Grossesse et accouchement:Les logiques sociales des responsables, du personnel de santé et des femmes (Algérie)

L’article se propose de comprendre et d’analyser les logiques sociales déployées par les responsables sanitaires, le personnel de santé et les parturientes à l’égard de la santé reproductive en Algérie. En nous appuyant sur une enquête qualitative conduite dans six régions du pays, nous mettons au jour les contraintes institutionnelles, les modes de contrôle de la grossesse et de l’accouchement privilégiés par les responsables locaux, les tensions au cœur de l’acte médical, identifiées par les professionnels de la santé et enfin les logiques des femmes confrontées au processus d’enfantement qui va représenter un évènement social crucial, leur permettant d’accéder au statut de mère.The article suggests understanding and analyzing the social logics deployed by the sanitary persons in charge, the health workers and the parturientes towards the reproductive health in Algeria. Resting on a qualitative investigation was led in six regions of the country, we bring to light the institutional constraints, the modes of control of the pregnancy and the childbirth favored by the local persons in charge, the tensions at the heart of the medical act, identified by the healthcare professionals and finally the logics of the women confronted with the process of childbirth which is going to represent a crucial social event, allowing them to reach mother's status

Coxiella burnetii-positive PCR in febrile patients in rural and urban Africa

Objectives: Q fever has been reported throughout the African continent. The objective of this study was to detect the presence of Coxiella burnetii in febrile patients from Africa. Methods: Blood samples from febrile and non-febrile patients from six African countries and from France were investigated retrospectively for Q fever infection by molecular assays targeting the IS1111 and IS30A spacers. Results: We tested 1888 febrile patients from Senegal, Mali, Tunisia, Algeria, Gabon, and Morocco and found one male adult patient (0.3%) infected with C. burnetii in Algeria and six positive patients (0.5%) in Senegal. For one patient from Senegal we determined that the infection was caused by C. burnetii genotype 35. In Senegal, more patients were infected with C. burnetii in Keur Momar Sarr (p = 0.002) than in the other locations. Blood samples taken from 500 (51% males) non-febrile people from Senegal and France were all negative. Conclusions: The installation of point-of-care laboratories in rural Africa can be a very effective tool for studying the epidemiology of many infectious diseases