Knowledge and practice of emergency contraception among female students of public university of Ouagadougou, Burkina Faso, West Africa

Background: Female students are exposed to unsafe sex, sources of unwanted pregnancy and abortions. It is recognized that emergency contraception can effectively prevent pregnancy. The purpose of this study was to evaluate the knowledge and practices of Ouagadougou public university students in relation to emergency contraception in order to propose solutions to reduce the proportion of unwanted pregnancies among female students.Methods: This was a cross-sectional study conducted between May 1st and October 31st, 2016 in the public universities of Ouagadougou. A questionnaire was administered to a sample of 732 students randomly selected.Results: The average age of female students was 22.7 years old. The age group 19 to 24 was the most represented (68.03%). Of the students surveyed, 87% knew or had heard of emergency contraception. The students only used the emergency contraceptive pill. The emergency contraceptive use rate was 44.42%. Approximately, 83% of users were aware of the delay in using emergency contraception. The reasons for using emergency contraception were condom breakage (25.10%) and unprotected sex (74.9%). Female students purchased the contraceptive directly in pharmacies (93.61%).Conclusions: Emergency contraception gives women a last chance to avoid an unwanted pregnancy after unprotected sex.  Awareness and free availability of emergency contraception (EC) could improve the reproductive health of female students

Potential use of clay from Burkina Faso as filler in rubber production

raw clay materials deposit in Burkina Faso have been characterized by X-ray diffraction (XRD), scanning electron microscopy (SEM) and chemical analysis to evaluate their potentialities to be used in rubber compounds production as filler. The samples are composed principally by aolinite, illite and quartz. The rubber compounds have been done in open two-roll mill at room temperature and tested for cure characteristic (ts5, tc90), ineralogical composition by XRD, microstructure by SEM and mechanical properties (Elongation at break, Tear strength, tensile strength, hardness shore A and modulus). The cure characteristics of the rubber compounds formulated with the sample are feeble than those made with commercial kaolin (control). The mechanical properties are in general, except the longation at break, for the sample lowest than those of control. However the different values obtained with the sample are not far to those obtained with commercial kaolin. The different samples can then be used as filler in rubber production after a pre-treatment to reduce the impurities.Keywords: Raw clay materials, rubber, rheology

Scaling up climate services for agriculture in Mali Initial findings from piloted implementation of PICSA approach in Africa RISING project intervention zone, southern Mali

The Participatory Integrated Climate Services for Agriculture (PICSA) approach, designed by the University of Reading (UoR), focuses on improving farmers' livelihood and resilience against the effect of climate change. It provides farmers with accurate, locally specific climate and weather information; coupled with diverse, locally pertinent options for crops, livestock and other livelihood activities; and the use of participatory planning tools to improve and enlighten their decision making based on their individual situations. PICSA is a step by step approach, primarily designed for field extensionists to help them integrate new tools in their activities with farmers and improve the efficiency and impact of those activities on farmer's enterprises

Uptake of Climate-Smart Agricultural Technologies and Practices: Actual and Potential Adoption Rates in the Climate-Smart Village Site of Mali

Understanding the level of adoption of Climate-Smart Agriculture (CSA) technologies and practices and its drivers is needed to spur large-scale uptake of CSA in West Africa. This paper used the Average Treatment Effect framework to derive consistent parametric estimators of the potential adoption rates of eight CSA technologies and practices in the Climate-Smart Village (CSV) site of Mali. A total of 300 household heads were randomly selected within the CSV site for data collection. Results showed significant differences in the observed and potential adoption rates of the CSA technologies and practices (drought tolerant crop varieties, micro-dosing, organic manure, intercropping, contour farming, farmer managed natural regeneration, agroforestry and climate information service). The most adopted technology was the organic manure (89%) while the least adopted was the intercropping (21%). The observed adoption rate varied from 39% to 77% according to the CSA options while the potential adoption rates of the technologies and practices ranged from 55% to 81%. This implies an adoption gap of 2% to 16% due to the incomplete diffusion (lack of awareness) of CSA technologies and practices which must be addressed by carrying out more actions to disseminate these technologies in the CSV. Results showed that education, number of workers in the household, access to subsidies, and training have a positive effect on the adoption of most of the CSA technologies and practices. The adoption of drought tolerant varieties and micro-dosing are positively correlated with access to subsidies and training. The study suggests that efforts should be focused concomitantly on the diffusion of CSA options as well as the lifting of their adoption barriers

Using Seasonal Forecast as an Adaptation Strategy: Gender Differential Impact on Yield and Income in Senegal

The use of seasonal forecast has been demonstrated as a good option to reduce the effects of climate variability in sub-Saharan African countries. However, its use, benefits and interests may be different depending on gender. This paper aims at analyzing the gender differential impact of the use of seasonal forecast on the main crop yields (rice, maize, sorghum, millet and groundnut) and farm income in Senegal. We collected data from 1481 farmers (44% women) in four regions of Senegal. We applied the counterfactual outcomes framework of modern evaluation theory to estimate the local average treatment effect (LATE) of the use of the seasonal forecast on crop yield and farm income. The results showed a significant impact of the use of the seasonal forecast (SF) in the main crop yields and the agricultural income for farmers in Senegal. This impact varies according to the sex and the type of the crops. The users (men and women) of the seasonal forecast gained on average 158 kg/ha and 140 kg/ha more yield than the non-users, respectively, for millet and rice crops. The impact of the use of SF is greater for men on millet (202.7 kg/ha vs. 16.7 kg/ha) and rice (321.33 kg/ha vs

External Validation of the “Walking Estimated Limitation Calculated by History” (WELCH) Questionnaire in Patients with Claudication

ObjectiveTo externally validate the recently proposed “Walking Estimated Limitation Calculated by History” (WELCH) questionnaire.MethodsA prospective study was performed on 450 new patients referred to our laboratory for treadmill testing (constant load 3.2 km/h and 10% slope for 15 minutes and then incremental increases). Results are presented as mean ± SD or median [25th–75th percentiles] or number (percentage). An ankle brachial index <0.90 defined the presence of peripheral artery disease (PAD). Typical “vascular-type claudication” is a lower-limb pain or discomfort that is absent at rest, appears at exercise, forces stopping, and disappears within 10 minutes of exercise stopping. The Spearman r coefficient of correlation between maximal walking time (MWT) on treadmill and WELCH scores was calculated for patients with (PAD+) or without (PAD−) PAD, and reporting typical vascular-type claudication (VTC+) or not (VTC−).ResultsThe WELCH score was obtained in all included patients. The number (%) of patients with a WELCH score <25 was 37 (54%), 198 (65%), 14 (44%), and 18 (38%), and the Spearman correlation coefficient between WELCH score and treadmill MWT was 0.588, 0.609, 0.581, and 0.591 in the VTC−/PAD+, VTC+/PAD+, VTC−/PAD−, and VTC+/PAD− groups respectively (all p < .001). In PAD+/VTC+ patients, the WELCH positive predictive value for the inability to walk for 5 minutes on the treadmill was 79%.ConclusionThe WELCH score correlates moderately with treadmill-walking capacity in patients with or without PAD, and with or without typical VTC. It appears to be a simple to complete and easily scored instrument to help clinicians standardise the subjective estimation of walking capacity in their patients

Efficacy of Bacillus thuringiensis var. israelensis against malaria mosquitoes in northwestern Burkina Faso

Background: In Sub Saharan Africa malaria remains one of the major health problems and its control represents an important public health measure. Integrated malaria control comprises the use of impregnated mosquito nets and indoor residual spraying. The use of drugs to treat patients can create additional pressure on the equation of malaria transmission. Vector control may target the adult mosquitoes or their aquatic larval stages. Biological larvicides such as Bacillus thuringiensis israelensis (Bti) represent a promising approach to support malaria control programs by creating additional pressure on the equation of malaria transmission. Methods: In this study we examined the efficacy of a water-dispersible granule formulation (WDG) of the biological larvicide Bti (VectoBac®) against wild Anopheles spp. larvae. Different concentrations of the larvicide were tested in standardized plastic tubs in the field against untreated controls. In weekly intervals tubs were treated with fixed concentrations of larvicide and the percentage reduction of larvae and pupae was calculated. Results: All used concentrations successfully killed 100 percent of the larvae within 24 hours, while the higher concentrations showed a slightly prolonged residual effect. Natural reconolization of larvae took place after two and three days respectively, late instar larvae were not found before 5 days after treatment. For the higher concentrations, up to three days no new larvae were found, implicating that the residual effect of WDG in tropical conditions is approximately one to two days. The overall pupae reduction in treated tubs was 98.5%. Conclusions: Biological larviciding with Bti can be a promising, additional tool in the fight against malaria in Africa. Environmental particularities in tropical Africa, first and foremost the rapid development of mosquitoes from oviposition to imago have to be taken into account before implementing such counter measures in national or international vector control programs. Nonetheless biological larviciding seems to be an appropriate measure for selected conditions, offering a significant contribution to the future of malaria control

Importance of the confirmatory assay for the detection of the HBsAg in the epidemiological studies and in the diagnosis of the viral Hepatitis B

Several epidemiological studies have reported high prevalence of HBsAg among pregnant women in Burkina Faso. They used various algorithms, as it is also done for the routine diagnostic. Knowing this antigen carriage rate in such a population or in other clinic attendees is important for the implementation of a national immunisation programme and the monitoring of patients with hepatitis B. Often, the screening tests were not confirmed in spite of the existence of known false positive and false negative results. The aim of this study was to determine a more accurate prevalence of HBsAg, among the pregnant women in Burkina Faso. From October 2006 to January 2007, blood samples were collected from 1139 pregnant women. Each sample was analyzed for HBsAg, using two assays and according to manufacturers’ instructions vis, Hepanostika®HBsAg Uniform II B9 (Bio-Mérieux; France) and HBsAg (V2) Abbott AxSYM® system (Abbott Diagnostics). All the positive samples were tested with a confirmatory neutralization assay- Hepanostika®HBsAg Uniform II B9 Confirmatory (Bio-Merieux). The mean age of the pregnant women was 24.85years [range: 15-45years] and the age range of 20-24 (37%) and 25-29 (25.4%) years were the most represented. The overall rate of HBsAg-positive pregnant women with the two screening assays was 20.9%. The HBsAg detection rate was significantly higher with Hepanostika® UniformII B9 (16.9%) than with HBsAg (V2) AxSYM system assay (12.1%), with

Polymerase Chain Reaction (PCR) provides a superior tool for the diagnosis of Pneumococcal Infection in Burkina Faso

Purpose of study: The aim of this study was to determine the value of real-time Polymerase Chain Reaction (rt-PCR) in the routine surveillance of pneumococcal meningitis in Burkina Faso, compared to standard methods of culture, Gram stain and latex agglutination assay.Materiel and methods: A total of 385 specimens of cerebrospinal fluid were analyzed by the three standard bacteriological methods (Gram stain, latex agglutination assay, and culture) and real-time Polymerase Chain Reaction.Results: Of 385 specimens analyzed by these methods, 204 S. pneumoniae were detected by one or more  methods. Gram stain detected 36.4% (140/385) Gram positive encapsulated diplococci; 37.7% (145/385) and 20.8% (80/385) of the specimens were positive for pneumococci by latex agglutination assay and culture. These specimens were tested with rt-PCR, which confirmed 51.2% (197/385) S. pneumoniae positive. The sensitivity and specificity of culture were 54.4% and 31.5%, respectively, and the sensitivity and specificity of rt-PCR were 96.6% and 100%, respectively. These results showed that rt-PCR was more sensitive than Gram stain (p=0.0235), latex agglutination assay (p=0.0442)and culture (p=0.0006).The culture is the gold standard method; however, the result showed that rt-PCR had specificity and was as specific as Gram stain (p=0.3405) and latex agglutination assay (p=0.7745).Conclusion: rt-PCR was highly sensitive and specific. It could be used as a complementary diagnostic tool to  mprove case confirmation of bacterial meningitis. However,its high cost, the qualification of the technical staff and infrastructures required for its implementation, constitute obstacles to its widened use in countries with limited resources.Keywords: Streptococcus pneumoniae, meningitis, rt-PCR, standard bacteriological methods Objectif: Le but de cette étude était de déterminer la place de la rt-PCR dans la surveillance de routine deméningitespneumococciquesau Burkina Faso et la comparée avec les méthodes de la bactériologie classique: Culture, coloration de Gram et l’agglutination au latex.Matériel etméthodes: Au total, 385 échantillons deliquides céphalorachidiens (LCR)étaient analysés par les trois méthodes de la bactériologie classique (coloration de Gram, agglutination au latex, culture) et la PCR en temps réel.RESULTATS: Parmi 385 échantillons analysés, 204 cas de Streptococcuspneumoniae étaient détectés par une ou plusieurs méthodes. La coloration de Gram adétecté 36,4% (140/385) diplocoques encapsulés à Gram positif (DGP); 37,7% (145/385) et 20,8% (80/385) d’échantillons étaient positifs aux pneumocoques par l’agglutination au latex et la culture. Ces échantillons étaient aussi testés par rt-PCR qui a confirmé 51,2% (197/385) cas positifs de S. pneumoniae. La sensibilité et la spécificité de la culture étaient respectivement de 54,4% et 31,5%, et la sensibilité et la spécificité de rt-PCR étaient respectivement de 96,6% et 100%. Ces résultats ont montré que la rt-PCR était plus sensible que la coloration de Gram (p=0,0235), l’agglutination au latex (p=0,0442) et la  culture(p=0,0006).La culture est une méthode de référence; cependant, le résultat a montré que rt-PCR était plus sensibleet aussi spécifique que la coloration de Gram ((p=0,3405)et l’agglutination au latex (p=0,7745).Conclusion : :rt-PCR était plus sensible et plus spécifique. Elle pourrait être utilisée comme un outil de diagnosticcomplémentaire pour améliorer les cas de confirmation de méningites bactériennes. Cependant, ces coûts de réalisation, la qualification de techniciens et les matériels pour son application constituent des obstacles pour sa vulgarisation dans les pays à ressources limités.Keywords: Streptococcus pneumoniae, méningites, rt-PCR, méthodes de la bactériologie classique Article in English