Contribution of Information-Education-Communication in the adoption of Universal Health Coverage by the populations in the Economic and Monetary Community of Central Africa in 2020.

Aims: This study aims to assess the knowledge of people from Central Africa about Universal Health Coverage and show the contribution of Information-Education-Communication for its adoption. Methods: a cross-sectional analytical study across 4 of 6 Central African Countries was conducted. Independent variables are sociodemographic characteristics. Dependent variables are knowledge about Information-Education-Communication and Universal Health Coverage. The questionnaire was disseminated by WhatsApp images or word file or copy/paste of the text and send to the contacted and trained focal points. From the Smartphone, the filmed or transferred data were entered into a CSpro 5.0 input form. Mean score calculations and Odd Ratio with 95 % Confidence Interval for p < 0.005 were used to make associations.   Results: the Universal Health Coverage had never been heard of by 56.3% of the participants. The Universal Health Coverage was defined as health insurance by (43.9%), free care (30.3%). Respondents with secondary and higher education are more likely to have heard of the UHC than respondents with no education or those with elementary education [OR = 2.95 (1.01-8.64), p = 0.021] and [OR = 4.27 (1.50 – 12.16), p = 0.002] respectively. Conclusion: 9.3% of the Economic and Monetary Community of Central Africa (CEMAC) population is aware of the Universal Health Coverage; 89.4% of these accept universal health coverage in their country, and 87.4% of them think that the Information Education Communication could enable better adherence to the Universal Health Communication. Implemention of Universal Health Coverage for the general population and adoption of Information-Education-Communication to promote Universal Health Coverage and pool efforts and affiliation procedures in the CEMAC zone is very importan

Contribution of Information-Education-Communication in the adoption of Universal Health Coverage by the populations in the Economic and Monetary Community of Central Africa in 2020.

Aims: This study aims to assess the knowledge of people from Central Africa about Universal Health Coverage and show the contribution of Information-Education-Communication for its adoption. Methods: a cross-sectional analytical study across 4 of 6 Central African Countries was conducted. Independent variables are sociodemographic characteristics. Dependent variables are knowledge about Information-Education-Communication and Universal Health Coverage. The questionnaire was disseminated by WhatsApp images or word file or copy/paste of the text and send to the contacted and trained focal points. From the Smartphone, the filmed or transferred data were entered into a CSpro 5.0 input form. Mean score calculations and Odd Ratio with 95 % Confidence Interval for p < 0.005 were used to make associations. Results: the Universal Health Coverage had never been heard of by 56.3% of the participants. The Universal Health Coverage was defined as health insurance by (43.9%), free care (30.3%). Respondents with secondary and higher education are more likely to have heard of the UHC than respondents with no education or those with elementary education [OR = 2.95 (1.01-8.64), p = 0.021] and [OR = 4.27 (1.50 – 12.16), p = 0.002] respectively. Conclusion: 9.3% of the Economic and Monetary Community of Central Africa (CEMAC) population is aware of the Universal Health Coverage; 89.4% of these accept universal health coverage in their country, and 87.4% of them think that the Information Education Communication could enable better adherence to the Universal Health Communication. Implemention of Universal Health Coverage for the general population and adoption of Information-Education-Communication to promote Universal Health Coverage and pool efforts and affiliation procedures in the CEMAC zone is very importan

Sexuality and behaviour of adolescents in relationship to sexually transmitted diseases in Libreville: a cross-sectional study

Background: The World Health Organization (WHO) defines a sexually transmitted infection (STI) as an infection that is transmitted during unprotected sexual intercourse. Indeed, the highest rates of STIs are usually found among young people aged 15 to 24. In Gabon, adolescents' knowledge of sexuality and STIs remains insufficient and early sexual intercourse is the most important factor favouring them. Improving adolescents' knowledge of sexuality education could influence their behaviour.Methods: A cross-sectional study was conducted among 1256 adolescents in schools in Libreville. Their socio-demographic characteristics, knowledge about STIs, the description of their sexuality and their behaviour towards STIs were obtained through ratings and frequencies. Authos calculated the overall average of adolescents on their knowledge of STIs. Odds ration were used to establish the link between the different variables.Results: Adolescents reported knowledge of STIs (1163/1256). AIDS was the most frequently cited STI by 94.50% of adolescents. Sexual intercourse was the main route of STI transmission and was cited by 687 adolescents who estimated that they knew at least one mode of STI transmission. Almost all female and male adolescents had poor knowledge of STIs, with 98.2% and 98.8% respectively. 84.96% of those with a sexual partner had ever had sex. More than half of sexually active adolescents had multiple partners.Conclusions: Adolescents have a poor overall knowledge of STIs. Sexual risk behaviour remains very high, regardless of gender. To contain the scourge, awareness campaigns using all the means of communication at our disposal and especially the media

The epidemiological profile of women screened for precancerous cervical lesions at Benjamin Ngoubou Regional Hospital in Tchibanga, Gabon

Background: Cervical cancer is the second most common cancer after breast cancer, with about 528,000 new cases reported per year. This study aimed at determining the epidemiological profile of women screened for precancerous cervical lesions in the region of Tchibanga, Gabon.Methods: A descriptive cross-sectional study was conducted with 144 women as sample for study Using Statistical Package for social sciences (SPSS) software version 20.0, the socio-demographic, epidemiological characteristics and gynaeco-obstetrical history of the participants were obtained and presented by simple frequencies. The relative socioeconomic status of screened females was measured using the simplified calculation of the socio-economic position index.Results: The under 25 age group accounted for 32%. Non-menopausal women accounted for 86.8% and menopausal women 13.2% in the sample in this study. Women with at least 3 partners accounted for 88.3% of participants diagnosed with dysplasia. Participants with chlamydia accounted for 53.2% of women diagnosed with Cervical Intraepithelial Neoplasia (CIN). Multigestures and large multigestures accounted for 70.6% of participants with dysplasia. The prevalence of precancerous states was 11.8%, classified into CIN 1/condylomas, CIN 2 and CIN 3/CIS.Conclusions: Making screening a regular activity is important. Awareness-raising sessions on the benefits of screening and the fight against sexually transmitted diseases should be conducted, as well as the early treatment of Chlamydia infections.

Acceptability and feasibility of human papillomavirus vaccination for adolescents in school environments in Libreville

Background: High-risk oncogenic human papillomaviruses (HPV) are the cause of sexually transmitted viral infection. Its persistence is a risk factor for precancerous lesions of the cervix, which will constitute the base of cervical cancer. In the world, the prevalence of high-risk oncogenic HPV is 66.7%, which is higher among women starting their sexual activity.Methods: An analytical cross-sectional study was conducted in high schools in Gabon regarding parents. The variables selected were the socio-cultural and demographic characteristics of the parents, their knowledge of human papillomavirus vaccination and their acceptability of HPV vaccination and finally the feasibility of HPV vaccination. The statistical test used was Pearson's Chi-square, and a difference was considered significant for p<0.05.Results: The majority of parents, 89%, were informed of the existence of cervical cancer. However, 73.4% of them were unaware of the existence of vaccination against cervical cancer. Only 2.4% of parents had vaccinated their daughters against cervical cancer at the time of the study. These parents only 53.4% expressed an interest in vaccinating their daughters in 53.4% of cases. The ability to vaccinate children is associated with the socio-professional status of parents (p˂0.000).Conclusions: The majority of parents approved school-based vaccination against human papillomavirus infections despite its reported cost and lack of information. The integration of anti-HPV vaccination into the expanded programme on immunization in Gabon will improve immunization coverage

Contribution of Information-Education-Communication in the adoption of Universal Health Coverage by the populations in the Economic and Monetary Community of Central Africa in 2020.

Aims: This study aims to assess the knowledge of people from Central Africa about Universal Health Coverage and show the contribution of Information-Education-Communication for its adoption. &nbsp; Methods: a cross-sectional analytical study across 4 of 6 Central African Countries was conducted. Independent variables are sociodemographic characteristics. Dependent variables are knowledge about Information-Education-Communication and Universal Health Coverage. The questionnaire was disseminated by WhatsApp images or word file or copy/paste of the text and send to the contacted and trained focal points. From the Smartphone, the filmed or transferred data were entered into a CSpro 5.0 input form. Mean score calculations and Odd Ratio with 95 % Confidence Interval for p &lt; 0.005 were used to make associations. &nbsp; Results: the Universal Health Coverage had never been heard of by 56.3% of the participants. The Universal Health Coverage was defined as health insurance by (43.9%), free care (30.3%). Respondents with secondary and higher education are more likely to have heard of the UHC than respondents with no education or those with elementary education [OR = 2.95 (1.01-8.64), p = 0.021] and [OR = 4.27 (1.50 – 12.16), p = 0.002] respectively. &nbsp; Conclusion: 9.3% of the Economic and Monetary Community of Central Africa (CEMAC) population is aware of the Universal Health Coverage; 89.4% of these accept universal health coverage in their country, and 87.4% of them think that the Information Education Communication could enable better adherence to the Universal Health Communication. Implemention of Universal Health Coverage for the general population and adoption of Information-Education-Communication to promote Universal Health Coverage and pool efforts and affiliation procedures in the CEMAC zone is very importan