Prevalence of pulmonary tuberculosis among prison inmates: A cross-sectional survey at the Correctional and Detention Facility of Abidjan, Côte d'Ivoire

Abstract Background Despite the proven links between oral health status and adverse pregnancy outcomes, oral examination is not systematically integrated into prenatal examinations in Côte d’Ivoire. In addition, there are no prevention messages specifically targeted at pregnant women. Objective: To assess the oral health of pregnant women in Côte d’Ivoire. Methods A cross-sectional survey was conducted at the Maternal and Child Health Department of the National Public Health Institute in Abidjan. The data collected were: age, education level, marital status, source of income, trimester of pregnancy, gestational age, oral hygiene habits and the fact that they whether or not received oral health information. A clinical examination was conducted to assess oral hygiene (OHIS index), periodontal condition (CPI index), dental condition (DMFT index), as well as the presence of epulis, erosion or dental mobility. Frequencies and counts were calculated for the different variables in the study. Results A total of 207 women were observed. The age range was 15 to 44 years with 14.0% under 19 years old. The majority were in couple (76.8%), multi-gesture (77.3%), and more than half had no education (52.2%) or source of income (56.0%); 50.7% snacked between meals and 33.3% had vomiting. They brushed their teeth at least twice a day (70.0%) and had not changed their oral hygiene habits (77.3%) during this pregnancy. Only 3.4% had information on oral health conditions during pregnancy. The frequency of caries was 75.4%, dental erosions 13.0%, gingivitis 57.0%, periodontitis 6.8% and epulis 3.4%. Conclusions The results suggest the integration of systematic dental consultation into prenatal consultations in order permit the sensitization of these women, screening and management of their oral conditions. Key messages Oral diseases of pregnant women are a reality without their knowledge in Côte d’Ivoire. A systematic dental visit is essential during prenatal consultations in Côte d’Ivoire.

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Cervical cancer screening uptake and correlates among HIV-infected women: a cross-sectional survey in Côte d’Ivoire, West Africa

BMJ Open ◽

10.1136/bmjopen-2019-029882 ◽

2019 ◽

Vol 9 (8) ◽

pp. e029882 ◽

Cited By ~ 2

Author(s):

Boris Tchounga ◽

Simon Pierre Boni ◽

Jean Jacques Koffi ◽

Apollinaire G Horo ◽

Aristophane Tanon ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Cote D’Ivoire ◽

Screening Uptake ◽

Côte D'ivoire

ObjectivesDespite the increasing number of interventions aiming to integrate cervical cancer screening into HIV clinics in sub-Saharan Africa, Women living with HIV (WLHIV) still have a high risk of developing cervical cancer. The aim of this study was to estimate the coverage of cervical cancer screening and associated factors among WLHIV in Abidjan, Côte d’Ivoire.DesignCross-sectional survey conducted from May to August 2017.SettingsOutpatient setting in the four highest volume urban HIV clinics of government’s or non-governmental organisation’s sector in Côte d’Ivoire.ParticipantsAll WLHIV, aged 25–55 years, followed since at least 1 year, selected through a systematic sampling procedure.InterventionA standardised questionnaire administered to each participant by trained healthcare workers.OutcomeCervical cancer screening uptake.ResultsA total of 1991 WLHIV were included in the study, aged in median 42 years (IQR 37–47), and a median CD4 count (last known) of 563 (378-773) cells/mm3. Among the participants, 1913 (96.1%) had ever heard about cervical cancer, 1444 (72.5%) had been offered cervical cancer screening, mainly in the HIV clinic for 1284 (88.9%), and 1188 reported a personal history of cervical cancer screening for an overall coverage of 59.7% (95% CI 57.6 to 62.0). In multivariable analysis, university level (adjusted OR (aOR) 2.1; 95% CI 1.4 to 3.1, p<0.001), being informed on cervical cancer at the HIV clinic (aOR 1.5; 95% CI 1.1 to 2.0, p=0.017), receiving information self-perceived as ‘clear and understood’ on cervical cancer (aOR 1.7; 95% CI 1.4 to 2.2, p<0.001), identifying HIV as a risk factor for cervical cancer (aOR 1.4; 95% CI 1.1 to 1.8, p=0.002) and being proposed cervical cancer screening in the HIV clinic (aOR 10.1; 95% CI 7.6 to 13.5, p<0.001), were associated with cervical cancer screening uptake.ConclusionInitiatives to support cervical cancer screening in HIV care programmes resulted in effective access to more than half of the WLHIV in Abidjan. Efforts are still needed to provide universal access to cervical cancer screening, especially among socioeconomically disadvantaged WLHIV.

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The Potential of Food Fortification to Add Micronutrients in Young Children and Women of Reproductive Age – Findings from a Cross-Sectional Survey in Abidjan, Côte d’Ivoire

PLoS ONE ◽

10.1371/journal.pone.0158552 ◽

2016 ◽

Vol 11 (7) ◽

pp. e0158552 ◽

Cited By ~ 4

Author(s):

Fabian Rohner ◽

Magali Leyvraz ◽

Amoin G. Konan ◽

Lasme J. C. E. Esso ◽

James P. Wirth ◽

...

Keyword(s):

Young Children ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Reproductive Age ◽

Food Fortification ◽

Women Of Reproductive Age ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Cote D’Ivoire ◽

Côte D'ivoire

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Infection and Co-infection with Helminths and Plasmodium among School Children in Côte d’Ivoire: Results from a National Cross-Sectional Survey

PLoS Neglected Tropical Diseases ◽

10.1371/journal.pntd.0002913 ◽

2014 ◽

Vol 8 (6) ◽

pp. e2913 ◽

Cited By ~ 26

Author(s):

Richard B. Yapi ◽

Eveline Hürlimann ◽

Clarisse A. Houngbedji ◽

Prisca B. Ndri ◽

Kigbafori D. Silué ◽

...

Keyword(s):

School Children ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Cote D’Ivoire ◽

Côte D'ivoire

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Use of Insecticides in Agriculture and the Prevention of Vector-Borne Diseases: Population Knowledge, Attitudes, Practices and Beliefs in Elibou, South Côte d’Ivoire

Tropical Medicine and Infectious Disease ◽

10.3390/tropicalmed5010036 ◽

2020 ◽

Vol 5 (1) ◽

pp. 36

Author(s):

Bédjou P. N’Dri ◽

Kathrin Heitz-Tokpa ◽

Mouhamadou Chouaïbou ◽

Giovanna Raso ◽

Amoin J. Koffi ◽

...

Keyword(s):

Insecticide Resistance ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Malaria Vectors ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Cote D’Ivoire ◽

Attitudes And Practices ◽

Côte D'ivoire ◽

Population Attitudes

People’s knowledge, attitudes, practices and beliefs (KAPB) pertaining to malaria are generally well described. However, little is known about population knowledge and awareness of insecticide resistance in malaria vectors. The aim of this study was to investigate KAPB related to insecticide resistance in malaria vectors due to the use of insecticides in agriculture and the prevention against mosquitoes. In mid-2017, we carried out a cross-sectional survey in Elibou, South Côte d’Ivoire, employing a mixed methods approach. Quantitative data were obtained with a questionnaire addressed to household heads. Interviews were conducted with key opinion leaders, including village chiefs, traditional healers, heads of health centres and pesticide sellers. Focus group discussions were conducted with youth and elders. A total of 203 individuals participated in the questionnaire survey (132 males, 65%). We found that people had good knowledge about malaria and mosquitoes transmitting the disease, while they felt that preventing measures were ineffective. Pesticides were intensively used by farmers, mainly during the rainy season. Among the pesticides used, insecticides and herbicides were most commonly used. While there was poor knowledge about resistance, the interviewees stated that insecticides were not killing the mosquitoes anymore. The main reason given was that insecticides were diluted by the manufacturers as a marketing strategy to sell larger quantities. More than a third of the farmers used agricultural pesticides for domestic purposes to kill weeds or mosquitoes. We observed a misuse of pesticides among farmers, explained by the lack of specific training. In the community, long-lasting insecticidal nets were the most common preventive measure against malaria, followed by mosquito coils and insecticide sprays. The interviewees felt that the most effective way of dealing with insecticide resistance was to combine at least two preventive measures. In conclusion, population attitudes and practices related to insecticides used in agriculture and the prevention against mosquitoes could lead to resistance in malaria vectors, while people’s knowledge about insecticide resistance was limited. There is a need to raise awareness in communities about the presence of resistance in malaria vectors and to involve them in resistance management.

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Prevalence and distribution of livestock schistosomiasis and fascioliasis in Côte d’Ivoire: results from a cross-sectional survey

BMC Veterinary Research ◽

10.1186/s12917-020-02667-y ◽

2020 ◽

Vol 16 (1) ◽

Author(s):

Jules N. Kouadio ◽

Jennifer Giovanoli Evack ◽

Louise Y. Achi ◽

Dominik Fritsche ◽

Mamadou Ouattara ◽

...

Keyword(s):

Cote D'ivoire ◽

Côte D’Ivoire ◽

Control Programme ◽

Farm Animals ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Cote D’Ivoire ◽

Sheep And Goats ◽

The North ◽

Côte D'ivoire

Abstract Background Schistosoma and Fasciola are zoonotic parasites of public health and veterinary importance. However, while the epidemiology of schistosomiasis in humans is well studied, little is known about fascioliasis and schistosomiasis in livestock in Côte d’Ivoire. This study aimed to determine the prevalence and the distribution of livestock schistosomiasis and fascioliasis across Côte d’Ivoire. In 2018, we conducted a cross-sectional survey in abattoirs and farms in 13 departments of Côte d’Ivoire. In abattoirs, the mesenteric veins and livers of slaughtered cattle, sheep and goats were examined for adult Schistosoma and Fasciola flukes. Faeces from live cattle, goats and sheep were collected and examined for Schistosoma and Fasciola eggs using a sedimentation technique. Results A total of 386 cattle, 174 goats and 151 sheep from abattoirs and 435 cattle, 22 goats and 176 sheep from farms were sampled. The observed prevalence of schistosomiasis was higher in slaughtered animals. Fascioliasis was more prevalent in farm animals. The prevalence of schistosomiasis in slaughtered cattle varied between 5.9% (95% confidence interval (CI): 0.7–19.7%) and 53.3% (95% CI: 37.9–68.3%) with the highest prevalence observed in Ouangolodougou in the North. Cattle from farms had a relatively low prevalence of schistosomiasis, with the highest prevalence found in Ouangolodougou (2.4%, 95% CI: 0.7–6.1%). The prevalence of fascioliasis varied considerably from one department to another, ranging from nil (95% CI: 0.0–18.5%) to 50.8% (95% CI: 43.4–58.2%), with the highest prevalence found in farm cattle in Dikodougou in the North. Sheep and goats had a lower prevalence of schistosomiasis and fascioliasis than cattle. In slaughtered animals, cattle aged 4 years and older were at highest risk for schistosomiasis (odds ratio (OR): 2.4; 95% CI: 1.0–5.6) and fascioliasis (OR: 2.1; 95% CI: 1.1–3.9). In farm animals, male cattle had higher odds of being infected with Schistosoma (OR: 4.3; 95% CI: 0.7–26.9) than females. Conclusions Our study confirms that schistosomiasis and fascioliasis are endemic in livestock across Côte d’Ivoire. A strategic control programme should be considered, especially for cattle, including providing drinking water in troughs to reduce faecal contamination of water sources by cattle.

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Predictive factors for multi-vessel coronary disease: A single-centre cross-sectional study in côte d’Ivoire

Archives of Cardiovascular Diseases Supplements ◽

10.1016/j.acvdsp.2020.10.020 ◽

2021 ◽

Vol 13 (1) ◽

pp. 14

Author(s):

A. Ekou ◽

C. Yao ◽

M. Kouamé ◽

A. Abdoulkadir ◽

J.T. Niamkey ◽

...

Keyword(s):

Coronary Disease ◽

Predictive Factors ◽

Cote D'ivoire ◽

Côte D’Ivoire ◽

Cross Sectional Study ◽

Sectional Study ◽

Single Centre ◽

Cross Sectional ◽

Cote D’Ivoire ◽

Côte D'ivoire

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Human papilloma viruses infection among adolescent females perinatally infected with HIV in Côte d’Ivoire

Sexually Transmitted Infections ◽

10.1136/sextrans-2019-054420 ◽

2020 ◽

pp. sextrans-2019-054420

Author(s):

Boris Tchounga ◽

Apollinaire Horo ◽

Simon Boni ◽

Aristophane Tanon ◽

Madeleine Amorissani Folquet ◽

...

Keyword(s):

Cote D'ivoire ◽

Côte D’Ivoire ◽

Sexual Debut ◽

Hpv Infection ◽

Adolescent Females ◽

Childbearing Age ◽

Cross Sectional Survey ◽

Cote D’Ivoire ◽

Côte D'ivoire ◽

Prospective Longitudinal

BackgroundCervical cancer prevention strategies recommend human papilloma virus (HPV) vaccination for female adolescents prior to their sexual debut. While HIV is a major risk factor for HPV infection in women of childbearing age, its prevalence among HIV-infected adolescent female is mostly unknown. This study aimed to describe the HPV prevalence and correlates among perinatally HIV-infected adolescent females prior to HPV immunisation.MethodsA cross-sectional survey was conducted from January to June 2016, in the four major paediatric HIV clinics of Abidjan, Côte d’Ivoire. All HIV-infected females aged 11–16 years were approached to participate in the study. A questionnaire assessing sexual behaviours and genital hygiene practices was administered to participants completed with a systematic vaginal swab collection. HPV genotyping was performed using the Anyplex II HPV28 Detection (Seegene). A logistic regression analysis was performed to identify factors associated with the presence of HPV infection. HPV immunisation was proposed free of charge to all participants.ResultsA total of 250 participants were included, with a median age of 13 years (IQR 11–14). Among them, 237 (94.8%) were on antiretroviral treatment with a median CD4 count of 660 (IQR 439–914) cells/mm3. The overall prevalence of at least one HPV was 3.6% (95% CI 1.6 to 6.7) and the prevalence of at least one carcinogenic HPV was 2.8% (95% CI 0.7 to 4.8). Vaginal cleansing was reported by 75 (30%) of participants, with a median age at initiation of 12 years (IQR 10–13). Sexual activity was self-reported by 12 (4.8%) participants with a median age at sexual debut of 11 years (IQR 10–14). HPV infection was associated with vaginal cleansing (adjusted OR=7.0 (95% CI 1.4 to 31.6)).ConclusionThe reported low prevalence of carcinogenic HPV infections supports the appropriateness of HPV immunisation in this population. The reported association between cleansing practices and HPV infection deserves further prospective longitudinal studies.

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