Volume 30, Issue 2, May 2017, Pages 285–307
Debonheur SHABANI MALEMBA1
1 MPH : Economiste de la santé, ERSP de l’UCB, Ecole Régionale de Santé Publique, Université Catholique de Bukavu, Bukavu, Sud - Kivu, RD Congo
Original language: French
Copyright © 2017 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Context: Malaria remains a word problem and a major preoccupation of public health for tropical countries, particularly for Africa’s Sub-Saharan countries. Released International financing to fight against malaria clearly increased going from more less U.S. $ 100 million in 2000 to U.S. $ 1.94 billion in 2013. It is worth mentioning the DRC and Nigeria, all on their own represent the heaviest burden of malaria, 40% of the world total. In South Kivu, about one million of new cases are recorded every year, according to the WHO office in Bukavu. Objective: To analyze the risk Methodology: by a cohort study of 3,337 people observed in 422 households from January fist to December 31 th 2013. The last approach was completed by economic analysis from Audibert method. The data were collected from households, BCZS, hospitals and schools. Results: the people who do not sleep under mosquito-nets filled with insecticide are more than twice exposed (RR : 2.5 ) to malaria than those sleeping under mosquito-nets filled with insecticide; the people sleeping under ITN, but living in a non-cleaned up environment are more than four times (RR : 4.2 ) exposed to malaria than those sleeping under ITN, but living in a cleaned up environment. Conclusion: the cleaning up of environment combined with the use of ITN constitutes a very efficient strategy. It can be added that the Remediation joined the use of IBD and reveals the very effective strategy. He added only use of ITN is also efficient in the reduction of morbidity.
Author Keywords: Exhibition, malaria, morbidity, expenses, obstacle to development and poverty.
Debonheur SHABANI MALEMBA1
1 MPH : Economiste de la santé, ERSP de l’UCB, Ecole Régionale de Santé Publique, Université Catholique de Bukavu, Bukavu, Sud - Kivu, RD Congo
Original language: French
Copyright © 2017 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Context: Malaria remains a word problem and a major preoccupation of public health for tropical countries, particularly for Africa’s Sub-Saharan countries. Released International financing to fight against malaria clearly increased going from more less U.S. $ 100 million in 2000 to U.S. $ 1.94 billion in 2013. It is worth mentioning the DRC and Nigeria, all on their own represent the heaviest burden of malaria, 40% of the world total. In South Kivu, about one million of new cases are recorded every year, according to the WHO office in Bukavu. Objective: To analyze the risk Methodology: by a cohort study of 3,337 people observed in 422 households from January fist to December 31 th 2013. The last approach was completed by economic analysis from Audibert method. The data were collected from households, BCZS, hospitals and schools. Results: the people who do not sleep under mosquito-nets filled with insecticide are more than twice exposed (RR : 2.5 ) to malaria than those sleeping under mosquito-nets filled with insecticide; the people sleeping under ITN, but living in a non-cleaned up environment are more than four times (RR : 4.2 ) exposed to malaria than those sleeping under ITN, but living in a cleaned up environment. Conclusion: the cleaning up of environment combined with the use of ITN constitutes a very efficient strategy. It can be added that the Remediation joined the use of IBD and reveals the very effective strategy. He added only use of ITN is also efficient in the reduction of morbidity.
Author Keywords: Exhibition, malaria, morbidity, expenses, obstacle to development and poverty.
Abstract: (french)
Contexte: le paludisme demeure un problème d’ampleur mondiale et une préoccupation majeure de santé publique pour les pays tropicaux, particulièrement pour les pays de l’Afrique Sub-saharienne. Les financements internationaux débloqués pour lutter contre le paludisme se sont nettement accrus, passant d’un peu moins de US$ 100 millions en 2000 à US$ 1,94 milliard en 2013. Il sied de signaler que la République démocratique du Congo et le Nigeria, à eux seuls, représentent le plus lourd fardeau du paludisme, soit 40 % du total mondial. Au Sud-Kivu, près d’un million de nouveaux cas sont enregistrés chaque année, selon le bureau de l’OMS à Bukavu. Objectif: analyser le risque d’exposition au paludisme. Méthodologie: une étude de cohorte de 3 337 personnes suivies chaque mois, dans 422 ménages, du 1er janvier au 31 Décembre 2013. Les données ont été recueillies à partir des ménages, du BCZS, des hôpitaux et des écoles. Résultats: les personnes qui ne dorment pas sous MII sont exposées deux fois plus (RR : 2,5) au paludisme que celles qui dorment sous MII ; les personnes dormant sous MII, mais vivant dans un environnement non assaini sont exposées plus de quatre fois (RR : 4,2) au paludisme que celles dormant sous MII, mais vivant dans un environnement assaini ; Conclusion: l’assainissement de l’environnement joint à l’utilisation de la MII se révèle ainsi la stratégie très efficace. Il s’y ajoute que la seule utilisation de la MII se veut aussi efficace dans la réduction de la morbidité. Les acteurs et la population devraient être mieux informés du risque et respecter les mesures de prévention du paludisme.
Author Keywords: Exposition, paludisme, morbidité, dépenses, frein au développement et pauvreté.
How to Cite this Article
Debonheur SHABANI MALEMBA, “LUTTE ANTI VECTORIELLE DANS LA PREVENTION DU PALUDISME : APPROCHE EPIDEMIOLOGIQUE,” International Journal of Innovation and Scientific Research, vol. 30, no. 2, pp. 285–307, May 2017.
