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.

This study is part of the Public Health field, in a transversal descriptive approach, oriented towards reproductive health. It covers the period from January to March 2020.Its objective is to identify the obstacles to the hygienic management of menstruation by high school girls in school. To achieve this goal, we used the survey as a method, the interview was used as a data collection technique, and the interview guide served as a data collection instrument. The Lycéennes constituted for us the study population, the chosen space is the ESENGO Lycée in the town hall of Gemena, Province of Sud-Ubangi in DRC. The sample size for this study is 80 high school girls chosen for convenience.It therefore turns out that age and ignorance combined are at the head of the obstacles identified. Girls who have not reached the age of majority do not have the right to information about their active sex life, talking about it remains a taboo in African societies, even more so than talking about defecation. (Hamdalaye HERE, 2000). Some of them are totally ignorant of the warning signs of menstruation, the lack of prefabricated towels (ignorance of their use and lack of financial means to get them (poverty), hence, resort to the collection of towels (pieces of loincloths, dirty fabrics, etc.), the sanitary facilities even existing within schools, are not used properly (less hygienic conditions, the non-separation of these facilities according to sex, and the absence of a permanent source d water supply ...) can be counted among the obstacles to the unhygienic management of menses at school. This pushes girls to return, to miss class, sometimes to abandon in case of leakage of blood stains on their This can compromise their academic or even professional performance.

The job market is becoming increasingly competitive and demanding these days. Question of making a judicious choice between one's vocation and social constraints in order to avoid a conflict against oneself (self-satisfaction) but also to meet societal requirements. In the DRC, at least each province has a medical training institution, if not more. Thousands of new students are recruited each year, while hundreds are poured into the job market, which is apparently saturated. A survey of an exhaustive non-probabilistic sample made up of 52 learners from the midwifery sector at the Gemena istm revealed some reefs between vocation and social constraints which govern the choice of option by the learners and to establish a reconciliation between the two. Our life, our professional career is sometimes completely sealed by the choice we make.