[ Influence des facteurs sociodémographiques du personnel soignant sur l’accessibilité aux antipaludéens à base d’artémisinine chez les enfants de moins de 5 ans à Gbado-Lite (Nord-Ubangi, RD Congo) ]
Volume 38, Issue 1, August 2018, Pages 148–155
Christophe B. Kotanda1, Ruphin D. Djoza2, Janvier Mukiza3, Baholy Robijaona4, and Koto-te-Nyiwa Ngbolua5
1 Faculté de Médecine, Université de Gbado-Lite, BP 111 Gbado-Lite, Province du Nord-Ubangi, RD Congo
2 Faculté de Médecine, Université de Gbado-Lite, BP 111 Gbado-Lite, Province du Nord-Ubangi, RD Congo
3 Department of Biochemistry, Faculty of Medicine and Surgery, University of Gitwe, P.O. Box 01 Nyanza, Rwanda
4 Ecole Supérieure Polytechnique d’Antananarivo, Madagascar
5 Département de Biologie, Faculté des Sciences, Université de Kinshasa, BP 190 Kinshasa XI, RD Congo
Original language: French
Copyright © 2018 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.
The artemisin based-therapeutic combinations (ATC) are an approach developed to solve the malaria parasite chemo-resistance problem in endemic area. The aim of this study is to evaluate the factors associated to the weak proportion of children under the age of 5 years treated with the ATC against malaria. The data collected on a sampling of 9177 treated children in 13 health centers in Gbado-Lite city in 2014 have been analyzed with the help of Epi-info software package (version 3.5.4). The number of children treated with the ATC is weak (58.9%) in spite of the availability in ATC (87.7%). The socio-demographic factors and the life styles of the ATC prescribers are not associated to the weak proportion of the children treated with ATC (p>0.5). Nevertheless, a strong non-significant association is observed with alcohol consumption by the prescribers of ATC (p>0.72). A weak non-significant association is noted in male (p=0.52) and with the seniority of the prescribers (p=0.71). The factors like age, marital status, monthly income, study level, lodging and consumption of tobacco are not associated with the weak proportion of children treated with ATC. The influence of the number of staffs working in the health centers on the proportion of children treated with ATC is variable according to the considered structures of health. It is therefore desirable to develop advantage of the strategies for a rational prescription in order to guarantee a better malaria treatment in children at Gbado-Lite city.
Author Keywords: Malaria, endemic area, artemisinin based-therapeutic combination, Gbado-Lite city, DR Congo.
Volume 38, Issue 1, August 2018, Pages 148–155
Christophe B. Kotanda1, Ruphin D. Djoza2, Janvier Mukiza3, Baholy Robijaona4, and Koto-te-Nyiwa Ngbolua5
1 Faculté de Médecine, Université de Gbado-Lite, BP 111 Gbado-Lite, Province du Nord-Ubangi, RD Congo
2 Faculté de Médecine, Université de Gbado-Lite, BP 111 Gbado-Lite, Province du Nord-Ubangi, RD Congo
3 Department of Biochemistry, Faculty of Medicine and Surgery, University of Gitwe, P.O. Box 01 Nyanza, Rwanda
4 Ecole Supérieure Polytechnique d’Antananarivo, Madagascar
5 Département de Biologie, Faculté des Sciences, Université de Kinshasa, BP 190 Kinshasa XI, RD Congo
Original language: French
Copyright © 2018 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
The artemisin based-therapeutic combinations (ATC) are an approach developed to solve the malaria parasite chemo-resistance problem in endemic area. The aim of this study is to evaluate the factors associated to the weak proportion of children under the age of 5 years treated with the ATC against malaria. The data collected on a sampling of 9177 treated children in 13 health centers in Gbado-Lite city in 2014 have been analyzed with the help of Epi-info software package (version 3.5.4). The number of children treated with the ATC is weak (58.9%) in spite of the availability in ATC (87.7%). The socio-demographic factors and the life styles of the ATC prescribers are not associated to the weak proportion of the children treated with ATC (p>0.5). Nevertheless, a strong non-significant association is observed with alcohol consumption by the prescribers of ATC (p>0.72). A weak non-significant association is noted in male (p=0.52) and with the seniority of the prescribers (p=0.71). The factors like age, marital status, monthly income, study level, lodging and consumption of tobacco are not associated with the weak proportion of children treated with ATC. The influence of the number of staffs working in the health centers on the proportion of children treated with ATC is variable according to the considered structures of health. It is therefore desirable to develop advantage of the strategies for a rational prescription in order to guarantee a better malaria treatment in children at Gbado-Lite city.
Author Keywords: Malaria, endemic area, artemisinin based-therapeutic combination, Gbado-Lite city, DR Congo.
Abstract: (french)
Les combinaisons thérapeutiques à base d’artémisinine (CTA) est une approche développée pour résoudre le problème de chimiorésistance en zone d’endémie. Le but de cette étude est d’évaluer les facteurs associés à la faible proportion des enfants de moins de 5 ans soignés avec les CTA contre le paludisme simple. Les données collectées sur un échantillonnage de 9177 enfants de moins de 5 ans soignés avec les CTA dans 13 centres de santé dans la Zone de Santé de Gbado-Lite en 2014 ont été analysées à l’aide du logiciel Epi-info version 3.5.4. Le nombre d’enfants traités avec les CTA est faible (58,9%) en dépit de la disponibilité en CTA (87,7%). Les facteurs sociodémographiques et les modes de vie des prescripteurs des CTA ne sont pas associés à la faible proportion des enfants traités aux CTA (p>0,5). Néanmoins, une forte association non significative est observée avec la consommation d’alcool par les prescripteurs des CTA (p>0,72). Une faible association non significative est notée avec le sexe masculin (p=0,52) et avec l’ancienneté des prescripteurs au poste de responsabilité (p=0,71). Les autres facteurs sociodémographiques tels que l’âge, l’état civil, le revenu mensuel, le niveau d’étude, le logement et la consommation de tabac ne sont pas associés avec la faible proportion d’enfants traités aux CTA. L’influence du nombre de personnels œuvrant dans les centres de santé sur la proportion d’enfants traités aux CTA est variable selon les structures de santé. Il est donc souhaitable de développer d’avantage des stratégies pour une prescription rationnelle afin de garantir un meilleur traitement de paludisme chez les enfants à Gbado-Lite.
Author Keywords: Paludisme, zone d’endémie, combinaison à base d’artéminisinins, Gbado-Lite, RD Congo.
How to Cite this Article
Christophe B. Kotanda, Ruphin D. Djoza, Janvier Mukiza, Baholy Robijaona, and Koto-te-Nyiwa Ngbolua, “Influence of nursing socio-demographic factors on the accessibility to the artemisinin based-antimalarials in children under 5 years age at Gbado-Lite city (Nord-Ubangi, RD Congo),” International Journal of Innovation and Scientific Research, vol. 38, no. 1, pp. 148–155, August 2018.
