Evaluation de la Qualite de Vie des Enfants et Adolescents Inclus dans Un Programme de Prise en Charge Tridimensionnelle de l’Exces Ponderal a Abidjan (Côte d’Ivore)

           Contexte et objectif : L’obésité affecte la qualité de vie des sujets concernés, et de façon particulière les plus jeunes qui font l’objet de moquerie. Ainsi, un programme de coaching tripartite : un aspect nutritionnel, un volet promotion de la pratique d’activité physique, et un volet accompagnement psychologique. La présente étude a donc été initiée avec pour objectif de mesurer l’impact de ce programme de coaching mis en place sur la qualité de vie des enfants et adolescents obèses qui en étaient les bénéficiaires. Méthode : Il s’est agi d’une étude de cohorte à deux mesures avant et après la mise en place du coaching. Celle-ci s’est déroulée avec un échantillon de 136 enfants et adolescents de 6 à 17 ans, soit sur une période de 18 mois, au Service de Nutrition de l’Institut National de Santé Publique d’Abidjan. La qualité de vie a été évaluée à l’aide du questionnaire PedsQL (the Pediatric Quality of Life Inventory) dans sa version 4 adapté pour les besoins de l’étude. Il était composé de la dimension physique et la santé psychosociale. Résultats : Les enquêtés étaient des deux sexes avec une prédominance féminine (58,8%) et étaient tous scolarisés. A la fin du programme de coaching en santé on note une amélioration de la dimension physique qui devient acceptable chez 71,8% des enfants et adolescents et une meilleure évolution de la dimension psychosociale et la qualité de vie d’acceptable à bonne.  Un lien significatif (p < 0,05) a été plus observé entre la santé psychosociale, le poids moyen et l’indice de masse corporelle des adolescents de 12 à 19 ans à l’issu de ce programme que chez les enfants.  Conclusion : Cette étude situe sur l’intérêt du programme de coaching en santé dans l’amélioration de la qualité de vie des personnes lors de la prise en charge de l’obésité infantile.   Context and objective : Obesity affects the quality of life of the subjects concerned, and in particular the youngest who are made fun of. Thus, a tripartite coaching program: a nutritional aspect, a component promoting the practice of physical activity, and a psychological support component. The present study was therefore initiated with the aim of measuring the impact of this coaching program set up on the quality of life of obese children and adolescents who were the beneficiaries. Method : This was a two-measure cohort study before and after the implementation of coaching. This took place with a sample of 136 children and adolescents aged 6 to 17, over a period of 18 months, at the Nutrition Service of the National Institute of Public Health in Abidjan. Quality of life was assessed using the PedsQL questionnaire (the Pediatric Quality of Life Inventory) in its version 4 adapted for the needs of the study. It was composed of the physical dimension and the psychosocial health. Results: The respondents were of both sexes with a female predominance (58.8%) and were all educated. At the end of the health coaching program, there is an improvement in the physical dimension which becomes acceptable in 71.8% of children and adolescents and a better evolution of the psychosocial dimension and the quality of life from acceptable to good. A significant link (p < 0.05) was observed between psychosocial health, average weight and body mass index in adolescents aged 12 to 19 at the end of this program than in children. Conclusion : This study situates the interest of the health coaching program in improving the quality of life of people during the management of childhood obesity

Evaluation de la Qualite de Vie des Enfants et Adolescents Inclus dans Un Programme de Prise en Charge Tridimensionnelle de l’Exces Ponderal a Abidjan (Côte d’Ivore)

           Contexte et objectif : L’obésité affecte la qualité de vie des sujets concernés, et de façon particulière les plus jeunes qui font l’objet de moquerie. Ainsi, un programme de coaching tripartite : un aspect nutritionnel, un volet promotion de la pratique d’activité physique, et un volet accompagnement psychologique. La présente étude a donc été initiée avec pour objectif de mesurer l’impact de ce programme de coaching mis en place sur la qualité de vie des enfants et adolescents obèses qui en étaient les bénéficiaires. Méthode : Il s’est agi d’une étude de cohorte à deux mesures avant et après la mise en place du coaching. Celle-ci s’est déroulée avec un échantillon de 136 enfants et adolescents de 6 à 17 ans, soit sur une période de 18 mois, au Service de Nutrition de l’Institut National de Santé Publique d’Abidjan. La qualité de vie a été évaluée à l’aide du questionnaire PedsQL (the Pediatric Quality of Life Inventory) dans sa version 4 adapté pour les besoins de l’étude. Il était composé de la dimension physique et la santé psychosociale. Résultats : Les enquêtés étaient des deux sexes avec une prédominance féminine (58,8%) et étaient tous scolarisés. A la fin du programme de coaching en santé on note une amélioration de la dimension physique qui devient acceptable chez 71,8% des enfants et adolescents et une meilleure évolution de la dimension psychosociale et la qualité de vie d’acceptable à bonne.  Un lien significatif (p < 0,05) a été plus observé entre la santé psychosociale, le poids moyen et l’indice de masse corporelle des adolescents de 12 à 19 ans à l’issu de ce programme que chez les enfants.  Conclusion : Cette étude situe sur l’intérêt du programme de coaching en santé dans l’amélioration de la qualité de vie des personnes lors de la prise en charge de l’obésité infantile.   Context and objective : Obesity affects the quality of life of the subjects concerned, and in particular the youngest who are made fun of. Thus, a tripartite coaching program: a nutritional aspect, a component promoting the practice of physical activity, and a psychological support component. The present study was therefore initiated with the aim of measuring the impact of this coaching program set up on the quality of life of obese children and adolescents who were the beneficiaries. Method : This was a two-measure cohort study before and after the implementation of coaching. This took place with a sample of 136 children and adolescents aged 6 to 17, over a period of 18 months, at the Nutrition Service of the National Institute of Public Health in Abidjan. Quality of life was assessed using the PedsQL questionnaire (the Pediatric Quality of Life Inventory) in its version 4 adapted for the needs of the study. It was composed of the physical dimension and the psychosocial health. Results: The respondents were of both sexes with a female predominance (58.8%) and were all educated. At the end of the health coaching program, there is an improvement in the physical dimension which becomes acceptable in 71.8% of children and adolescents and a better evolution of the psychosocial dimension and the quality of life from acceptable to good. A significant link (p < 0.05) was observed between psychosocial health, average weight and body mass index in adolescents aged 12 to 19 at the end of this program than in children. Conclusion : This study situates the interest of the health coaching program in improving the quality of life of people during the management of childhood obesity

Evaluation de la Qualite de Vie des Enfants et Adolescents Inclus dans un Programme de Prise en Charge Tridimensionnelle de l’Exces Ponderal a Abidjan (Côte d’Ivoire)

Contexte et objectif : L’obésité affecte la qualité de vie des sujets concernés, et de façon particulière les plus jeunes qui font l’objet de moquerie. Ainsi, un programme de coaching tripartite : un aspect nutritionnel, un volet promotion de la pratique d’activité physique, et un volet accompagnement psychologique. La présente étude a donc été initiée avec pour objectif de mesurer l’impact de ce programme de coaching mis en place sur la qualité de vie des enfants et adolescents obèses qui en étaient les bénéficiaires. Matériel et méthodes : Il s’est agi d’une étude de cohorte à deux mesures avant et après la mise en place du coaching. Celle-ci s’est déroulée avec un échantillon de 136 enfants et adolescents de 6 à 17 ans, soit sur une période de 18 mois, au Service de Nutrition de l’Institut National de Santé Publique d’Abidjan. La qualité de vie a été évaluée à l’aide du questionnaire PedsQL (the Pediatric Quality of Life Inventory) dans sa version 4 adapté pour les besoins de l’étude. Il était composé de la dimension physique et la santé psychosociale. Résultats : Les enquêtés étaient des deux sexes avec une prédominance féminine (58,8%) et étaient tous scolarisés. A la fin du programme de coaching en santé on note une amélioration de la dimension physique qui devient acceptable chez 71,8% des enfants et adolescents et une meilleure évolution de la dimension psychosociale et la qualité de vie d’acceptable à bonne. Un lien significatif (p < 0,05) a été plus observé entre la santé psychosociale, le poids moyen et l’indice de masse corporelle des adolescents de 12 à 19 ans à l’issu de ce programme que chez les enfants. Conclusion : Cette étude situe sur l’intérêt du programme de coaching en santé dans l’amélioration de la qualité de vie des personnes lors de la prise en charge de l’obésité infantile. En effet, elle confirme que la prise en charge psychologique est un élément important dans la prise en charge de la malnutrition. Context and objective: Obesity affects the quality of life of the subjects concerned, and in particular the youngest who are made fun of. Thus, a tripartite coaching program: a nutritional aspect, a component promoting the practice of physical activity, and a psychological support component. The present study was therefore initiated with the aim of measuring the impact of this coaching program set up on the quality of life of obese children and adolescents who were the beneficiaries. Material and methods: This were a two-measure cohort study before and after the implementation of coaching. This took place with a sample of 136 children and adolescents aged 6 to 17, over a period of 18 months, at the Nutrition Service of the National Institute of Public Health in Abidjan. Quality of life was assessed using the PedsQL questionnaire (the Pediatric Quality of Life Inventory) in its version 4 adapted for the needs of the study. It was composed of the physical dimension and the psychosocial health. Results: The respondents were of both sexes with a female predominance (58.8%) and were all educated. At the end of the health coaching program, there is an improvement in the physical dimension which becomes acceptable in 71.8% of children and adolescents and a better evolution of the psychosocial dimension and the quality of life from acceptable to good. A significant link (p < 0.05) was observed between psychosocial health, average weight and body mass index in adolescents aged 12 to 19 at the end of this program than in children. Conclusion: This study situates the interest of the health coaching program in improving the quality of life of people during the management of childhood obesity. Indeed, it confirms that psychological care is an important element in the management of malnutrition

Evaluation de la Qualite de Vie des Enfants et Adolescents Inclus dans un Programme de Prise en Charge Tridimensionnelle de l’Exces Ponderal a Abidjan (Côte d’Ivoire)

Contexte et objectif : L’obésité affecte la qualité de vie des sujets concernés, et de façon particulière les plus jeunes qui font l’objet de moquerie. Ainsi, un programme de coaching tripartite : un aspect nutritionnel, un volet promotion de la pratique d’activité physique, et un volet accompagnement psychologique. La présente étude a donc été initiée avec pour objectif de mesurer l’impact de ce programme de coaching mis en place sur la qualité de vie des enfants et adolescents obèses qui en étaient les bénéficiaires. Matériel et méthodes : Il s’est agi d’une étude de cohorte à deux mesures avant et après la mise en place du coaching. Celle-ci s’est déroulée avec un échantillon de 136 enfants et adolescents de 6 à 17 ans, soit sur une période de 18 mois, au Service de Nutrition de l’Institut National de Santé Publique d’Abidjan. La qualité de vie a été évaluée à l’aide du questionnaire PedsQL (the Pediatric Quality of Life Inventory) dans sa version 4 adapté pour les besoins de l’étude. Il était composé de la dimension physique et la santé psychosociale. Résultats : Les enquêtés étaient des deux sexes avec une prédominance féminine (58,8%) et étaient tous scolarisés. A la fin du programme de coaching en santé on note une amélioration de la dimension physique qui devient acceptable chez 71,8% des enfants et adolescents et une meilleure évolution de la dimension psychosociale et la qualité de vie d’acceptable à bonne. Un lien significatif (p < 0,05) a été plus observé entre la santé psychosociale, le poids moyen et l’indice de masse corporelle des adolescents de 12 à 19 ans à l’issu de ce programme que chez les enfants. Conclusion : Cette étude situe sur l’intérêt du programme de coaching en santé dans l’amélioration de la qualité de vie des personnes lors de la prise en charge de l’obésité infantile. En effet, elle confirme que la prise en charge psychologique est un élément important dans la prise en charge de la malnutrition. Context and objective: Obesity affects the quality of life of the subjects concerned, and in particular the youngest who are made fun of. Thus, a tripartite coaching program: a nutritional aspect, a component promoting the practice of physical activity, and a psychological support component. The present study was therefore initiated with the aim of measuring the impact of this coaching program set up on the quality of life of obese children and adolescents who were the beneficiaries. Material and methods: This were a two-measure cohort study before and after the implementation of coaching. This took place with a sample of 136 children and adolescents aged 6 to 17, over a period of 18 months, at the Nutrition Service of the National Institute of Public Health in Abidjan. Quality of life was assessed using the PedsQL questionnaire (the Pediatric Quality of Life Inventory) in its version 4 adapted for the needs of the study. It was composed of the physical dimension and the psychosocial health. Results: The respondents were of both sexes with a female predominance (58.8%) and were all educated. At the end of the health coaching program, there is an improvement in the physical dimension which becomes acceptable in 71.8% of children and adolescents and a better evolution of the psychosocial dimension and the quality of life from acceptable to good. A significant link (p < 0.05) was observed between psychosocial health, average weight and body mass index in adolescents aged 12 to 19 at the end of this program than in children. Conclusion: This study situates the interest of the health coaching program in improving the quality of life of people during the management of childhood obesity. Indeed, it confirms that psychological care is an important element in the management of malnutrition

Family And Community Practices Relating To Infant Feeding In Central Togo:A study preceding implementation of the family and community component of the «Integrated Management of Childhood Illness» strategy (C-IMCI).

The aim of this study was to assess neonate and infant feeding practices in the central region of Togo before implementation of the community component of the «Integrated Management of Childhood Illness» (C-IMCI) strategy. It was a cross-sectional study from 29th March to 8th April 2004 and included a random sample of 983 households, 506 caretakers and 733 under-five children. Using the Epi-info and SPSS softwares, this study assessed mainly breast feeding, the use of breast milk substitutesand weaning practices. It was noted that out of the 733 children, 52% were males and 48% females, 27% less than one year and 21.6% between 12 and 23 months. After delivery, 29.3% of infants were breastfed within one hour, and 75.6% within the first 24 hours. Only 78.4% of the children received colostrum after birth. It was also noted insufficient breast milk flow in 53.1% of the mothers and water was the main substitute for breast milk in 21% of the children. If 57.7% of the children were exclusively breastfed for the first 6 months, only 9.5% of the infants were breastfed up to the 23rd month. Complementary foods were introduced at an average age of 6 months with water, pap, «diuri» (a plant decoction), and at an average age of 11 months with other family foods. Altogether,65% of mothers stopped breastfeeding between 18 and 30 months for varying reasons : 7% because of pregnancy, 6% due to insufficient breast milk flow, 3% professional constraints and 3% death. From this study we recommend that sustained efforts have to be made on the sensitization of mothers during C-IMCI implementation on cultural practices that do not support optimal feeding of the neonate and young infant

Ostéo-arthrites tuberculeuses inhabituelles multifocales chez une patiente immunocompétente

Les formes multifocales de la tuberculose, surviennent habituellement chez des sujets immunodéprimés. Dans les formes multifocales, certaines localisations osseuses sont rares. Les auteurs rapportent le cas d'une patiente de 58 ans, immunocompétente qui présentait une tuberculose multifocale associant une atteinte pulmonaire et des localisations osseuses et articulaires inhabituelles (l'épaule, la cheville et le pied homolatéral, la branche illio-pubienne). Le diagnostic a été histologique (biopsie ostéo-articulaire) et bactériologique (mise en évidence des BAAR dans les crachats). Le traitement a été médico-chirurgical

Liver abscess of children in Côte-d’Ivoire: retrospective analysis of a series of 30 cases

Objective: The aim of this study was to report the results of liver abscess management in children.Patients and methods: We conducted a retrospective and descriptive study of 30 cases of liver abscesses collected over 9 years (March 2007 to February 2016). The following variables were studied and results were judged on the clinical and ultrasound follow-up: age, sex, hepatodigestive past history, evolution delay, clinical presentation, size, site, and number of collected pouch, HIV serology, bacteriologic exams, and management modalities.Results: Our series was made up of 18 boys and 12 girls with a mean age of 5.4 years. A past history of bloody saddles was noted in five cases. Fontan’s triad combining a painful hepatomegaly with fever was observed in 25 patients. The collection was multiple in seven cases. The right lobe was found to be the most affected in 20 (66.7%) cases. The mean diameter was 11.8 cm with extremes ranging from 4 to 18 cm. The amoebic serology was positive in nine (30%) cases and Staphylococcus aureus was found in four cases. Four patients were subjected to an exclusive medical treatment. An ultrasound-guided evacuating puncture and drainage were carried out, respectively, in five and 17 patients. A laparotomy was carried out in four patients, of which two were after secondary abscess rupture. Mortality was nil. No recurrence was recorded with a mean follow-up of 4.5 years.Conclusion: Liver abscess is not exceptional in the Ivory Coast paediatric hospital environment and constitutes a medicosurgical emergency with a good prognosis whose well-coded management needs to be early.Keywords: children, liver abscess, managemen

Prevalence of Schistosoma mono- and co-infections with multiple common parasites and associated risk factors and morbidity profile among adults in the Taabo health and demographic surveillance system, South-Central Côte d'Ivoire

BACKGROUND: Schistosomiasis remains an important public health problem, also among adults, and infected individuals not treated serve as a reservoir for continued transmission. Despite this fact, evidence on the epidemiology of schistosomiasis in adults in Cote d'Ivoire is scanty. This study aimed to determine the prevalence and risk factors of Schistosoma infection and co-infection with other helminth species and Plasmodium among adults in the Taabo region in the south-central part of Cote d'Ivoire. METHODS: A cross-sectional survey was carried out in April and May 2017 in the frame of the "Cote d'Ivoire Dual Burden of Disease Study" (CoDuBu). A total of 901 randomly selected individuals, aged 18-90 years, provided blood, stool and urine samples for the diagnosis of malaria and helminth infections. Stool samples were subjected to the Kato-Katz technique for detection of Schistosoma mansoni and soil-transmitted helminth eggs, while urine samples were examined for eggs of Schistosoma haematobium and circulating cathodic antigen of S. mansoni. Risk factors and morbidity profiles were assessed using health examination and questionnaires. Multinomial logistic regressions were employed to identify risk factors and morbidity patterns associated with S. mansoni mono- and co-infections. RESULTS: The prevalence of S. mansoni and S. haematobium was 23.2% and 1.0%, respectively. Most S. mansoni were mono-infections (81.3%). Independent determinants of S. mansoni infection were young age, low socioeconomic status (mono- and co-infection) and poor hygiene practices (co-infection) (P < 0.05). S. mansoni infection was independently associated with higher pain and symptom scores (mono-infection), poor self-rated health and low healthcare use (co-infection) (P < 0.05). CONCLUSIONS: This study showed that adults represent a substantial reservoir of S. mansoni. To sustain schistosomiasis control and improve people's wellbeing, it is important to expand preventive chemotherapy from school-aged children to adults, coupled with hygiene and health education