Socio-Environmental Factors Associated with the Risk of Contracting Buruli Ulcer in Tiassalé, South Côte d’Ivoire: A Case-Control Study

Abstract BackgroundNeglected Tropical Diseases (NTDs) comprise 20 communicable diseases that are prevalent in rural poor and remote communities with less access to the health system. For an effective and efficient control, the WHO recommends to affected countries the implementation of integrated control interventions that take into account the different co-endemic NTDs in the same community. However, implementing these integrated interventions involving several diseases with different etiologies, requiring different control approaches and driven by different vertical programs remains a challenge. We report here the results and lessons learned from a pilot test of this integrated approach based on integrated screening of skin diseases in three co-endemic health districts of Côte d'Ivoire, a West African country endemic for Buruli ulcer, leprosy and yaw three skin NTDs. MethodThis cross-sectional study took place from April 2016 to March 2017 in 3 Districts of Côte d’Ivoire co-endemic for BU, leprosy and yaws. It was carried out in 6 stages: identification of potentially co-endemic communities; stakeholder training; social mobilization; mobile medical consultations; case detection and management; and a review meeting.ResultsIn total, 2310 persons were screened with skin diseases. Among them, 07 cases were diagnosed as Buruli ulcer. There were 30 leprosy cases and 15 yaws detected. Other types of ulcerations and skin conditions have been identified and represent the majority of cases detected. We learned from this pilot experience that integration can be successfully implemented in co-endemic communities in Côte d’Ivoire. Health workers are motivated and available to implement integrated interventions instead of interventions focused on a single disease. However, it is essential to provide capacity building, a minimum of drugs and consumables for the care of the patients detected, as well as follow up of detected patients including those with other skin conditions.ConclusionsThe results of this study show that the integration of activities can be successfully implemented in co-endemic communities under the condition of a staff capacity building and a minimal care of the detected patients.

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Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015

International Journal of Health Economics and Policy ◽

10.11648/j.hep.20190404.14 ◽

2019 ◽

Vol 4 (4) ◽

pp. 143

Author(s):

Akissi Regine Attia-Konan ◽

Agbaya Serge Stephane Oga ◽

Kouame Koffi ◽

Jerome Kouame ◽

Amadou Toure ◽

...

Keyword(s):

Cote D'ivoire ◽

Côte D’Ivoire ◽

Healthcare Expenditure ◽

Living Standard ◽

Cote D’Ivoire ◽

Factors Associated ◽

Côte D'ivoire

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Phytotherapy against buruli ulcer in the Health District of Yamoussoukro (Cote d’Ivoire) : Identification, description, and symbolic functions of the plants and recipes used

Médecine et Santé Tropicales ◽

10.1684/mst.2016.0630 ◽

2016 ◽

Vol 26 (4) ◽

pp. 408-413

Author(s):

A.A. Adjet ◽

D. Kouame ◽

G. Fokou

Keyword(s):

Cote D'ivoire ◽

Côte D’Ivoire ◽

Buruli Ulcer ◽

Health District ◽

Cote D’Ivoire ◽

Côte D'ivoire

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Prevalence and factors associated with hypertension in Anonkoi 3, a peri-urban area in Abidjan (Côte d’Ivoire)

Journal of Public Health in Africa ◽

10.4081/jphia.2019.1106 ◽

2020 ◽

Vol 10 (2) ◽

Author(s):

Julie K. Sackou ◽

Marie L. Tiadé ◽

Annita A. Hounsa ◽

Simone K. Malik ◽

Madikiny Coulibaly ◽

...

Keyword(s):

Physical Activity ◽

Urban Area ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Vegetable Consumption ◽

Adult Population ◽

Cote D’Ivoire ◽

Factors Associated ◽

Low Level ◽

Côte D'ivoire

Hypertension affects more than a quarter of the world adult population, with ruralurban disparities. In Côte d’Ivoire, the prevalence was 21.7% in 2005. The aim of this study was to determine factors associated with hypertension in a peri-urban community in Abidjan. A cross-sectional study was conducted at Anonkoi 3 a peri-urban area in Abidjan. The sample was of 360 subjects aged 18 and older. Behavioral, anthropometric and blood pressure characteristics were determined using WHO STEPS questionnaire and multivariate logistic regression was performed. Prevalence of hypertension was 18.61%. Subjects were low fruit and vegetable consumption (3.3%), low level of physical activity (64.2%) and abdominal obesity at 40%. The risk of hypertension was significant from age 45, in subjects living with a partner and in those with low level of physical activity. Health education programs are essential to prevent cardiovascular risks.

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Impact of common skin diseases on children in rural Côte d’Ivoire with leprosy and Buruli ulcer co-endemicity: A mixed methods study

PLoS Neglected Tropical Diseases ◽

10.1371/journal.pntd.0008291 ◽

2020 ◽

Vol 14 (5) ◽

pp. e0008291

Author(s):

Rie Roselyne Yotsu ◽

Colombe Coffie Comoé ◽

Germaine Taïba Ainyakou ◽

N’guessan Konan ◽

Amari Akpa ◽

...

Keyword(s):

Mixed Methods ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Skin Diseases ◽

Buruli Ulcer ◽

Mixed Methods Study ◽

Cote D’Ivoire ◽

Côte D'ivoire ◽

Common Skin

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Asymptomatic malaria: building bridges with communities through patients in Côte d’Ivoire

European Journal of Public Health ◽

10.1093/eurpub/ckz185.589 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

A Hounsa ◽

D Yao ◽

A R Attia ◽

M Gokpéya ◽

K J Sackou ◽

...

Keyword(s):

Environmental Factors ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Control Strategies ◽

Clinical Signs ◽

Domestic Animals ◽

Asymptomatic Malaria ◽

Cote D’Ivoire ◽

Côte D'ivoire ◽

Household Members

Abstract Background In malaria-endemic areas, asymptomatic carriers are a reservoir of parasites that contribue to the persistence of malaria transmission. In Côte d’Ivoire, this situation is poorly documented. The objective of our study was to assess the frequency and socio-environmental factors associated with asymptomatic malaria in the town of Assuefry, located in the northeast of Côte d’Ivoire, a region where malaria prevalence remains high. Methods A cross-sectional study in two stages was conducted from October to December 2018, first at the Urban Health Center (UHC) in Assuefry and then in the households. The sample size calculated for patients was 162 extrapolated to 201 people. All persons received at the CSU who had clinical symptoms of malaria and a positive Rapid Diagnostic Test (RDT) were included. In the households of these index subjects, a follow-up survey allowed active RDT screening for malaria among all household members with no clinical signs of malaria. The socio-environmental factors taken into account were: the area of residence (urban or peri-urban), domestic animals husbandry, water storage at home, nearby garbage dump, wastewater collection and disposal system, type of housing and number of people in the household. Results The frequency of asymptomatic malaria was 341 (38.8%) out of 879 household members visited. Both female and male gender was concerned (51% vs. 49%). The 5 to 25 years old group concentrated nearly 82% of all cases. Only domestic animals husbandry was associated with asymptomatic malaria at the household level (p = 0.021). Conclusions The high frequency of asymptomatic malaria found in this study is a challenge for the National Malaria Control Program in Côte d’Ivoire. This should be taken into account while organizing control strategies. Key messages The frequency of asymptomatic malaria in Côte d’Ivoire is high. Control strategies must take into account in the guidelines the challenges of detecting and treating asymptomatic malaria. For the judicious use of antimalarial drugs, any subject with a positive RDT without clinical signs of malaria should receive a ‘Drop - Thick’ before treatment.

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