4 research outputs found

    Evaluation de la qualité des soins aux Cliniques Universitaires de Kinshasa : étude de satisfaction des patients hospitalisés: Assessment of the quality of care at the Kinshasa University Hospital: perception of attending

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    Context and objective. Assessing the quality of are is a valid indicator of health systems effectiveness. This concept is increasingly used in health planning. However, developing countries are slow in integrating these principles. The present work reports the quality of care assessment as perceived by patients hospitalized in the Kinshasa University Hospital (KUH). Methods. This was a descriptive study using a selfadministered questionnaire to hospitalized patients on the day of discharge. Questions were focused on the patient reception, privacy protection, patient information and nursing care. Results. Eighty women (54%) and 68 men (46%) in total were surveyed.  Patient's reception, specifically their admission and units of care were badly assessed by eight patients out of ten. Similarly, comfort in rooms was badly assessed in 75% of case due to heat, dirt, and noise prevailing inside. In contrast, data on confidentiality (86%) and quality of health information (90%), treatment received and assistance to routine life activities (88%) were greatly appreciated. The overall satisfaction level was high and the majority of patients (75%) declared to be ready to come back to CUK for consultation. 77% would recommend their relatives to this structure if needed. Conclusion. This patient satisfaction survey in KUH showed some concerning evidences which shall challenge care managers and providers in this institution. Contexte et objectif. L’évaluation de la qualitĂ© des soins offerts est un indicateur validĂ© de l’efficacitĂ© d’un système de santĂ©. Le concept est de plus en plus utilisĂ© dans la planification sanitaire. Cependant, les pays en dĂ©veloppement tardent Ă  intĂ©grer ces principes. Ce travail rapporte l’apprĂ©ciation des soins telle que perçue par les patients hospitalisĂ©s aux Cliniques Universitaires de Kinshasa. MĂ©thodes. Une Ă©tude descriptive a Ă©tĂ© menĂ©e Ă  l’aide d’un questionnaire auto administrĂ© Ă  des sujets Ă  la sortie d’hospitalisation. Les questions Ă©taient articulĂ©es autour de l’accueil, du respect de l’intimitĂ©, de l’information et des soins proprement-dits. RĂ©sultats. Au total, 80 femmes (54%) et 68 hommes (46%) ont Ă©tĂ© interrogĂ©s. Le service d’accueil rĂ©servĂ© Ă  la rĂ©ception ainsi qu’aux unitĂ©s des soins a Ă©tĂ© mal apprĂ©ciĂ© par huit malades sur dix. Il en est de mĂŞme du confort dans les chambres (75%) Ă  cause de la chaleur, de la saletĂ© et du bruit qui y rĂ©gnaient. Par contre, ils ont apprĂ©ciĂ© le respect de l’intimitĂ©, la qualitĂ© de l’information reçue sur leur maladie, le traitement reçu ainsi que l’aide aux activitĂ©s de la vie courante. Le niveau global de satisfaction a Ă©tĂ© Ă©levĂ© et la majoritĂ© des personnes (75%) ont dĂ©clarĂ© ĂŞtre prĂŞtes Ă  revenir consulter aux CUK et y recommanderaient leurs proches en cas de besoin (77%). Conclusion. L’enquĂŞte de satisfaction rĂ©vèle des donnĂ©es prĂ©occupantes et qui devraient interpeller les organisateurs des prestations de soins dans notre institution

    RDC (2013): ETUDE POST-CAMPAGNE DE DISTRIBUTION DE MASSE DE LA MOUSTIQUAIRE IMPREGNEE D'INSECTICIDE A LONGUE DUREE D' ACTIONS DANS LA PROVINCE DE L'EQUATEUR/RDCS,

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    La presente etude s'est deroulee au sein des menages de la province de l' Equateur ayant au moins un enfant age de moins de 5 ans. Compte tenu de l'acces geographique difficile qu' on rencontre dans la province de l'Equateur, les antennes PEV ont ete definies comme strates. L'echantillonnage a ete fait dans chacune des six antennes PEV que compte la province. Au total 7 zones de sante (ZS) et 21 aires de sante ont ete tirees de maniere aleatoire simple. Chaque antenne PEV etait representee par une seule ZS, a l' exception de l'antenne PEV de GEMENA ou deux ZS ont ete retenues compte tenu du poids demographique elevee. L' objectif de l' etude etait d' evaluer le niveau des indicateurs de lutte contre le paludisme au sein de la population de la province de l' Equateur en general, aupres des femmes enceintes et aupres des enfants ages de moins de 5 ans en particulier apres la distribution de masse de MILD dans ladite province

    Knowledge of HIV, Sexual Behaviour and Correlates of Risky Sex Among Street Children in Kinshasa, Democratic Republic Of Congo

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    Context: Homeless children are at risk of getting many diseases, including sexually transmitted infections (STI). The number of street children is on the rise in the Democratic Republic of Congo (DRC), while very little is known about their health problems. Objectives: To determine knowledge of HIV (transmission and prevention means), sexual activity, exposure to HIV-prevention services, and to identify correlates of risky sexual behaviour (not having used a condom at first or last sexual encounter and/or having multiple sexual partners over a 12-month period) among street children in Kinshasa. Results: At the time of the survey, most participants (85.8%, 95% CI = 83.5-88.1) were sexually experienced and 55.8% had their first sexual intercourse when they were already living on the streets. The median age at first sexual activity was 14.3 years for males and 13.5 years for females. Compared to males (median number of sexual partners = 1), females tended to be more involved with multiple sexual partners (median = 12). Condoms were used less at the fist sexual encounter (20.2%; 95% CI =17.3-23.1) and the pattern of condom use depended on the type of sexual partners (61.1% at last sexual encounter with a paid/paying partner and 23.1% at last sexual encounter with a non-paid/non-paying partner). In males, sleeping in a NGO-provided night shelter (OR= 0.47; 95% CI = 0.27–0.79), and having had the first sexual intercourse while living on the streets (OR = 0.55; 95% CI = 0.35-0.88) were protective of risky sexual behaviour, while a history of drug use (OR = 3.00; 95% CI = 1.46–6.18), and being aged 20 to 24 years (OR = 1.59; 95% 1.00–2.55) increased the likelihood of displaying risky sexual behaviour. In females, not knowing where to get a condom (OR = 0.04; 95% CI = 0.005–0.29), having started sexual activity when living on the streets (OR = 0.10; 95% CI = 0.01–0.73) and not having an income-generating activity (OR = 0.09; 95% CI = 0.01–0.44) were protective of risky sexual behaviour. Conclusion: Street children need to be regarded as a high-risk group for acquiring HIV. The potential benefit of providing homeless youth with night-shelters should be explored more since this could be an opportunity to integrate risk-reduction programmes that take into account all problematic behaviors such as risky sexual behaviour and drug use
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