[ Connaissances et pratiques des prestataires de l’Hôpital Général de Référence de Bwamanda sur la prise en charge des effets secondaires des méthodes contraceptives modernes ]
Volume 68, Issue 1, August 2023, Pages 50–57
MOMBELA IBELE Désiré1, MAMBESA BAINAMBOKA Martin2, Ekpimbo Mambokolo Claris3, Bokango Bapoti Thomas4, and Kangala Leso Fidele5
1 ISTM GEMENA, RD Congo
2 Licencié en sciences infirmières/EASI, RD Congo
3 L2 S.I/EASI, Field Officer WVI RDC/Bili, Gbadolite, Nord-Ubangi, RD Congo
4 Assistant à l’ISTM Gemena, Sud-Ubangi, RD Congo
5 ISTM GEMENA, RD Congo
Original language: French
Copyright © 2023 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.
This study is a survey that we conducted in the health zone of Bwamanda, more precisely at the general hospital of reference of BWAMANDA, city province of Sud-Ubangi, in the Democratic Republic of Congo for a period of three months from July to September 2022. Its purpose is to assess the knowledge and practices of providers in the management of side effects related to the use of modern contraceptive methods among beneficiaries, users or clients. The approach that led this research is the analytico-descriptive coupled method of investigation. It targeted a population made up of 18 providers working at the Bwamanda HGR, mainly those involved in the family planning service and to some extent, expected to manage complications resulting from the use of modern contraceptive methods (MCM). If maternity is considered in Africa as a mark of social consideration and marital security, family planning (FP) is positioned as a remedy for birth control, maternity or even maternal deaths. Nevertheless, taking contraceptives is not without side effects, which create, rightly or wrongly, detachment or even disinterest in the methods adopted. The study was induced by the recurrence of side effects potentially related to contraceptive use among women of childbearing age. More than 70% of participants were reviewed in consultation, including young people under 30. The good management (PEC) of these side effects remains the key to attracting new acceptants and the success of the PF. The study was able to highlight menstrual disturbances, amenorrhea, sexually transmitted infections (STIs) as side effects of MCAs encountered in Bwamanda; while regarding the level of knowledge and practices related to PEC of theseci, the study placed it at a threshold lower than acceptable (35%) according to the grid developed for this purpose. In practice, the study revealed that the acts of service providers are modeled on standardized models and do not take into account the specific specificities of each client, let alone the context.
Author Keywords: Knowledge, practices, side effects, contraceptive methods.
Volume 68, Issue 1, August 2023, Pages 50–57
MOMBELA IBELE Désiré1, MAMBESA BAINAMBOKA Martin2, Ekpimbo Mambokolo Claris3, Bokango Bapoti Thomas4, and Kangala Leso Fidele5
1 ISTM GEMENA, RD Congo
2 Licencié en sciences infirmières/EASI, RD Congo
3 L2 S.I/EASI, Field Officer WVI RDC/Bili, Gbadolite, Nord-Ubangi, RD Congo
4 Assistant à l’ISTM Gemena, Sud-Ubangi, RD Congo
5 ISTM GEMENA, RD Congo
Original language: French
Copyright © 2023 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
This study is a survey that we conducted in the health zone of Bwamanda, more precisely at the general hospital of reference of BWAMANDA, city province of Sud-Ubangi, in the Democratic Republic of Congo for a period of three months from July to September 2022. Its purpose is to assess the knowledge and practices of providers in the management of side effects related to the use of modern contraceptive methods among beneficiaries, users or clients. The approach that led this research is the analytico-descriptive coupled method of investigation. It targeted a population made up of 18 providers working at the Bwamanda HGR, mainly those involved in the family planning service and to some extent, expected to manage complications resulting from the use of modern contraceptive methods (MCM). If maternity is considered in Africa as a mark of social consideration and marital security, family planning (FP) is positioned as a remedy for birth control, maternity or even maternal deaths. Nevertheless, taking contraceptives is not without side effects, which create, rightly or wrongly, detachment or even disinterest in the methods adopted. The study was induced by the recurrence of side effects potentially related to contraceptive use among women of childbearing age. More than 70% of participants were reviewed in consultation, including young people under 30. The good management (PEC) of these side effects remains the key to attracting new acceptants and the success of the PF. The study was able to highlight menstrual disturbances, amenorrhea, sexually transmitted infections (STIs) as side effects of MCAs encountered in Bwamanda; while regarding the level of knowledge and practices related to PEC of theseci, the study placed it at a threshold lower than acceptable (35%) according to the grid developed for this purpose. In practice, the study revealed that the acts of service providers are modeled on standardized models and do not take into account the specific specificities of each client, let alone the context.
Author Keywords: Knowledge, practices, side effects, contraceptive methods.
Abstract: (french)
La présente étude est une enquête que nous avons menée dans la zone de santé de Bwamanda, plus précisément à l’hôpital général de référence de BWAMANDA, ville province de Sud-Ubangi, en République Démocratique du Congo pour une période de trois mois soit de juillet à septembre 2022. Son but est d’évaluer les connaissances et pratiques des prestataires dans la prise en charge des effets secondaires liés à l’utilisation des méthodes contraceptives modernes auprès des bénéficiaires, utilisatrices ou clientes. La démarche qui a conduit cette recherche est la méthode analytico-descriptive couplée d’enquête. Elle a ciblé une population constituée de 18 prestataires œuvrant à l’HGR de Bwamanda, essentiellement les personnes impliquées dans le service de planning familial et dans une certaine mesure, censées prendre en charge les complications résultant de l’utilisation des méthodes contraceptives modernes (MCM). Si la maternité est considérée en Afrique comme une marque de considération sociale et une sécurité conjugale, le planning familial (PF) se positionne comme un remède au contrôle des naissances, de la maternité voire de décès maternels. Il n’en reste pas moins que la prise des contraceptifs n’est pas sans effets secondaires, qui créent à tort ou à raison, le détachement voire le désintéressement aux méthodes adoptées. L’étude a été induite par la récurrence des cas d’effets secondaires potentiellement liés à la prise des contraceptifs parmi les femmes en âge de procréer. Plus de 70% d’acceptantes ont été revues en consultation parmi lesquelles les jeunes de moins de 30 ans. La bonne prise en charge (PEC) desdits effets secondaires reste la clé d’attraction aux nouvelles acceptantes et de la réussite du PF. L’étude a pu mettre en exergue les perturbations des règles, les aménorrhées, les infections sexuellement transmissibles (IST) comme les effets secondaires des MCM rencontrés à Bwamanda; alors que concernant le niveau de connaissances et pratiques relatives à la PEC de ceux-ci, l’étude l’a situé à un seuil inferieur à l’acceptable (35%) selon la grille élaborée pour cette fin. Dans la pratique, l’étude a permis de relever que les actes des prestataires sont calqués sur des modèles standardisés et ne tiennent nullement compte des spécificités particulières de chaque cliente moins encore du contexte.
Author Keywords: Connaissances, pratiques, effets secondaires, méthodes contraceptives.
How to Cite this Article
MOMBELA IBELE Désiré, MAMBESA BAINAMBOKA Martin, Ekpimbo Mambokolo Claris, Bokango Bapoti Thomas, and Kangala Leso Fidele, “Knowledge and practices of Bwamanda Reference General Hospital providers on the management of side effects of modern contraceptive methods,” International Journal of Innovation and Scientific Research, vol. 68, no. 1, pp. 50–57, August 2023.
