Field Epidemiology and Laboratory Training Programs in sub-Saharan Africa from 2004 to 2010: need, the process, and prospects

As of 2010 sub-Saharan Africa had approximately 865 million inhabitants living with numerous public health challenges. Several public health initiatives [e.g., the United States (US) President’s Emergency Plan for AIDS Relief and the US President’s Malaria Initiative] have been very successful at reducing mortality from priority diseases. A competently trained public health workforce that can operate multi-disease surveillance and response systems is necessary to build upon and sustain these successes and to address other public health problems. Sub-Saharan Africa appears to have weathered the recent global economic downturn remarkably well and its increasing middle class may soon demand stronger public health systems to protect communities. The Epidemic Intelligence Service (EIS) program of the US Centers for Disease Control and Prevention (CDC) has been the backbone of public health surveillance and response in the US during its 60 years of existence. EIS has been adapted internationally to create the Field Epidemiology Training Program (FETP) in several countries. In the 1990s CDC and the Rockefeller Foundation collaborated with the Uganda and Zimbabwe ministries of health and local universities to create 2-year Public Health Schools Without Walls (PHSWOWs) which were based on the FETP model. In 2004 the FETP model was further adapted to create the Field Epidemiology and Laboratory Training Program (FELTP) in Kenya to conduct joint competencybased training for field epidemiologists and public health laboratory scientists providing a master’s degree to participants upon completion. The FELTP model has been implemented in several additional countries in sub-Saharan Africa. By the end of 2010 these 10 FELTPs and two PHSWOWs covered 613 million of the 865 million people in sub-Saharan Africa and had enrolled 743 public health professionals. We describe the process that we used to develop 10 FELTPs covering 15 countries in sub-Saharan Africa from 2004 to 2010 as a strategy to develop a locally trained public health workforce that can operate multi-disease surveillance and response systems.Key words: Field epidemiology, laboratory management, multi-disease surveillance and response systems, public health workforce capacity buildin

Medicinal plants with antimicrobial, larvicidal, and repellent properties: An ethnopharmacological survey from the Democratic Republic of the Congo

Introduction Infectious diseases (IDs) constitute a real public health problem in the Democratic Republic of the Congo (DRC). Purpose This survey aimed to gather more information about the plants used in the DRC for anti-infective, larvicidal, or repellent treatments. Methods The study spanned 4 months (from April 1 to July 31, 2022) within 11 provinces in the DRC and was conducted among 20 traditional healers (TH), 105 vegetable growers (VG), and 953 other plant users (OU) of traditional plants scattered across the country. The survey consisted of a simple interview with an inventory of the plants used. Results The results showed that the average age of the respondents was between 39 and 43 years old. The VG were mainly illiterate. As for TH and OU, literacy rates up to the primary level were 60% and 78%, respectively. The knowledge of the use of plants by the various actors of traditional medicine in this survey emanates from the cultural heritage. For this study, 132 plant species (104 identified and 28 unidentified based on their botanical name or family) were reported. 33 antimicrobial species and 7 larvicidal species belonging to 22 botanical families have been reported among TH, while 1 and 75 antimicrobial species, 6 and 16 larvicidal species, and 13 and 30 repellent species were respectively identified among VG and OU. This study identified Morinda morindoides, Cymbopogon citratus, and Boswellia sacra as the plant species most used by the individuals surveyed for anti-infective, larvicidal, and repellent treatments, respectively, by their citation frequencies, which were the highest. Additionally, the leaves represented the plant parts most used by the respondents. Conclusion This ethnobotanical analysis revealed that most herbal antimicrobial recipes are used to treat malaria. This study confirms the richness of the Congolese flora concerning anti-infective, larvicidal, and repellent treatments

Knowledge and practices of family planning in Zimbabwe

No Abstract. Central African Journal of Medicine Vol. 45 (8) 1999: pp. 204-20

Post natal maternal morbidity patterns in mothers delivering in Gweru city (Midlands province)

No Abstract. Central African Journal of Medicine Vol. 45 (9) 1999: pp. 234-23

Diets rich in vegetables and physical activity are associated with a decreased risk in pregnancy induced hypertension among rural women from Kimpese, DR Congo

Background: To assess whether the frequency pf pregnancy-induced hypertension is low, and vegetables intake and physical activity are protective against pregnancy-induced hypertension onset among rural women from Democratic republic of Congo. Method: This hospital-based and longitudinal study was carried out within the rural hospital of Kimpese, DR Congo were monitored from January 1st to March 31st 2003 on basis of demographic, diet, physical activity, anthropometry, and blood pressure till the onset of types of pregnancy-induced hypertension and delivery. Results: Out of 238 black pregnants, the incidence risk of arterial hypertension was 4.6% (n=11) whose 2.9% with Pre-Eclampsia and 1.7% with transient hypertension. Gestity, parity and birth weight of infants were significantly lower among hypertensive mothers, while positive family history and presence of oedemas were more elevated among hypertensive pregnants. The onset of Pre Eclampsia was higher within vendors and inactive women as well as among vegetarians (3.1%) than women with diet high in meat (9.7%). Pre Eclampsia occurred more (