scholarly journals Microbial Ecology of Hospital Surfaces of Maternities in the Public Hospitals of Lubumbashi in the Democratic Republic of Congo

2018 ◽  
Vol 2 (3) ◽  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Klebsiella Oxytoca ◽  
Public Hospitals ◽  
Inclusion Criteria ◽  
Sample Analysis ◽  
Cross Sectional ◽  
The Public ◽  
Amoxicillin Clavulanate ◽  
The University

Introduction: in the health care milieu, germs can contaminate surfaces that are in contact with vulnerable anatomical sites. The study had as objectives to identify the nature of germs present on the hospital surfaces and to evaluate their resistance to antibiotics used in clinical practice in the maternity wards of public hospitals of Lubumbashi. Methods: The cross-sectional descriptive study was conducted in seven maternities in January 2015. These maternities were chosen depending on whether they met the inclusion criteria. Data collection was performed by swabbing the surfaces in using ISO / DIS 14698-1. The sample analysis was achieved in the laboratory of the University clinics in Lubumbashi. Results: On 77 sampled and analyzed surfaces, 47 surfaces i.e., 61% have made one or several germs. Candida albicans was the most isolated on 20 surfaces i.e., 43% followed by Escherichia coli on 17 surfaces (36%), Staphylococcus aureus on 4 surfaces (9%) and Pseudomonas aeruginosa, Klebsiella oxytoca, Enterococcus faecalis respectively on 2 surfaces (4%). Klebsiella oxytoca was found in the solution of Dakin reserved for disinfection in the operating room. The germs were multi-resistant to several antibiotics commonly used clinically in these maternities, including Amoxicillin, Ampicillin and the Augmentin (Amoxicillin + Clavulanate). Conclusion: We found a significant presence of multi-resistant germs on the hospital surfaces. We need to improve the biocleaning and good political use of antibiotics and disinfectants.

scholarly journals Factors Associated with the Implementation of the Nursing Process in the Public Hospitals of Lubumbashi in the Democratic Republic of Congo: A Cross-Sectional Descriptive Study

OALib ◽  
2017 ◽  
Vol 04 (11) ◽  
pp. 1-9 ◽  
Author(s):  
Ndayi Kabamba Julie ◽  
Ilunga Kandolo Simon ◽  
Matungulu Matungulu Charles ◽  
Kabange Umba Irène ◽  
Abdulu Mahuridi ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Descriptive Study ◽  
Public Hospitals ◽  
Nursing Process ◽  
Cross Sectional ◽  
Republic Of Congo ◽  
The Public ◽  
Factors Associated

scholarly journals Barriers to the Implementation of the Nursing Approach in Public Hospitals in Lubumbashi in the Democratic Republic of Congo: A Cross-Sectional Descriptive Study

OALib ◽  
2017 ◽  
Vol 04 (07) ◽  
pp. 1-14 ◽  
Author(s):  
Ndayi Kabamba Julie ◽  
Ilunga Kandolo Simon ◽  
Kabange Umba Irène ◽  
Matungulu Matungulu Charles ◽  
Abdulu Mahuridi ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Descriptive Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Republic Of Congo

scholarly journals V11 The trends of the indications and outcomes of cesarean section in Bukavu - A single-center cross-sectional study

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Daniel S Nteranya ◽  
Patient M Wimba ◽  
Ulrick S Kanmounye ◽  
Daniel Safari
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Surgical Site Infections ◽  
Cross Sectional Study ◽  
Cesarean Sections ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Mean ◽  
The University ◽  
Group 1

Abstract Introduction Cesarean sections (CS) can avert maternal and fetal death and disability. The CS rate varies considerably around the world. While in underserved regions, CS rates are low, in higher income settings, there appears to be too many CS. The objective of this study was to describe the temporal evolution of the indications, practice, and outcomes of CS in Bukavu, Democratic Republic of Congo. Methods This cross-sectional study was conducted using the hospital records of women who delivered by CS from January 01, 2014, to December 31, 2017, at the University clinics of Bukavu. Summary descriptive, bivariate, and regression analyses were conducted. The threshold of significance of the alpha was set at 0.05. Results Out of the 3,772 women who gave birth, 502 delivered by CS (CS rate=13.3%). The mean age of the women was 26.1 ± 6.4 years, mean gravidity was 3.5 ± 3.0, and the mean parity was 3.3 ± 2.7. Both gravidity (p = 0.007) and parity (p = 0.013) were significant variables in the regression model. 98.2% of CS were emergent, and a general practitioner performed 97.6%. Robson group 1 (30.0%), 5 (29.5%), and 3 (27.1%) were the major CS indications. The complication rate was 7.6%. Surgeons registered 29 (5.8%) intraoperative bleeds, 4 (0.8%) bladder injuries, 5 (1.0%) postpartum hemorrhages, 3 (0.6%) functional ileus, 3 (0.6%) superficial surgical site infections, and 7 (1.4%) endometritis. Conclusion The frequency of CS is optimal at the University Clinics of Bukavu. Its indications are evolving with time.

scholarly journals Minimum acceptable diet among children aged 6–23 months in South Kivu, Democratic Republic of Congo: a community-based cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Richard Mbusa Kambale ◽  
Gaylord Amani Ngaboyeka ◽  
Joe Bwija Kasengi ◽  
Sarah Niyitegeka ◽  
Boss Rutakaza Cinkenye ◽  
...  
Keyword(s):  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Feeding Practices ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Republic Of Congo ◽  
Wide Range ◽  
South Kivu

Abstract Background Suboptimal child nutrition remains the main factor underlying child undernutrition in Democratic Republic of Congo (DRC). This study aimed to assess the prevalence of minimum acceptable diet and associated factors among children aged 6–23 months old. Methods Community-based cross-sectional study including 742 mothers with children aged 6–23 months old was conducted in 2 Health Zones of South Kivu, Eastern DRC. WHO indicators of Infant and Young Child Feeding (IYCF) regarding complementary feeding practices were used. Logistic regression analysis was used to quantify the association between sociodemographic indicators and adequate minimum acceptable diet for both univariate and multivariate analysis. Results Overall, 33% of infants had minimum acceptable diet. After controlling for a wide range of covariates, residence urban area (AOR 2.39; 95% CI 1.43, 3.85), attendance postnatal care (AOR 1.68; 95% CI 1.12, 2.97), education status of mother (AOR 1.83; 95% CI 1.20, 2.77) and household socioeconomic status (AOR 1.72; 95% CI 1.14, 2.59) were factors positively associated with minimum acceptable diet. Conclusion Actions targeting these factors are expected to improve infant feeding practices in South Kivu.

scholarly journals Symptoms of acute transfusion reactions at a general referral hospital in Kinshasa, Democratic Republic of Congo: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e045081
Author(s):  
Patou Masika Musumari ◽  
Samclide Mutindu Mbikayi ◽  
Kriengkrai Srithanaviboonchai ◽  
Teeranee Techasrivichien ◽  
Arunrat Tangmunkongvorakul ◽  
...  
Keyword(s):  
Blood Transfusion ◽  
Respiratory Distress ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Referral Hospital ◽  
Sub Saharan Africa ◽  
Cross Sectional ◽  
Data Set ◽  
Republic Of Congo ◽  
Transfusion Reactions

ObjectivesBlood transfusion is a life-saving procedure and is also associated with a range of risks including the occurrence of symptoms of acute transfusion reactions (ATRs). Very few studies in sub-Saharan Africa have reported on ATRs. The present study addresses this gap in the literature by documenting the prevalence of and factors associated with ATRs in the Democratic Republic of Congo (DRC).DesignThis is a cross-sectional descriptive and analytical study using blood bank data from a general referral hospital.SettingCentre Hospitalier Mère-Enfant (CHME) Monkole, a general referral hospital in Kinshasa, DRC.ParticipantsGeneral population who have received blood transfusion in CHME Monkole between 2014 and 2019.ResultsThe data set included a total of 7166 patients; 3153 (44%) men and 4013 (56%) women. The overall prevalence of symptoms of ATRs was 2.6%; the lowest prevalence was in 2017 (2.34%) and highest in 2018 (2.95%) and 2019 (2.94%). The documented symptoms included 74 (39.6%) cases of dyspnoea/respiratory distress, 60 (32.1%) cases of fever, 36 (19.2%) cases of pruritus/urticaria and 17 (9.1%) cases of vomiting. None of the studied factors was associated with symptoms of ATRs.ConclusionSymptoms of ATRs were not uncommon in the studied population. Dyspnoea and respiratory distress, fever and pruritus/urticaria were the most common symptoms of ATRs. This study highlights the need for a clinical and biological surveillance to detect, prevent and manage ATRs in the context of the DRC.

scholarly journals Determinants of Antenatal Care Attendance among Pregnant Women Living in Endemic Malaria Settings: Experience from the Democratic Republic of Congo

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Célestin Ndosimao Nsibu ◽  
Célestin Manianga ◽  
Serge Kapanga ◽  
Esther Mona ◽  
Philippe Pululu ◽  
...  
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Male Partner ◽  
First Trimester ◽  
Reproductive Age ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Republic Of Congo

Background. Antenatal care (ANC) attendance helps pregnant women to benefit from preventive and curative services.Methods. Determinants for ANC attendance were identified through a cross-sectional survey in the Democratic Republic of Congo. Sociocultural bottlenecks were assessed via focus groups discussion of married men and women.Results. In this survey, 28 of the 500 interviewed pregnant women (5.6%) did not attend ANC services and 82.4% booked over the first trimester. The first visit is positively influenced by the reproductive age (OR: 0.52, 95% CI(0.28–0.95),p<0.04), the educational level (OR: 0.41,95% CI(0.17–0.97),p<0.04), the nearby health center (OR: 0.43, 95% CI(0.2–0.92),p<0.03), and the presence of a male partner (OR: 10.48, 95% CI(2.1–52.23),p<0.001). The barriers to early booking were (i) the cost of service; (ii) the appearance or individual income; (iii) the geographical inaccessibility or distance to health facilities; (iv) social and religious prohibitions; (v) the stigmatization from other women when conceiving in the late ages or young or while still lactating (parity); (vi) the time for waiting for services.Conclusion. The early ANC attendance is delayed among poor women with little education and living alone.

Sense of Community and its Sustenance in Africa

Human Affairs ◽  
2007 ◽  
Vol 17 (2) ◽  
Author(s):  
Olatunji Oyeshile
Keyword(s):  
Public Sphere ◽  
Public Good ◽  
Sense Of Community ◽  
Social Order ◽  
Democratic Republic ◽  
Democratic Republic Of Congo ◽  
Republic Of Congo ◽  
The Public ◽  
The Public Sphere ◽  
Political Marginalization

Sense of Community and its Sustenance in AfricaThere is no gainsaying the fact that Africa is inundated with many problems which have made the development and the attainment of social order, conceived in normative terms, daunting tasks. It is also a fact that there are many causes of this scenario such as political marginalization, ethnic chauvinism, economic mismanagement, religious bigotry and corruption in its various facets. However, in this disquisition we identify the lack of the development, internalization and application of the sense of community, loosely tagged community consciousness, as a major factor that has aggravated the African crisis and which if addressed can reverse the order of things positively. It is the contention of this paper that fundamentally in the case of Africa, as shown in countries like the Democratic Republic of Congo, Sudan, Cote d'Ivoire, Guinea, Liberia and Nigeria, there has been a blind pursuit of private or individual interests to the detriment of the public sphere or public good. Ironically too, when leaders put up repressive laws in the pretense to pursue the public good, the underlying motive has always been the pursuit of selfish private whims and caprices. We noted that in contemporary Africa a major way towards a desired level of social order and development consists in engendering the required sense of community (a situation in which there is mutual co-operation, interdependence and fellow-feeling) on which other developments can be predicated. Although, the quest and realization of the sense of community is not a grand solution to our myriad of problems in Africa, at least it forms the basis on which we can start to address our problems in Africa in a meaningful way.

scholarly journals The practice of hand hygiene in the maternities of the public hospitals of Lubumbashi

2021 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Hand Hygiene ◽  
Descriptive Study ◽  
Public Hospitals ◽  
Hand Washing ◽  
Cesarean Sections ◽  
Cross Sectional ◽  
The Public ◽  
Hand Rubbing ◽  
Maternity Hospitals ◽  
The One

Introduction: The objective of this study was to evaluate the practice of hand hygiene in the maternities of the public hospitals of Lubumbashi. Method and techniques: We carried out a cross-sectional descriptive study in which the population consisted on the one hand of the technical rooms of the maternity hospitals and the operating rooms for cesarean sections and on the other hand the nurses responsible for these maternities. The observation technique using an observation guide of the WHO model allowed us to collect the data. Results: Hand hygiene was not properly carried out in the maternity wards of Lubumbashi's public hospitals. Most of the prerequisites before hand washing and hydro-alcoholic hand rubbing were not respected, the prerequisites for surgical hand washing were observed only at 21.4%:e wearing of short-sleeved clothing (43.0%),absence of jewelry (78.6%), short nails without varnish and false nails (50.0%). In the absence of hydroalcoholic solution (SHA) (71.4%) for the friction, they used denatured alcohol (28.6%). The duration of soaping and friction was in an interval between 11 to 20 seconds or 42.9% and that of hygienic hand washing was observed at 28.6%. The duration of surgical and antiseptic hand washing was 21 to 40 seconds to 35.7%. Only 21.4% of the departments surveyed had used the broad-spectrum antiseptic foaming solution, no structure had a sterile disposable brush for hygienic and surgical hand washing, 2/14 departments surveyed had sterile disposable towels, the water used had not undergone bacteriological control and only one service, ie 7.1%, which had non-manually operated bins. Conclusion: Hand hygiene is not properly carried out in maternity hospitals in Lubumbashi's public hospitals, due to a lack of equipment and knowledge on this practice, equipment must be provided and staff trained in hand hygiene.

Knowledge Attitudes and Practice of Breast Milk Expression and Storage Among Working Mothers With Infants Under 6 Months of Age in Public Well Baby Clinics

2020 ◽  
Author(s):  
PRISCILLAH wanini EDEMBA ◽  
Grace Irimu ◽  
RACHEL MUSOKE
Keyword(s):  
Breast Milk ◽  
Working Mothers ◽  
Tertiary Education ◽  
Working Women ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Study Objective ◽  
The Public ◽  
And Storage

Abstract Background: Many studies show that working mothers are unable to exclusively breastfeed successfully. Expression and storage of breastmilk is a strategy that ensures continued breastmilk consumption in the event of temporary separation of an infant from the mother. The 2017 Kenyan Health Act mandates employers to provide lactation rooms with guidance for appropriate utilization.Methodology: The study objective was to assess knowledge attitude and practice of breastmilk expression and storage among working women with infants below six months of age in Public Well Baby Clinics. This was a cross sectional study among 395 working women attending two large public hospitals in Nairobi Kenya. A structured questionnaire with open and closed ended questions was used to establish the knowledge and practice while a Likert scale was used to explore attitudes of the mothers towards expression and storage of breast milk. Results: Only 161(41%) were expressing breast milk. Those with tertiary education and those working in the public sector had significantly higher odds of having satisfactory knowledge OR4.47(95%CI 2.01-11.07) and OR2.26(95%CI 1.33-3.85) respectively. Attaining tertiary education was significantly associated with a possibility of expressing and storing breastmilk OR3.6(95% CI 1.81-7.95). The workplace did not provide adequate equipment to facilitate breastmilk expression. Challenges experienced were breast pain and cumbersome nature of expressing milk.Conclusion: The study revealed knowledge gaps in expression and storage of breastmilk that need to be addressed to enable the mothers fully utilize the lactation rooms when they become available at the workplace.

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