Soins Prénatals et Accouchement Assisté en Guinée

Des objectifs du millénaire pour le développement (OMD) aux objectifs de développement durable (ODD), la santé maternelle occupe une place importante. En Guinée, la situation sanitaire des femmes enceintes demeure une préoccupation majeure. En effet, le taux de mortalité maternelle se situait à 576 décès maternels pour 100 000 naissances vivantes en 2017. Les principales causes de cette mortalité maternelle élevée est la nonutilisation adéquate des services de soins prénatals ou l’absence d’assistance médicale à l’accouchement. L’objectif de cette étude est d’identifier les déterminants de la demande de soins prénatals, et de voir l’effet de ces soins sur l’accouchement assisté. Pour ce faire, les données utilisées sont celles de l’enquête démographique et de santé (EDS V). Elle a été conduite par l’institut national de la statistique (INS) avec l’assistance technique de la société ICF international. Cette étude utilise un modèle négatif binomial pour identifier les déterminants de la demande de soins prénatals, et une régression logistique pour voir l’effet de ces soins sur l’accouchement assisté. Les résultats montrent que les déterminants de la demande de soins prénatals sont : le niveau de vie du ménage, l’instruction de la femme et de son conjoint, le milieu de résidence, l’exposition de la femme à la télévision et la souscription à une assurance. Aussi, ils confirment l’effet positif des soins prénatals sur le recours à l’accouchement assisté. L’étude recommande la sensibilisation sur les avantages de la consultation prénatale et l’accouchement assisté sur la réduction de la morbidité et la mortalité maternelle. Aussi, la gratuité des consultations prénatales et la réduction des frais d’accouchement afin d’augmenter leurs utilisations. From the millennium development goals (MDGs) to the sustainable development goals (SDGs), maternal health occupies an important place. In Guinea, the health situation, particularly that of pregnant women, remains a major concern. The maternal mortality rate stood at 576 maternal deaths per 100,000 live births in 2017. Most of the medical causes of maternal mortality are the lack of adequate use of prenatal healthcare services or the lack of medical assistance at delivery. This paper aims at identifying the driving factors of the demand for antenatal healthcare and medical assistance at delivery. The study looks at the effect of antenatal healthcare on assisted childbirth in Guinea. The study used data from the 2018 wave of the demographic and health survey (DHS V) in Guinea conducted by the national institute of statistics (INS) with technical support from macro international. The paper employs a negative binomial model for the prenatal healthcare and a logit regression to assess the relationship between prenatal healthcare and assisted childbirth. The findings of the study indicate that the standard of living, education, residential milieu, exposure to women's media and insurance coverage are the most important determinants of the demand for antenatal healthcare. The results also confirm the positive effect of prenatal healthcare on the use of assisted childbirth. The paper recommends raising women's awareness of the advantages and benefits of prenatal consultation and assisted childbirth. Also, antenatal consultations should be made free of charge and delivery fees should be reduced to increase their use

Subsequent mortality in survivors of Ebola virus disease in Guinea: a nationwide retrospective cohort study.

BACKGROUND: A record number of people survived Ebola virus infection in the 2013-16 outbreak in west Africa, and the number of survivors has increased after subsequent outbreaks. A range of post-Ebola sequelae have been reported in survivors, but little is known about subsequent mortality. We aimed to investigate subsequent mortality among people discharged from Ebola treatment units. METHODS: From Dec 8, 2015, Surveillance Active en ceinture, the Guinean national survivors' monitoring programme, attempted to contact and follow-up all survivors of Ebola virus disease who were discharged from Ebola treatment units. Survivors were followed up until Sept 30, 2016, and deaths up to this timepoint were recorded. Verbal autopsies were done to gain information about survivors of Ebola virus disease who subsequently died from their closest family members. We calculated the age-standardised mortality ratio compared with the general Guinean population, and assessed risk factors for mortality using survival analysis and a Cox proportional hazards regression model. FINDINGS: Of the 1270 survivors of Ebola virus disease who were discharged from Ebola treatment units in Guinea, information was retrieved for 1130 (89%). Compared with the general Guinean population, survivors of Ebola virus disease had a more than five-times increased risk of mortality up to Dec 31, 2015 (age-standardised mortality ratio 5·2 [95% CI 4·0-6·8]), a mean of 1 year of follow-up after discharge. Thereafter (ie, from Jan 1-Sept 30, 2016), mortality did not differ between survivors of Ebola virus disease and the general population. (0·6 [95% CI 0·2-1·4]). Overall, 59 deaths were reported, and the cause of death was tentatively attributed to renal failure in 37 cases, mostly on the basis of reported anuria. Longer stays (ie, equal to or longer than the median stay) in Ebola treatment units were associated with an increased risk of late death compared with shorter stays (adjusted hazard ratio 2·62 [95% CI 1·43-4·79]). INTERPRETATION: Mortality was high in people who recovered from Ebola virus disease and were discharged from Ebola treatment units in Guinea. The finding that survivors who were hospitalised for longer during primary infection had an increased risk of death, could help to guide current and future survivors' programmes and in the prioritisation of funds in resource-constrained settings. The role of renal failure in late deaths after recovery from Ebola virus disease should be investigated. FUNDING: WHO, International Medical Corps, and the Guinean Red Cross

The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century

Etude et développement de microtechnologies sur substrat papier (application à la structuration d'AL2O3 poreux pour la faisabilité d'un capteur d'humidité)

L'objectif premier de ce projet est la mise au point de procédés de fabrication microélectroniques/microtechnologiques compatibles avec l'utilisation d'un support papier. Pour cela, des techniques comme l'évaporation thermique sous vide, la photolithographie, l'électrodéposition et l'anodisation d'aluminium ont été développées et adaptées à ce support. Des bancs de caractérisations structurels, électriques et flexibles ont été aussi mis en œuvre pour étudier la fiabilité des couches déposées sur un tel substrat. En application, un capteur d'humidité à base d'oxyde d'aluminium flexible a été fabriqué et les tests en humidité ont montré d'excellents résultats permettant de valider le travail effectué.The primary objective of this project is the implementation of microelectronics/microtechnology processes compatible with the use of paper-based substrate. For this purpose, techniques such as thermal vacuum evaporation, photolithography, electroplating and anodizing aluminum have been developed and adapted to this substrate. Structural, electrical and flexible characterizations benches have also been implemented to study the reliability of the layers deposited on such substrate. A moisture sensor based on flexible aluminum oxide was made and humidity tests have shown excellent results which validate the work.MONTPELLIER-BU Sciences (341722106) / SudocSudocFranceF