Self-medication practice among children in Antananarivo, Madagascar

Background: Self-medication is very common in pediatrics. Little is known about self-medication on children in Antananarivo. The main objective of this study is to evaluate the practice of self-medication on children by their mothers.Methods: A cross sectional descriptive study was done by visiting homes. An interviewer-administered questionnaire was used to gather data on self-medication. Mothers were selected by simple random sampling.Results: Out of the 383 mothers interviewed, 157 have practiced self-medication. The prevalence was 40.99%. The fever was the main symptom treated with paracetamol. On the other hand, the oral rehydration salt has been little used, 6.25% before the consultation. The inappropriate use of antibiotics was found in this study. Drugs were of illegal origin in 40.27% of the cases. The urgency was the main reason for self-medication. Over 80% of mothers knew the risks of self-medication. Thus, the high level of maternal education was among the factors influencing this practice, particularly for children older than 60 months.Conclusions: Information to mothers about the responsible self-medication is necessary

Hospitalizations in neonatal intensive care unit at Mahajanga: impacts on parents

Background: Experiencing a birth with a pathology imposes on parents a lot of frustration. Objectives of this study were to describe the general profiles of newborns and to describe the hospitalization’s psychosomatic impact on parents; in intensive care unit of the neonatalogy ward at the mother-child complex at the university Hospital Androva Mahajanga Madagascar.Methods: It was prospective descriptive study, by a survey of parents, among 3 months, from 01st May to 31th July.Results: Were included 102 newborns. Mains reasons of admission are low birth weigth (51.9%), prematurity (42.1%) and perinatal asphyxia (23.5%). One hundred mothers and 90 fathers had answered our survey. Sleep distturance (all parents), negative feelings (70% of fathers and 75% of mothers), depressed mood (52.2% of fathers and 78% of mothers) and guilt (25.5% of fathers and 58% of mothers) were the most prominent psycological manifestations among parents; then somatic manifestations as digestive, cardiovascular type; weight loss was objectified on 33% of fathers.Conclusions: Newborns’s hospitalization is a difficult situation for parents. Caregivers have an important role in enabling the family to build up

A mixed-methods study on evaluating an updated, francophone version of ETAT+ training in Madagascar

Background: Madagascar needs major efforts to achieve the UN Sustainable Development Goals, despite the considerable reduction of child mortality during past years. In this context, implementation of emergency triage assessment and treatment (ETAT) plays an important role. In recent years, ETAT training activities rarely took place in Madagascar. To strengthen ETAT in Madagascar, a pilot training course was conducted in December 2019 at the University Hospital Mahajanga. Objective: This study aims to evaluate if the ETAT+ pilot training content matches clinical needs in Madagascar and whether participants achieved their learning objectives. Methods: In this cross-sectional mixed-methods study, a 41-item questionnaire was used at the end of the ETAT+ training to evaluate their learning experience from the 12 participants (paediatricians, physicians, nurses and midwives). Six weeks after the training, guided interviews were conducted among five participants to describe how training content could be transferred into clinical practice in five health facilities. Results: Results suggest that this pilot project designed to contribute to the re-establishment of ETAT in Madagascar meets participants’ needs and is adapted to clinical realities in terms of transmitted knowledge, skills and competencies. However, results also show that considerable multidisciplinary efforts are needed to advance ETAT+ implementation in Madagascar. Conclusions: Implementation processes of ETAT training programmes need re-evaluation to assure their validity to contribute to quality of care improvements efficiently. Further operational research is required to evaluate sustainable, innovative implementation strategies adapted to contexts in Madagascar

Self-medication practice among children in Antananarivo, Madagascar

Background: Self-medication is very common in pediatrics. Little is known about self-medication on children in Antananarivo. The main objective of this study is to evaluate the practice of self-medication on children by their mothers.Methods: A cross sectional descriptive study was done by visiting homes. An interviewer-administered questionnaire was used to gather data on self-medication. Mothers were selected by simple random sampling.Results: Out of the 383 mothers interviewed, 157 have practiced self-medication. The prevalence was 40.99%. The fever was the main symptom treated with paracetamol. On the other hand, the oral rehydration salt has been little used, 6.25% before the consultation. The inappropriate use of antibiotics was found in this study. Drugs were of illegal origin in 40.27% of the cases. The urgency was the main reason for self-medication. Over 80% of mothers knew the risks of self-medication. Thus, the high level of maternal education was among the factors influencing this practice, particularly for children older than 60 months.Conclusions: Information to mothers about the responsible self-medication is necessary