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Conflicts Of Jurisdiction

This study identifies and analyses the factors that determine jurisdictional conflicts prevailing in the decentralization process in Côte d’Ivoire. To achieve these objectives, we interviewed, using semi-structured interviews, resource persons in the departments of Alépé, Grand-Bassam, Guiglo and the District of Abidjan. From these interviews, it appears that conflicts of jurisdiction are classified into two categories: vertical conflicts and horizontal conflicts. The vertical conflicts arise between central structures of Government and local authorities. Horizontal conflicts occur between local authorities. Usually caused by structural realities, these conflicts are fueled and poisoned by economic and especially political factors.

scholarly journals Evaluation Des Conditions De Traitement Et De Stockage Des Plantes Médicinales Sur Les Marchés Du District d’Abidjan (Côte d’Ivoire)

2017 ◽  
Vol 13 (3) ◽  
pp. 396
Author(s):  
Kouamé Kouassi Bernadin ◽  
Koné Mamidou Witabouna
Keyword(s):  
Medicinal Plants ◽  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Storage Conditions ◽  
Plantes Médicinales ◽  
Structured Interviews ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Predominantly Female ◽  
Processing And Storage

The present study was carried out to inventory medicinal plants storage conditions on the markets of Abidjan district. A survey was conducted from August to October 2015 in three settings of the district of Abidjan (Abobo, Adjame and Yopougon). A total of 350 sellers of medicinal plants were interrogated using semi-structured interviews. The respondents were predominantly female (98.9%), aged between 30 and 60 years. The supply of medicinal plants in the markets was done by the wholesalers (86%) who themselves harvested plants in different forests or savanah of Côte d’Ivoire. The majority of sellers (73%) did not apply any measure of hygiene in storage. These people in 99.4% of case were not trained on good storage practices. Sale places were accessible to rodents and exposed to dust caused by traffic jamp. The presence of mud (9.1%) and garbage (23.1%) was noted in the immediate surrounding of the displays. These practices of processing and storage of medicinal plants were similar in all the visited settings. These storage conditions may constitute a hazardous risk for the consumer and justify the degradation of medicinal plants on the markets.

scholarly journals Enthusiasm for Introducing and Integrating HIV Self-Testing but Doubts About Users: A Baseline Qualitative Analysis of Key Stakeholders' Attitudes and Perceptions in Côte d'Ivoire, Mali and Senegal

2021 ◽  
Vol 9 ◽  
Author(s):  
Odette Ky-Zerbo ◽  
Alice Desclaux ◽  
Alexis Brou Kouadio ◽  
Nicolas Rouveau ◽  
Anthony Vautier ◽  
...  
Keyword(s):  
Cote D'ivoire ◽  
Sex Workers ◽  
Côte D’Ivoire ◽  
Key Populations ◽  
Structured Interviews ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Perceptions And Attitudes ◽  
Key Stakeholders ◽  
Self Testing

Since 2019, the ATLAS project, coordinated by Solthis in collaboration with national AIDS programs, has introduced, promoted and delivered HIV self-testing (HIVST) in Côte d'Ivoire, Mali and Senegal. Several delivery channels have been defined, including key populations: men who have sex with men, female sex workers and people who use injectable drugs. At project initiation, a qualitative study analyzing the perceptions and attitudes of key stakeholders regarding the introduction of HIVST in their countries and its integration with other testing strategies for key populations was conducted. The study was conducted from September to November 2019 within 3 months of the initiation of HIVST distribution. Individual interviews were conducted with 60 key informants involved in the project or in providing support and care to key populations: members of health ministries, national AIDS councils, international organizations, national and international non-governmental organizations, and peer educators. Semi structured interviews were recorded, translated when necessary, and transcribed. Data were coded using Dedoose© software for thematic analyses. We found that stakeholders' perceptions and attitudes are favorable to the introduction and integration of HIVST for several reasons. Some of these reasons are held in common, and some are specific to each key population and country. Overall, HIVST is considered able to reduce stigma; preserve anonymity and confidentiality; reach key populations that do not access testing via the usual strategies; remove spatial barriers; save time for users and providers; and empower users with autonomy and responsibility. It is non-invasive and easy to use. However, participants also fear, question and doubt users' autonomy regarding their ability to use HIVST kits correctly; to ensure quality secondary distribution; to accept a reactive test result; and to use confirmation testing and care services. For stakeholders, HIVST is considered an attractive strategy to improve access to HIV testing for key populations. Their doubts about users' capacities could be a matter for reflective communication with stakeholders and local adaptation before the implementation of HIVST in new countries. Those perceptions may reflect the West African HIV situation through the emphasis they place on the roles of HIV stigma and disclosure in HIVST efficiency.

scholarly journals DYNAMIQUE FAMILIALE EN MATIÈRE DE SANTÉ: ENTRE TRADITIONALISME ET MODERNISME CHEZ LES ABBEY, AU SUD DE LA CÔTE D’IVOIRE

2018 ◽  
Vol 6 (4) ◽  
pp. 36-49
Author(s):  
Traore Kassoum ◽  
Fofana Memon
Keyword(s):  
Cote D'ivoire ◽  
Côte D’Ivoire ◽  
Participant Observation ◽  
Traditional Healers ◽  
Hiv And Aids ◽  
Structured Interviews ◽  
Self Medication ◽  
Cote D’Ivoire ◽  
Côte D'ivoire ◽  
Symbolic Practices

Background: In Côte d'Ivoire, since the advent of the crisis of the HIV and AIDS epidemic, the structural adjustment policy of the 1980s and the end of the policy of total free healthcare for the majority of the population, the strategies within families for health emerged. In order to heal, the therapeutic routes within families are made by symbolic practices based on traditionalism, modernism and the juxtaposition of traditionalism and modernism. Method: A qualitative study made it possible to collect data from semi-structured interviews with seven (07) families in which 22 key people were interviewed and ten (10) sellers of medicines (including 05 street drug sellers called "cheaper" and 05 traditional healers for medicinal plants). Also, a detailed documentary exploitation and a participant observation for a period of eight (8) months structured by an observation grid formalized in a notebook were conducted. These data were analyzed by taking into account endogenous and exogenous knowledge including the symbolic practices of structuring health within families and this community. Result: The study shows that therapeutic dynamics within families are dominated by curative care practices with a juxtaposition of mobilizable care (modern and traditional medicine, self-medication). This domination of the curative on the preventive is intended to anesthetize the health or therapeutic awareness of the patient and his family. In addition, the study found that the pharmaceutical basket is largely structured therapeutic products housed in the tradition model and therapeutic products under the "common sense" (street drug). The consequence of all these health practices within families is the observation of the death of the individual by an easily curable disease. Conclusion: The present study was conducted in the Abbey community, an ethnic group in the southern region of Côte d'Ivoire, an area strongly marked by the colonization. The objective was to understand the social dynamics that structure the therapeutic practices and perceptions for the health care and preservation of the members of this community based on the health results obtained. In analysis, the remoteness of individuals from preventive therapeutic practices advocated by the health authorities is part of the actor strategy that Michel Crozier (1977) discusses, either to circumvent the financial expenses, or to give meaning to an event not judged too unfavorable for them or to reach a socio-cultural order not communicable.

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