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Une étude épidémiologique sur les handicaps chroniques à la marche a été effectuée de Novembre 1988 à Janvier 1989 en zone rurale dans trois provinces du Burkina Faso. Le recrutement réalisé au porte à porte montre que le taux de prévalence des handicaps chroniques à la marche dépasse 9 pour mille habitants. La poliomyélite occupe le premier rang des étiologies avec un tiers des cas, suivie de l'ensemble des autres maladies neurologiques, les affections rhumatologiques et orthopédiques, et surtout les séquelles de dracunculose. Contraitement à d'autres études réalisées en milieu urbain, le rôle des sciatites par injection médicamenteuse intrafessière est négligeable dans les régions rurales faiblement médicalisées. Le rôle de certaines affections neurologiques telles les paraparésies spastiques tropicales reste à déterminer. (Résumé d'auteur

Factors associated with the health and nutritional status of children under 5 years of age in Afghanistan: family behaviour related to women and past experience of war-related hardships

<p>Abstract</p> <p>Background</p> <p>The present study was performed to assess, beyond socio-economic factors, independent associations between the health and nutritional status of children under 5 years old and (1) family behavioural factors related to women with regard to child care and (2) war-related experience by the household of hardships in Afghanistan.</p> <p>Methods</p> <p>The subjects were all children born during the previous 5 years from 1400 households in Kabul Province, Afghanistan and were selected by multistage sampling in March 2006. Height and weight measurements of the children and culturally sensitive interviews with their mothers were conducted by household visits. Child mortality, morbidity and nutritional status were evaluated. Four areas were assessed as variables for family behavioural factors related to women: education of mothers, child marriage of the mothers, maternal autonomy in obtaining healthcare for children and preference for a female physician. Hardships experienced by the family were examined by determining their satisfaction of basic material needs and by any experience of being forced to leave a preferred residence.</p> <p>Results</p> <p>A total of 2474 children from 1327 households completed the examinations and interviews; among them, 101 children were deceased by the time of the interview visits. Diarrhoea (32.5%) and acute respiratory infection (41.0%) were common child health problems and both emaciation (12.4%) and linear growth retardation (39.9%) were prevalent. Regardless of the influence of economic, demographic, family behavioural or hardships experience factors, a lack of maternal autonomy (79.1%) was associated with the occurrence of acute respiratory infection (odds-ratio = 1.72; 95% confidence interval = 1.23, 2.40), and linear growth retardation of children (odds-ratio = 1.38; 95% confidence interval = 1.01, 1.90); a lack of education of the mother (71.7%) and child marriage of the mothers (18.3%) were associated with diarrhoea (odds-ratio = 1.84; 95% confidence interval = 1.40, 2.41; odds-ratio = 1.46; 95% confidence interval = 1.08, 1.96, respectively); a shortage of basic material needs (59.1%) was associated with diarrhoea (odds-ratio = 1.35; 95% confidence interval = 1.08, 1.68); and migration inside the country (52.9%) was associated with underweight children (odds-ratio = 2.48; 95% confidence interval = 1.13, 5.44).</p> <p>Conclusion</p> <p>A lack of education of the mothers, child marriage, lack of maternal autonomy, shortage of basic material needs and internal displacement showed independent and significant negative associations with child health and nutritional variables in this country that has experienced a long period of conflict.</p

Non-specific effects of vaccination on child survival: prospective cohort study in Burkina Faso

Objective To study the effect of vaccination on mortality before 2 years of age in a developing country. Design Prospective cohort study. Setting Rural communities in Burkina Faso. Participants 9085 children born in the study area between 1985 and 1993. Main outcome measure Child death rate. Results Mortality before 2 years of age was lower in children who had been vaccinated: those vaccinated with BCG only had significantly lower mortality (risk ratio for vaccinated v unvaccinated children 0.37, 95% confidence interval 0.29 to 0.48) as did those vaccinated with diphtheria, tetanus, and pertussis only (0.24, 0.13 to 0.43). The second dose of diphtheria, tetanus, and pertussis was not associated with lower mortality (0.80, 0.58 to 1.12). Conclusion Vaccination with diphtheria, tetanus, and pertussis as well as BCG is associated with better survival of children up to 2 years of age

UTILISATION DES POMMES DE TERRE DESHYDRATÉES ET FRAICHES DANS L'ALIMENTATION DU PORC EN CROISSANCE, EN COMPARAISON AVEC L'ORGE

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Progesterone freeze-dried systems in sublingual dosage form

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