scholarly journals Challenges Related to Antimalarial Abuse in Coronavirus Disease-2019 Treatment in the Democratic Republic of Congo

2020 ◽  
Vol 5 (1) ◽  
pp. 17-18
Author(s):  
Anselme Manyong ◽  
◽  
Ange Landela ◽  

Malaria is endemic to many African countries and geographies and remains the leading cause of morbidity and mortality on the continent. Ongoing efforts by health authorities to reverse the scale of malaria are often faced to the challenges of drug resistance often generated by therapeutic abuses relating to self-medication, sub-therapeutic under dosages and poor storage and handling of drugs throughout the pharmacy supply chain system.

2015 ◽  
Vol 8 (1) ◽  
pp. 1485-1497
Author(s):  
Mia Nsokimieno Misilu Eric

The current state of large cities in Democratic Republic of Congo highlights the necessity of reinventing cities. More than fifty years after the independence, these major cities, like Kinshasa the capital city, are in a state of are in a state of disrepair. They are damaged, dysfunctional, and more vulnerable. Today, these legacy cities do not meet the international requirements of livable cities. Democratic Republic of Congo faces the challenge of rebuilding its cities for sustainability. The movement for independence of African countries enabled the shift from colonial cities to legacy cities. It is important to understand the cultural and ideological foundations of colonial city. Commonly, colonial cities served as purpose-built settlements for the extraction and transport of mineral resources toward Europe. What's required is a creative reconstruction to achieve a desired successful urban change. Creative reconstruction tends to ensure urban transformation in relation with urbanization, by making continuous and healthy communities. Creative reconstruction seems appropriate way of building back cities in harmony with cultural values. The article provides a framework for urban regeneration. The study is based on principle of thinking globally and acting locally in building back better cities.


2020 ◽  
Vol 2 (1) ◽  
pp. p205
Author(s):  
Victor Pwema Kiamfu ◽  
Alex Mayoni Matondo ◽  
Santos Kavumbu Mutanda ◽  
Clément Munganga Kilingwa ◽  
Nadine Bipendu Muamba ◽  
...  

Clarias gariepinus Burchell, 1822 is a catfish with high commercial value in the Democratic Republic of Congo and in several African countries. The breeding of this species is controlled, but Congolese fish farmers are confronted with the problem of a lack of compound feed in the form of granules. The recovery of local agricultural waste would be essential to fill this gap. The objective of this study is to evaluate the effect of three types of food based on local agricultural by-products on the growth of C. gariepinus. The 25%, 41% and 51% crude protein feed formulas were tested in duplicate for 96 days. Fry averaging 2.20±0.43 g were distributed in 6 closed-loop plastic containers. The fish were fed twice a day by hand. Weighing and measuring took place every 14 days. The results obtained show that the highest final average weight (g) and specific growth rate (%/d) (F = 2.87; p = 0.002) are obtained with food A1: 27.5±1.9 g and 0.25±0.15% /d respectively. It took 812.6 Congolese francs to develop food A1, 942.6 congolese francs to produce the A2 ration and 836.6 congolese francs to produce food A3. The A1 ration is the one that gave a better compromise in price and quality by promoting fish growth at a lower cost (3.827 congolese francs).


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Amuda Baba ◽  
Tim Martineau ◽  
Sally Theobald ◽  
Paluku Sabuni ◽  
Marie Muziakukwa Nobabo ◽  
...  

Abstract Background Midwifery plays a vital role in the quality of care as well as rapid and sustained reductions in maternal and newborn mortality. Like most other sub-Saharan African countries, the Democratic Republic of Congo experiences shortages and inequitable distribution of health workers, particularly in rural areas and fragile settings. The aim of this study was to identify strategies that can help to attract, support and retain midwives in the fragile and rural Ituri province. Methods A qualitative participatory research design, through a workshop methodology, was used in this study. Participatory workshops were held in Bunia, Aru and Adja health districts in Ituri Province with provincial, district and facility managers, midwives and nurses, and non-governmental organisation, church medical coordination and nursing school representatives. In these workshops, data on the availability and distribution of midwives as well as their experiences in providing midwifery services were presented and discussed, followed by the development of strategies to attract, retain and support midwives. The workshops were digitally recorded, transcribed and thematically analysed using NVivo 12. Results The study revealed that participants acknowledged that most of the policies in relation to rural attraction and retention of health workers were not implemented, whilst a few have been partially put in place. Key strategies embedded in the realities of the rural fragile Ituri province were proposed, including organising midwifery training in nursing schools located in rural areas; recruiting students from rural areas; encouraging communities to use health services and thus generate more income; lobbying non-governmental organisations and churches to support the improvement of midwives’ living and working conditions; and integrating traditional birth attendants in health facilities. Contextual solutions were proposed to overcome challenges. Conclusion Midwives are key skilled birth attendants managing maternal and newborn healthcare in rural areas. Ensuring their availability through effective attraction and retention strategies is essential in fragile and rural settings. This participatory approach through a workshop methodology that engages different stakeholders and builds on available data, can promote learning health systems and develop pragmatic strategies for the attraction and retention of health workers in fragile remote and rural settings.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036530
Author(s):  
Tonka Eibs ◽  
Alena Koscalova ◽  
Mohit Nair ◽  
Paul Grohma ◽  
Gisa Kohler ◽  
...  

ObjectivesThe objective of this study was to address the knowledge gap regarding antibiotic use in Medecins Sans Frontiéres (MSF) projects located in Africa by exploring antibiotic prescription and consumption habits and their drivers at different healthcare levels.DesignThis study used an exploratory study design through thematic analysis of semistructured, in-depth interviews, focus group discussions (FGDs) and field observations in order to understand the main drivers influencing current antibiotics prescription habits and consumption habits of patients in different geographical settings.SettingThe study took place in MSF centres and towns across four countries: Guinea-Bissau, Central African Republic (CAR), Democratic Republic of Congo (DRC) and Sudan.Participants384 respondents participated in the study, which includes project staff, prescribers, community members, patients, among other groups.ResultsTreatment protocols were physically present in all countries except DRC, but compliance to protocols varied across contexts. A failing health system and barriers to accessing healthcare were perceived as major drivers of overuse and inconsistent prescription practices. Patient demands influenced prescription decisions, and self-medication was commonly reported in the context of failing health systems. Additionally, there was a strong demand for quick cures and communities preferred injections over pills. Patients tended to stop antibiotic treatment once symptoms abated and had major gaps in understanding antibiotic intake instructions and functions.ConclusionsWhile there were specific findings in each context, the larger trend from these four MSF projects in Africa indicates widespread use of antibiotics based on unclear assumptions, which are often influenced by patient demands. There needs to be a broader focus on the balance between access and excess, especially in such fragile contexts where access to healthcare is a real challenge.


2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S12-S12
Author(s):  
Qaasim Mian ◽  
Kasereka Masumbuko Claude ◽  
Jack Underschultz ◽  
Michael Hawkes

Abstract Background The second largest Ebola epidemic in history is currently raging in Eastern Democratic Republic of Congo (DRC). Stubbornly persistent Ebola transmission has been associated with social resistance, ranging from passive noncompliance to overt acts of aggression toward Ebola response teams. Methods We explored community resistance using focus group discussions and assessed the prevalence of resistant views using standardized questionnaires. Results Despite being generally cooperative and appreciative of the foreign-led Ebola response, focus group participants provided eyewitness accounts of aggressive resistance to control efforts, consistent with recent media reports. Mistrust of Ebola response teams was fueled by perceived inadequacies of the response effort (“herd medicine”), suspicion of mercenary motives, and violation of cultural burial mores (“makeshift plastic morgue”). Survey questionnaires found that the majority of respondents had compliant attitudes with respect to Ebola control. Nonetheless, 78/630 (12%) respondents believed that Ebola was fabricated and did not exist in the area, 482/630 (72%) were dissatisfied with or mistrustful of the Ebola response, 60/630 (9%) sympathized with perpetrators of overt hostility, and 102/630 (15%) expressed noncompliant intentions in the case of Ebola illness or death in a family member, including hiding from the health authorities, touching the body, or refusing an official burial team. Denial of the biomedical discourse and dissatisfaction/mistrust of the Ebola response were statistically significantly associated with indicators of social resistance. Conclusion We concluded that social resistance to Ebola control efforts was prevalent among focus group and survey participants. Mistrust, with deep political and historical roots in this area besieged by chronic violence and neglected by the outside world, may fuel social resistance. Resistant attitudes may be refractory to short-lived community engagement efforts targeting the epidemic but not the broader humanitarian crisis in Eastern DRC. Disclosures All Authors: No reported Disclosures.


Afrika Focus ◽  
2013 ◽  
Vol 26 (1) ◽  
Author(s):  
Gilbert Kadima Batumona Adi

The Democratic Republic of Congo, like many African countries, has an important public and private administration, but one whose performance and productivity are generally considered to be low. Numerous efforts to modernize and improve the productivity of this administration have been made, notably by recourse to modern office equipment and supplies. In this doctoral study we label the equipment and supplies under the denomination of western technologies which signals their provenance. A close examination of the documents which catalogue and describe the functioning of these technologies, reveals that the overwhelming majority of these documents are written in either French or in English. In other words, the western technologies which are used in the Congolese public administration are denominated in the idioms of theirs designers and their operations are described in the same idioms. These technologies which range from simple to sophisticated tools (equipment for word processing or for electronic transmission of data) can be considered as the symbols of modern culture which generally is dominated by the western countries and some industrialized nations of Asia (Korea, Japan, Taiwan). The technologies are objects that are foreign to the cultures of Africa and the Congo. With regard to this situation, we argue that these imported western technologies must be localized when they arrive in African countries. To be localized means that the relevant documents be translated into the languages of the host countries in order to improve the efficiency with which the users are able to use the technologies. Our research demonstrates that when these imported technologies arrive in the Democratic Republic of Congo they are frequently under-utilized. This is because the occidental languages predominate in the operation documentation which are oriented for use within the social and legal contexts of western countries. Our analyses indicate that this under-utilization is essentially due to a terminological deficiency based on an assumption that the Congolese national languages are not sufficiently able to support the imported technologies. Our analyses also show that this assisted modernization of public administration in the Democratic Republic of Congo with the recourse to western technologies simultaneously poses organizational, economic and linguistic problems. Our conclusions not only point to operation difficulties but also to dif culties operators have nding the correct terms, which makes it more likely that items will be named in their own languages. It is in this context that we identify the link between economics and linguistics. From a linguistics position, the need of multilingual terminological research is clear, research that supports the users in the efforts to adapt their languages as languages of reception for these imported technologies. Eager to explore this eld in connection with the Bantu languages and cultures we began our research for the thesis. Our thesis is articulated around four following ac- tivities: (i) development of the nomenclature having to be used as a sample of the study; (ii) the globalization or the methodological route of the terminological appropriation of western technologies which are addressed by our research; (iii) the study of the denominating terms of the afore-mentioned technologies; (iv) the study of the mechanism of an apparatus with regard to technical terms in Ciluba. The four activities outlined above will be developed over a planned eight chapters which constitute our thesis. This approach provides the focus for our research objectives, all of which are informed by one overriding need: providing the ciluba with one specialized glossary of office equipment and supplies. Key words: Neology, terminology, translation, language planning, Bantu African languages, Ciluba, development of resourced languages, equipment and office supplies, applied linguistics 


2015 ◽  
Vol 14 (1) ◽  
Author(s):  
Dieudonné Makaba Mvumbi ◽  
Jean-Marie Kayembe ◽  
Hippolyte Situakibanza ◽  
Thierry L. Bobanga ◽  
Célestin N. Nsibu ◽  
...  

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