Severe pre-eclampsia: epidemiological, diagnostic, therapeutic and prognostic aspects at Hospital Principal Dakar from January 2019 to December 2020

Background: Preeclampsia, major public health problem, is one of the leading causes of maternal and infant mortality. It is increasingly frequent in our referral health centers, especially in its severe form. Methods: Retrospective descriptive and analytical study about severe preeclampsia at the Maternity of Hospital Principal Dakar, from 01 January 2019 to 31 December 2020. Results: Frequency of severe preeclampsia was 3.09%. Medical evacuation (70.59%) was the most frequent mode of admission. Patients were in average 29.8 years and primipare. Personal medical history was dominated by high blood pressure (16.29%). The average gestational age was 34+2 days, but pregnancy was carried to term by the majority of patients. Functional signs were dominated by headache (40.65%). Blood pressure was greater than or equal to 160/90 mmHg (90.32%). Hyperuricemia was the most frequent biological anomaly after proteinuria (45.1%). Complications were dominated by retroplacental hematoma (4.49%) and intrauterine growth retardation (IUGR) (28.48%). Calcium channel blockers (81.88%) were the main antihypertensive agents administered. Caesarean section was the most common delivery method (80.46%). The maternal prognosis was good, with no maternal deaths recorded. Perinatal mortality was 173.9%. Conclusions: Preeclampsia remains a fearsome pregnancy’s pathology. Raising awareness of pregnant women during ANC on the risks of pre-eclampsia, retraining of health personnel, close and early monitoring of women at risk and management in a multidisciplinary setting help to improve the maternal-fetal prognosis.

Analysing policy-induced effects on the performance of irrigated rice

Improving local rice production capacity is a key element on the agenda of most countries in the West African Economic and Monetary Union (WAEMU). There are several reasons for this drive: (1) the high levels of rice imports, which constitute a burden on the countries’ financial resources; (2) the relatively high contribution of the commodity to national food security programmes; (3) income generation for smallholder farm communities; and (4) the contribution of rice to the improvement of nutritional status. The policy analysis matrix approach was used to evaluate the policy-induced effects of the WAEMU common external tariffs on the performance of irrigated rice production systems in Niger. The results show that the irrigated rice production system receives little protection, and that retail rice marketing channels are even less protected. The negative net policy effects indicate that greater incentives are needed for enhanced system performance

Analysing policy-induced effects on the performance of irrigated rice

Improving local rice production capacity is a key element on the agenda of most countries in the West African Economic and Monetary Union (WAEMU). There are several reasons for this drive: (1) the high levels of rice imports, which constitute a burden on the countries’ financial resources; (2) the relatively high contribution of the commodity to national food security programmes; (3) income generation for smallholder farm communities; and (4) the contribution of rice to the improvement of nutritional status. The policy analysis matrix approach was used to evaluate the policy-induced effects of the WAEMU common external tariffs on the performance of irrigated rice production systems in Niger. The results show that the irrigated rice production system receives little protection, and that retail rice marketing channels are even less protected. The negative net policy effects indicate that greater incentives are needed for enhanced system performance

Analysing policy-induced effects on irrigated rice performance

Improving local rice production capacity is a key element in the agenda of most countries in the West African Economic and Monetary Union (WAEMU). There are several reasons for this drive: (1) the high levels of rice imports that constitute a burden on the countries’ financial resources; (2) the relatively high contribution of the commodity to national food-security programmes; (3) income generation for smallholder farm communities; and (4) the contribution of rice to the improvement of nutritional status. The policy analysis matrix approach was used to evaluate the policy-induced effects of the WAEMU common external tariffs on the performance of irrigated rice production systems in Niger. The results showed that the irrigated rice production system receives little protection and retail rice marketing channels is even less protected. The negative net policy effects indicated that greater incentives are needed for enhanced system’s performance

Analysing policy-induced effects on the performance of irrigated rice

Improving local rice production capacity is a key element on the agenda of most countries in the West African Economic and Monetary Union (WAEMU). There are several reasons for this drive: (1) the high levels of rice imports, which constitute a burden on the countries’ financial resources; (2) the relatively high contribution of the commodity to national food security programmes; (3) income generation for smallholder farm communities; and (4) the contribution of rice to the improvement of nutritional status. The policy analysis matrix approach was used to evaluate the policy-induced effects of the WAEMU common external tariffs on the performance of irrigated rice production systems in Niger. The results show that the irrigated rice production system receives little protection, and that retail rice marketing channels are even less protected. The negative net policy effects indicate that greater incentives are needed for enhanced system performance

Rising trends and variability of rice prices: Threats and opportunities for sub-Saharan Africa

Nearly 40% of the rice consumed in Africa is imported. That is about one third of all rice traded in world markets. With such high dependence on imports, Africa is highly exposed to international market shocks with sometimes grave consequences for its food security and political stability as attested by events during the 2008 food crisis. In this paper, it is argued that Africa can turn the rising trends in world markets to a historical opportunity to realize its large potential for rice production. After a review of the policy responses of African countries to the 2008 global rice crisis, the opportunities and challenges for enhancing domestic rice supply are discussed. The competitiveness of rice production in Africa is analyzed for selected countries and rice ecologies. The potential for increasing paddy production is illustrated using a spreadsheet simulation that considers alternative rice sector development scenarios. Reducing the yield gap and expanding cultivated rice areas under lowland and irrigated hold the greatest potential for substantially increasing paddy production in Africa.World rice markets Competitiveness Rice technologies Sub-Saharan Africa