9 research outputs found
Residual mother-to-child transmission of HIV in Burkina Faso
Background: Burkina Faso is one of the countries in West Africa most affected by the HIV/AIDS pandemic, despite the implementation of a mother-to-child HIV transmission prevention program as a strategy to reduce the risk of vertical transmission of the disease.Objective: To assess the current risk of mother-to-child transmission of HIV in Burkina Faso.Materials and methods: A prospective study was conducted between December 2014 and July 2016, in the 13 health regions of Burkina Faso. Women who were screened HIV-positive during a prenatal consultation were followed until delivery. Their babies received dry blood spot (DBS) at birth, at week 6 and at 1year, to screen for HIV.Results: Overall, 186 pregnant women were included in the study, with a mean age of 29.17±6.13 years. Of their children, 430 DBS actually received a PCR test, giving a 91.1% PCR implementation rate. After analyses, 6 (1.3%) babies were identified as carriers of HIV1. The newbornâs serological status was associated with delivery pattern (p=0.000), the administration of antiretroviral drugs to the mother after delivery (p=0.0064), the administration of Nevirapine to the newborn at birth (p=0.022), the use of contraceptive methods after delivery (p=0.028) and the presence of breast affections/infections since delivery (p=0.013).Conclusion: The results of our study are encouraging and demonstrate the effectiveness of interventions in the mother-tochild prevention program (PMTCT) for HIV-positive pregnant women can be improved through early initiation of triple therapy in early pregnancy and improved adherence to antiretroviral (ARV) therapy.Keywords: Burkina Faso, HIV/AIDS, mother-to-child transmission, antiretroviral drugs, pregnant wome
Temperature-induced masculinisation of Nile tilapia: effects seen in the adult gonad
International audienc
Les nouveau-nes de faible poids de naissance en milieu Hospitalier du Burkina Faso
Introduction : Le faible poids de naissance constitue un problÚme de santé publique dans les pays en développement. Au Burkina Faso, la prévalence est estimée à 9,6 %. Le but de cette étude était d'étudier les nouveau-nés de faible poids de naissance hospitalisé dans un centre de santé de niveau tertiaire du Burkina Faso.
MatĂ©riels et mĂ©thode : Il sâagissait dâune Ă©tude rĂ©trospective descriptive et analytique sur les dossiers des nouveau-nĂ©s de faible poids de naissance (< 2 500 g) hospitalisĂ©s dans l'unitĂ© de nĂ©onatologie du centre hospitalier universitaire pĂ©diatrique Charles de Gaulle de Ouagadougou au cours de lâannĂ©e 2017 (1er janvier au 31 dĂ©cembre).
RĂ©sultats : La frĂ©quence des FPN Ă©tait de 24,9 %. LâĂąge moyen Ă l'admission des nouveau-nĂ©s Ă©tait de 4,31 ± 5,58 jours ; 53,6 % des nouveau-nĂ©s Ă©taient de sexe fĂ©minin (ratio F/M de 1,15). Les parents des nouveau-nĂ©s rĂ©sidaient en milieu urbain dans 79,6 % des cas, la mĂšre avait un Ăąge moyen de 26,46 ± 5,46 ans. A lâadmission des nouveau-nĂ©s, les principaux signes cliniques Ă©taient reprĂ©sentĂ©s par les troubles neurologiques, l'hypoglycĂ©mie, l'anĂ©mie et l'hypocalcĂ©mie. Lâallaitement mixte Ă©tait pratiquĂ© chez 55,4 % des nouveau-nĂ©s et ils avaient un gain pondĂ©ral moyen de 6,38 g/kg/jour. La durĂ©e dâhospitalisation Ă©tait 13,5 jours, le taux de lĂ©talitĂ© de 4,5 %.
Conclusion : Le faible poids à la naissance est fréquent dans notre contexte. Grùce à une prise en charge adaptée, l'évolution hospitaliÚre chez ce type de nouveau-né semble favorable. Cependant, des études ultérieures à grande échelle permettront de connaßtre l'impact de cette morbidité sur le développement des enfants qui en sont affectés.
English title: Low birth weight newborns hospitalized in Burkina Faso
Introduction: Low birth weight is a public health problem in developing countries. In Burkina Faso, the prevalence was estimated at 9.6%. The aim of this study was to study low birth weight newborns hospitalized in our context.Materials and method: This was a retrospective study on files of low birth weight newborns hospitalized at CHUP-CDG in 2017 (from 1st January to 31st December).Results: The frequency of FPN was 24.9%. The mean age of the newborns was 4.31 ± 5.58 days; 53.6% of the newborns were female (M:F sex ratio 1:1.16). The parents of the newborns lived mainly in urban areas (79.6%), the mother had an average age of 26.46 ± 5.46 years. On admission, the main clinical signs were represented by neurological disorders, hypoglycemia, anemia and hypocalcemia. Mixed breastfeeding was practiced in 55.4% of newborns and they had a weight gain of 6.38 g / kg / day. The hospital stay was 13.5 days, the lethality rate 4.5%.Conclusion: Low birth weight is frequent in our context. With appropriate care, the hospital course of this type of newborn appears favorable. However, further large-scale studies are needed to assess the real burden of this morbidity on the development of children-affected
Evaluation de la qualite des soins neonatals dans un hopital de reference du Burkina Faso.
Objectif gĂ©nĂ©ral : Evaluer la qualitĂ© des soins fournis aux nouveau-nĂ©s.MatĂ©riels et MĂ©thode : Il sâagissait dâune Ă©tude transversale Ă visĂ©e descriptive qui s'est dĂ©roulĂ©e sur quatre mois (15 janvier au 14 Mai 2018) dans l'unitĂ© de nĂ©onatologie du Centre Hospitalier Universitaire PĂ©diatrique Charles de Gaulle, Ouagadougou, Burkina Faso. Les donnĂ©es gĂ©nĂ©rales administratives, les soins nĂ©onatals, lâopinion des jeunes mĂšres et des agents de santĂ© Ă©taient Ă©valuĂ©s. Lâoutil dâĂ©valuation et dâamĂ©lioration de la qualitĂ© des soins maternels, nĂ©onatals et pĂ©diatriques intĂ©grĂ©s de lâOrganisation mondiale de la santĂ© adaptĂ© au contexte du Burkina Faso Ă©tait utilisĂ©.RĂ©sultats : La qualitĂ© des donnĂ©es administratives et gĂ©nĂ©rales de l'hĂŽpital Ă©tait notĂ©e 4 sur 5. Les soins nĂ©onatals avaient une moyenne de 3 sur 5. Les mĂšres estimaient que le niveau de la qualitĂ© des soins nĂ©onatals atteignait le score de 4 tandis que les agents de santĂ© jugeaient Ă 3 la qualitĂ© de ces soins. Le score final de lâĂ©valuation Ă©tait 3 sur 5.Conclusion : Il y a un besoin certain dâamĂ©lioration pour atteindre les standards de soins de qualitĂ© nĂ©onatals dans cet hĂŽpital. La bonne qualitĂ© des soins passe par la formation continue du personnel, lâĂ©quipement, la disponibilitĂ© des mĂ©dicaments et des intrants, un changement de comportement de tous les acteurs qui interviennent dans le systĂšme de soins.
Mots clés : Qualité, Evaluation, Soins néonatals
English Abstract
Assessment of the quality of neonatal care in a referral hospital of Burkina Faso.
Objective: To determine the level of quality of care provided to newborns.Materials and Methods: This was a descriptive cross-sectional study over a four-month period from January 15 to May 14, 2018 at the University Teaching Pediatric Hospital Charles de Gaulle Neonatal Care Unit, Ouagadougou, Burkina Faso. Administrative data, neonatal care, opinion of young mothers and caregivers have been evaluated. The World Health Organization's assessment and quality improvement tool for integrated maternal, neonatal and pediatric care adapted to the context of Burkina Faso was used.Results: The quality of the administrative and general data was rated 4 out of 5. The quality of the neonatal care was rated 3 out of 5 including neonatal health services, infection control practices, availability of materials and products rated 3 out of 5 and availability of drugs, management of sick newborns, and monitoring and follow-up of sick newborns, each rated 4 out of 5. In their opinion, mothers rated the quality of neonatal care as high. 4 while health workers rated the quality of this care as high. The final evaluation score of 3 out of 5 meant that there is a definite need for improvement to reach the standards of neonatal quality care in this hospital.Conclusion: Improving the quality of neonatal care at CHUP CDG is essential for reducing neonatal and infant mortality. This quality involves continuous training of staff, equipment, the availability of medicines and inputs, a change in behavior of all the actors involved in the health care system.
Keywords: Quality of care, Assessment, Neonatal care, Newborn