Constructing a malaria-related health service readiness index and assessing its association with child malaria mortality: an analysis of the Burkina Faso 2014 SARA data

Background: The Service Availability and Readiness Assessment surveys generate data on the readiness of health facility services. We constructed a readiness index related to malaria services and determined the association between health facility malaria readiness and malaria mortality in children under the age of 5 years in Burkina Faso. Methods: Data on inpatients visits and malaria-related deaths in under 5-year-old children were extracted from the national Health Management Information System in Burkina Faso. Bayesian geostatistical models with variable selection were fitted to malaria mortality data. The most important facility readiness indicators related to general and malaria-specific services were determined. Multiple correspondence analysis (MCA) was employed to construct a composite facility readiness score based on multiple factorial axes. The analysis was carried out separately for 112 medical centres and 546 peripheral health centres. Results: Malaria mortality rate in medical centres was 4.8 times higher than that of peripheral health centres (3.5% vs. 0.7%, p < 0.0001). Essential medicines was the domain with the lowest readiness (only 0.1% of medical centres and 0% of peripheral health centres had the whole set of tracer items of essential medicines). Basic equipment readiness was the highest. The composite readiness score explained 30 and 53% of the original set of items for medical centres and peripheral health centres, respectively. Mortality rate ratio (MRR) was by 59% (MRR = 0.41, 95% Bayesian credible interval: 0.19-0.91) lower in the high readiness group of peripheral health centres, compared to the low readiness group. Medical centres readiness was not related to malaria mortality. The geographical distribution of malaria mortality rate indicate that regions with health facilities with high readiness show lower mortality rates

Anticipating the Effects of Increasing Rivers’ Water Salinity for Sustainable Conservation of Tilapia Resources in Rural Coastal Zone of Benin, West Africa

The current research aimed at using the application of multi-factor models to support fisheries management decisions for successful resources’ conservation. The study was based on the tilapia species Coptodon guineensis, which is among the most widely exploited in Benin coastal zone. In an attempt to suggest conservation strategies, the phenotypic variability of 356 accessions of this species was assessed in relation with water salinity, and several interactions. The fish were collected through small-scale experimental fishing using cast nets and gillnets. The findings indicated that the salinity observed in the sampled rivers is due, at proportions ranging from 0.13% to 47%, to the sea surface salinity (SSS) of the Atlantic Ocean, suggesting a leading inland origin of the salinity of these rivers. The evidence also showed that the tilapia populations have been relatively adapted to the increasing water salinity of the sampled rivers. The fish species*river type and fish species*fish sex interactions had significant effects on phenotypic characteristics rather than river type*fish sex interaction. For an efficient conservation of these populations, two conservation areas (Lake Nokoué and Porto-Novo lagoon vs Lake Toho and Grand-Popo lagoon), could be considered for this tilapia species. Keywords: Aquatic salinization, population adaptation, growth parameters, interaction pattern

Biogas production using water hyacinths to meet collective energy needs in a sahelian country

This paper presents a pilot project that investigates the possibility of producing biogas from a mixture of water hyacinth and fresh rumen residue – replacing firewood as a source of fuel – to meet the energy needs of a maternity facility in Niamey (Niger). The discontinuous-type installation (batch reactors) is made up of six digesters measuring 5 m3 each. The output during hot and cool seasons, 0.52 m3 and 0.29 m3 respectively of biogas per m3 of digester per day, has met the energy needs of the maternity facility, estimated at 8 m3 of biogas per day. The study revealed strong seasonal variations: output during the hot season is approximatively 1.8 times greater than it is during the cool season. Large quantities of water hyacinth, an invasive plant present in Niger since 1986, are manually harvested in aquatic environments. The project is run by a local NGO, the Groupe d’Initiative pour les Energies Renouvelables (GIER), and supported by UNICEF and the Niger Basin Authority. The duration of the project is 8 months.Ce papier présente un projet pilote vérifiant la possibilité de produire du biogaz à partir d’un mélange de jacinthe d’eau et de résidu frais de rumen, en substitution au bois de chauffe pour satisfaire aux besoins en énergie d’une maternité de Niamey (Niger). L’installation de type discontinu (réacteurs batch) est composée de six digesteurs de 5 m3. Les rendements en saison chaude et en saison fraîche, respectivement 0,52 et de 0,29 m3 de biogaz par m3 de digesteur par jour et ont permis de couvrir les besoins de la maternité évalués à 8 m3 de biogaz par jour. L’étude révèle une forte variation saisonnière : le rendement en saison chaude est d’environ 1,8 fois supérieur à celle de la saison fraîche. La jacinthe d’eau est une plante envahissante présente au Niger depuis 1986, dont des quantités importantes sont récoltées en  milieux aquatiques. Le projet est porté par une ONG locale, le Groupe d’Initiative pour les Energies Renouvelables (GIER) et est supporté par l’UNICEF et l’Autorité du Bassin du Niger. La durée du projet est fixée à huit mois.Presenta un proyecto piloto que investiga la posibilidad de producir biogás a partir de jacintos de agua y residuos ruminales frescos, que sustituyen a la madera como fuente de combustible, para cubrir las necesidades energéticas del hospital de maternidad de Niamey (Níger). La instalación activada en discontinuo (reactores secuenciales) está formada por seis digestores de 5 m3 cada uno. La producción durante las estaciones de calor y frío, 0,52 m3 y 0,29 m3 de biogás respectivamente por m3 de digestor al día, ha cubierto las necesidades energéticas del hospital de maternidad, que se calcula en 8 m3 de biogás al día. El estudio ha revelado importantes variaciones según la estación: la producción durante la estación de calor es aproximadamente 1,8 veces mayor que la cantidad producida durante la temporada de frío. En el medio acuático se cosechan manualmente grandes cantidades de jacinto, una planta invasiva presente en Níger desde 1986. El proyecto está dirigido por una ONG local, GIER, y apoyado por UNICEF y la Autoridad de Cuencas de Níger. El proyecto tiene una duración de 8 meses

Polyphenolic composition of Lantana camara and Lippia chevalieri, and their Antioxidant and Antimicrobial Activities

In the present study, the antioxidant and antibacterial activities of methanolic extracts of two Verbenaceae (Lantana camara L. and Lippia chevalieri Moldenke: aerial part) were investigated. Their polyphenolic composition in the ethyl acetate and aqueous fractions were characterized by HPLC-DAD. The antioxidant capability of the methanolic extracts was assessed by the Ferric Reducing Antioxidant Power (FRAP) and the scavenging activity of the free radical 2,2-diphenyl-1-picrylhydrazyl (DPPH). The Minimum Inhibitory Concentrations (MIC) of the methanolic extracts (25 µg mL-1), and the minimum bactericidal concentrations (MBC) (12.5 µg mL-1) against 13 pathogenic bacteria and four serotyped bacteria from the American Type Culture Collection (ATCC) were also determined by the agar-well diffusion method. The results indicated that the L. chevalieri extracts are rich in phenolic compounds (among the 27 polyphenolic compounds detected, 20 belong to L. chevalieri) and showed the highest antioxidant activities, simultaneously on iron (III) to iron (II)-reducing activity and the radical scavenging activity. However, L. camara displayed the best and the broadest antimicrobial spectrum, especially on Shigella flexneri and Pantoea sp. (two Gram-negative strains of bacteria). The nature of polyphenolics compounds detected (phenol acid and flavone) in the L. camara can justify this activity.Key words: Verbenaceae, HPLC-DAD, antioxidant activity, antimicrobial activity, polyphenolic compound

Phytochemical composition, Antioxidant and Anti-inflammatory potential of bioactive fractions from extracts of three medicinal plants traditionally used to treat liver diseases in Burkina Faso

Our aim in this study concerning the ethyl acetate and dichloromethane fractions was to provide a scientific basis for the treatment of hepatitis B in Burkina Faso of these three ethnomedicinal plants. As a result, we evaluated polyphenol content, antioxidant and anti-inflammatory evaluated by lipoxygenase (LOX) inhibitory and Xanthine Oxidase (XO) activities of aqueous acetone bioactive fractions from three species of Malvaceae (Sida cordifolia, Sida rhombifolia, S. urens). Folin-ciocalteu; AlCl3 methods and tannic acid respectively were used for polyphenol content research. The antioxidant activity of the samples was evaluate using three separate methods, inhibition of free radical 2,2-diphenyl-1-picrylhydramzyl (DPPH), ABTS radical cation decolorization assay, Iron (III) to iron (II) reduction activity (FRAP). For anti-inflammatoty activity, lypoxygenase and xanthine oxidase inhibitory activities were used. Finally, in this study, the ethyl acetate fraction has shown the best results comparatively to the dichloromethane fraction. Keywords: Polyphenol, Antioxidant, anti-inflammatory, Medicinal plants, hepatitis B

Phytochemical composition, Antioxidant and Anti-inflammatory potential of bioactive fractions from extracts of three medicinal plants traditionally used to treat liver diseases in Burkina Faso

Our aim in this study concerning the ethyl acetate and dichloromethane fractions was to provide a scientific basis for the treatment of hepatitis B in Burkina Faso of these three ethnomedicinal plants. As a result, we evaluated polyphenol content, antioxidant and anti-inflammatory evaluated by lipoxygenase (LOX) inhibitory and Xanthine Oxidase (XO) activities of aqueous acetone bioactive fractions from three species of Malvaceae (Sida cordifolia, Sida rhombifolia, S. urens). Folin-ciocalteu; AlCl3 methods and tannic acid respectively were used for polyphenol content research. The antioxidant activity of the samples was evaluate using three separate methods, inhibition of free radical 2,2-diphenyl-1-picrylhydramzyl (DPPH), ABTS radical cation decolorization assay, Iron (III) to iron (II) reduction activity (FRAP). For anti-inflammatoty activity, lypoxygenase and xanthine oxidase inhibitory activities were used. Finally, in this study, the ethyl acetate fraction has shown the best results comparatively to the dichloromethane fraction. Keywords: Polyphenol, Antioxidant, anti-inflammatory, Medicinal plants, hepatitis B

Corrigendum to “Counting adolescents in: the development of an adolescent health indicator framework for population-based settings”

The authors were recently made aware of an oversight such that parts of the text in the Introduction and Methods sections, which describe shortcomings in the existing literature and the methods in this work to identify frameworks and indicators, were missing attribution to published work cited elsewhere in the manuscript. To clarify, we adjust the relevant sections to fully attribute the prior work in three areas, as described below. Underlined text is additional to the original: While both school- and community-based modalities can provide nationally representative data among eligible adolescents, several shortcomings in adolescent health measurement in LMICs were noted by the GAMA Advisory Group (Reference 13 as in the original paper). First, these measurements do not equally cover all adolescent subgroups, with evidence gaps being largest for males, younger adolescents aged 10–14 years, adolescents of diverse genders, ethnicities, and religions, as well as those out of school and migrants. Second, age-disaggregated data are often lacking—due in part to incomplete age coverage—limiting their use for program planning. Third, several aspects of adolescent health are inadequately covered including mental health, substance use, injury, sexual and reproductive health among unmarried adolescents, and positive aspects of adolescent health and well-being. Fourth, the definitions and assessment methods used across adolescent health indicator frameworks are inconsistent. For example, adolescent overweight and obesity—a major cause of non-communicable diseases and a public health risk for future and intergeneration health—is inconsistently captured across indicator frameworks and strikingly absent from the SDGs (Reference 13 as in the original paper). Additional shortcomings include, current adolescent health data systems often lack intersectoral coordination beyond health (e.g., with education, water and sanitation, and social protection systems) and suffer from irregularities in coverage and timing (Reference 6 as in the original paper). Broadly, these indicator frameworks and strategy documents captured disease burden, health risks, and prominent social determinants of health during adolescence. To be congruent with the existing global recommendations and guidelines (References 3–7 as in the original paper) and global measurement efforts (References 10 and 16 as in the original paper), the indicator framework documents had to meet three inclusion criteria, as laid out by the GAMA Advisory Group (Reference 14 as in the original paper): (1) provide recommendations about the measurement of adolescents' health and well-being; (2) include indicators for “adolescents” covering the adolescent age range (10–19 years) in the whole or part; and (3) be global or regional in scope. Using the GAMA's approach (Reference 13 as in the original paper), the recommendations of Lancet Adolescent Health Commission (Reference 6 as in the original paper), and several other guidelines (References 7, 9, 12, 17–19 as in the original paper), we selected adolescent health and well-being domains based on four key aspects of adolescents in LMICs: a) population trends; b) disease burden; c) drivers of health inequality; and d) opportunity for interventions

HIV/AIDS-related mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites

This paper is part of the Special Issue : INDEPTH Network Cause-Specific MortalityAs the HIV/AIDS pandemic has evolved over recent decades, Africa has been the most affected region, even though a large proportion of HIV/AIDS deaths have not been documented at the individual level. Systematic application of verbal autopsy (VA) methods in defined populations provides an opportunity to assess the mortality burden of the pandemic from individual data.To present standardised comparisons of HIV/AIDS-related mortality at sites across Africa and Asia, including closely related causes of death such as pulmonary tuberculosis (PTB) and pneumonia.Deaths related to HIV/AIDS were extracted from individual demographic and VA data from 22 INDEPTH sites across Africa and Asia. VA data were standardised to WHO 2012 standard causes of death assigned using the InterVA-4 model. Between-site comparisons of mortality rates were standardised using the INDEPTH 2013 standard population.The dataset covered a total of 10,773 deaths attributed to HIV/AIDS, observed over 12,204,043 person-years. HIV/AIDS-related mortality fractions and mortality rates varied widely across Africa and Asia, with highest burdens in eastern and southern Africa, and lowest burdens in Asia. There was evidence of rapidly declining rates at the sites with the heaviest burdens. HIV/AIDS mortality was also strongly related to PTB mortality. On a country basis, there were strong similarities between HIV/AIDS mortality rates at INDEPTH sites and those derived from modelled estimates.Measuring HIV/AIDS-related mortality continues to be a challenging issue, all the more so as anti-retroviral treatment programmes alleviate mortality risks. The congruence between these results and other estimates adds plausibility to both approaches. These data, covering some of the highest mortality observed during the pandemic, will be an important baseline for understanding the future decline of HIV/AIDS.P. Kim Streatfield ... Yohannes A. Melaku ... et.al

Factors Associated with the Prevalence of Circulating Antigens to Porcine Cysticercosis in Three Villages of Burkina Faso

Taenia solium cysticercosis is a neglected tropical infection transmitted between humans and pigs. This infection is particularly common in areas where sanitation, hygiene and pig management practices are poor, and can sometimes lead to epilepsy in humans. There is very little information about the importance of this infection in Burkina Faso, even though pork meat is widely consumed in many villages. We conducted a pilot study in three villages: two villages where pig rearing and pork consumption are common (Batondo and Pabré) but with different pig management practices, and one village with limited pig farming and pork consumption (Nyonyogo). Blood tests were done on pigs and information on pig raising was collected from farmers. Our study demonstrated that at least one third of pigs are infected with cysticercosis in villages where they are raised, and, particularly when pigs are left to roam some or all of the time. It also demonstrated that farmers may not be aware of this disease until one of their animals is found to be infected. Thus, the study concluded that there is an urgent need for improving education in order to control this tropical disease

HIV/AIDS-related mortality in Africa and Asia: evidence from INDEPTH health and demographic surveillance system sites

BACKGROUND: As the HIV/AIDS pandemic has evolved over recent decades, Africa has been the most affected region, even though a large proportion of HIV/AIDS deaths have not been documented at the individual level. Systematic application of verbal autopsy (VA) methods in defined populations provides an opportunity to assess the mortality burden of the pandemic from individual data. OBJECTIVE: To present standardised comparisons of HIV/AIDS-related mortality at sites across Africa and Asia, including closely related causes of death such as pulmonary tuberculosis (PTB) and pneumonia. DESIGN: Deaths related to HIV/AIDS were extracted from individual demographic and VA data from 22 INDEPTH sites across Africa and Asia. VA data were standardised to WHO 2012 standard causes of death assigned using the InterVA-4 model. Between-site comparisons of mortality rates were standardised using the INDEPTH 2013 standard population. RESULTS: The dataset covered a total of 10,773 deaths attributed to HIV/AIDS, observed over 12,204,043 person-years. HIV/AIDS-related mortality fractions and mortality rates varied widely across Africa and Asia, with highest burdens in eastern and southern Africa, and lowest burdens in Asia. There was evidence of rapidly declining rates at the sites with the heaviest burdens. HIV/AIDS mortality was also strongly related to PTB mortality. On a country basis, there were strong similarities between HIV/AIDS mortality rates at INDEPTH sites and those derived from modelled estimates. CONCLUSIONS: Measuring HIV/AIDS-related mortality continues to be a challenging issue, all the more so as anti-retroviral treatment programmes alleviate mortality risks. The congruence between these results and other estimates adds plausibility to both approaches. These data, covering some of the highest mortality observed during the pandemic, will be an important baseline for understanding the future decline of HIV/AIDS