Evaluation de la qualité des soins aux Cliniques Universitaires de Kinshasa : étude de satisfaction des patients hospitalisés: Assessment of the quality of care at the Kinshasa University Hospital: perception of attending

Context and objective. Assessing the quality of are is a valid indicator of health systems effectiveness. This concept is increasingly used in health planning. However, developing countries are slow in integrating these principles. The present work reports the quality of care assessment as perceived by patients hospitalized in the Kinshasa University Hospital (KUH). Methods. This was a descriptive study using a selfadministered questionnaire to hospitalized patients on the day of discharge. Questions were focused on the patient reception, privacy protection, patient information and nursing care. Results. Eighty women (54%) and 68 men (46%) in total were surveyed.  Patient's reception, specifically their admission and units of care were badly assessed by eight patients out of ten. Similarly, comfort in rooms was badly assessed in 75% of case due to heat, dirt, and noise prevailing inside. In contrast, data on confidentiality (86%) and quality of health information (90%), treatment received and assistance to routine life activities (88%) were greatly appreciated. The overall satisfaction level was high and the majority of patients (75%) declared to be ready to come back to CUK for consultation. 77% would recommend their relatives to this structure if needed. Conclusion. This patient satisfaction survey in KUH showed some concerning evidences which shall challenge care managers and providers in this institution. Contexte et objectif. L’évaluation de la qualité des soins offerts est un indicateur validé de l’efficacité d’un système de santé. Le concept est de plus en plus utilisé dans la planification sanitaire. Cependant, les pays en développement tardent à intégrer ces principes. Ce travail rapporte l’appréciation des soins telle que perçue par les patients hospitalisés aux Cliniques Universitaires de Kinshasa. Méthodes. Une étude descriptive a été menée à l’aide d’un questionnaire auto administré à des sujets à la sortie d’hospitalisation. Les questions étaient articulées autour de l’accueil, du respect de l’intimité, de l’information et des soins proprement-dits. Résultats. Au total, 80 femmes (54%) et 68 hommes (46%) ont été interrogés. Le service d’accueil réservé à la réception ainsi qu’aux unités des soins a été mal apprécié par huit malades sur dix. Il en est de même du confort dans les chambres (75%) à cause de la chaleur, de la saleté et du bruit qui y régnaient. Par contre, ils ont apprécié le respect de l’intimité, la qualité de l’information reçue sur leur maladie, le traitement reçu ainsi que l’aide aux activités de la vie courante. Le niveau global de satisfaction a été élevé et la majorité des personnes (75%) ont déclaré être prêtes à revenir consulter aux CUK et y recommanderaient leurs proches en cas de besoin (77%). Conclusion. L’enquête de satisfaction révèle des données préoccupantes et qui devraient interpeller les organisateurs des prestations de soins dans notre institution

COVID-19 Vaccine Coverage and Factors Associated with Vaccine Hesitancy: A Cross-Sectional Survey in the City of Kinshasa, Democratic Republic of Congo

Vaccination against COVID-19 has been the main strategy used by most countries to limit the spread of the virus. However, vaccine uptake has been low in Africa, leading to the implementation of several interventions in order to improve vaccine coverage. This study was conducted due to the lack of information about COVID-19 vaccine coverage and the factors associated with vaccine hesitancy. This cross-sectional study was carried out in Kinshasa city using multi-stage random sampling. A total of 2160 households were included in this study. The data were analyzed using Stata 17 software. The means and standard deviations were computed for continuous data that followed a normal distribution, whereas proportions together with their 95% confidence intervals (CIs) were computed for categorical variables. The connections between dependent variables and each independent variable were tested using either Pearson's chi-square test or Fisher's exact test. The logistic regression method was employed to determine the factors that are linked to hesitation in obtaining the COVID-19 immunization. The majority of respondents were aged between 25 and 34 and 35 and 49 (28.9%). During this study, 15% (95% CI [13.25–17.9]) of respondents had received at least one dose of the COVID-19 vaccine. The prevalence of vaccine hesitancy was 67% (CI95%:64.9–69.1). Among the reasons given for refusing to be vaccinated, most respondents cited concerns about the vaccine being unsafe or causing adverse reactions (45%). Among the reasons given for accepting the vaccine, 26% thought that the vaccine prevented superinfection. The factors associated with hesitancy toward the COVID-19 vaccine were female gender, an age of less than 35 years, and living in non-slum households. Despite the interventions implemented across the country, the reluctance to be vaccinated remains a problem; this could lead to poor health outcomes, especially among the elderly and those with pre-existing conditions. It is important to step up awareness-raising campaigns in the community in order to increase the uptake of vaccination

Profil épidémiologique et évolutif des traumatismes de l’appareil urogénital de l’homme aux Cliniques Universitaires de Kinshasa: Epidemiological and evolutionary profile of the male urogenital system traumas at the Kinshasa University Hospital

Context and objectives. Traumatic urogenital lesions usually occur in severe traumas. But, little is known on their burden. The aim of this study was to describe the epidemiological aspects of the male urogenital traumas. Methods. A retrospective study covering the period from January 1st, 2010 to December 31st, 2015, was conducted on the urogenital traumas in the Urology Unit of the Surgery Department of the Kinshasa University Hospital. Parameters of interest included clinical data (age, admission complaints, causes and site of lesions), paraclinical status, therapeutic data (medical and surgical treatment) and outcome. Results. Of the 1971 patients admitted in Surgery Department, 44 (2%; main age: 46 ± 29 years, range: 9-76 years) had post-traumatic urogenital lesions. Main causes were iatrogenic medicosurgical procedures (48%), road traffic accidents (27%) and erotic acts (5%). The traumas involved mainly the urethra (61%), external genitals (11%), bladder (9%) and kidney (2%). Multiple lesions accounted for 16% of cases. Therapeutic management was mainly surgical in 70% of conditions. The rate of success, treatment failure, complications, sequelae and mortality were 48%, 30%, 14%, 7% and 2% respectively. Conclusion. The traumas of the urogenital system of man seem relatively uncommon in our environment and most often affecting the urethra, the  genitals, kidney and the bladder. Iatrogenic medical acts and road traffic accidents are the major causes of these traumas.  Contexte et objectif. Les lésions traumatiques urogénitales surviennent habituellement dans le traumatisme grave. Mais, leur ampleur reste peu connue. L’objectif de la présente étude a été de décrire les aspects épidémiologiques des traumatismes urogénitaux survenus chez l’homme. Méthodes. Etude documentaire couvrant la période du 1er janvier 2010 au 31 décembre 2015, a été menée dans le service d’urologie des Cliniques Universitaires de Kinshasa, sur les traumatismes urogénitaux. Les paramètres d’intérêt incluaient les données cliniques (âge, plaintes à l’admission, causes et site de lésions), le bilan paraclinique, les données thérapeutique (traitement médical et chirurgical) et évolutive (issue vitale). Résultats. De 1971 patients admis ou suivis en Chirurgie, 44 souffraient d’une lésion urogénitales post traumatique, soit une fréquence de 2%. Leur âge moyen des patients était de 46 ans ± 29 avec des extrêmes de 19 et 76 ans. Les actes médico-chirurgicaux iatrogènes (48%), les accidents de trafic routier (27%) et les actes érotiques (5%) étaient les principales étiologies. Ces traumatismes portaient essentiellement sur l’urètre (61%), les organes génitaux externes (11%), la vessie (9%) et le rein (2%). Les lésions multiples ont représenté 16% des cas. La prise en charge thérapeutique était essentiellement chirurgicale dans 70% de cas. Le taux de guérison, d’échec thérapeutique, de complications, de séquelles et de mortalité était respectivement de : 48%, 30%, 14%, 7% et de 2%. Conclusion. Les traumatismes de l’appareil urogénital de l’homme semblent être relativement peu fréquents dans notre milieu et concernent le plus souvent l’urètre, les organes génitaux externes, le rein et la vessie. Les actes médicaux iatrogènes et les accidents du trafic routier en sont les grands pourvoyeurs