The last five years, Lubumbashi records the emergence centers of dialysis. We achieved this study to evaluate the risk factors of death for the renal insufficient patients and the economic accessibility to this peak therapy. A cross sectional study based on a random sample of 53 patients has been completed in 2012. The data is analyzed using the SPSS 19.0 software. A significance level of p < 0.05 and Confidence interval fixed to 95%. The Fischer exact test and the odds ratio have been used. The participation rate was 65.4%. The mean age was 49.49 ± 13.30 years old and 60.4% were aged > 50 years old. The sex ratio 0.3 women by men was noted. 83% of patients was private versus other category (p<0.05). 66% are renal insufficient chronic patients versus 34% of recent renal insufficient patients. 90% of patients were diabetic hypertensive. The patients’ monthly income declared was US$ 205 for 52.8% of patients, US $ 525 for 34% patients and US $ 750 for 13.2% of patients versus US $ 1, 270 monthly mean care cost. The deaths are associated statistically with an interruption of the treatment (χ2=9.30, p=0.0022, OR= 8.5) and with the irregularity of treatment (χ2=8.65, p=0.0032, OR=6). Africa in comparison with countries of other continents, to invest in advanced medical equipment is a salutary measure, but the majority of patients are not able to pay the costs of health care. Our results shown that, the dialysis became an ultimate recourse for the renal insufficient patients at Lubumbashi city but the economic accessibility remains a major obstacle. Consequently, it's important to subsidize the health care of these patients.
Introduction: The results of previous scientific studies made in China and Vietnam have shown a big difference in feeding practices of children living in rural areas and those living in urban areas suggesting the influence of economic and socio-cultural factors. The aim of the study is to compare feeding practices of children under the age of five years between urban and rural areas in southern Katanga in the Democratic Republic of Congo (Central Africa). Methods: This is a cross-sectional and descriptive study of 1630 mother infant pairs recruited from 250 randomly chosen households from each of 5 different villages near the town of Lubumbashi and two urban areas (Lubumbashi and Kampemba). Results: The proportions of mothers who initiate breastfeeding within one hour after birth in urban and rural areas were respectively 48.3% and 46.0% (ORa: 1.32; CI95%: 1.01-1.72). 44.2% of the mother in urban areas exclusively breastfed their children until the age of 6 months versus 14.5% in rural areas (p<0.001). The average age of the children when they stopped breastfeeding was 16.4 months in urban areas versus 17.9 months in rural areas (p<0.001). 91.3% of first foods given in urban areas were cereals (p<0.001) versus 86.8% in rural areas. Conclusion: The study showed that mothers living in rural areas breastfeed longer than those who live in urban areas. Moreover, our results show that mother in rural areas use infant formulas and introduce solid, semi-solid or soft food sooner and more often than women in urban areas.
During a recent routine vaccination session for children aged 0 to 11 months at the Padre Pio hospital center in Lubumbashi, a midwife administered twice the dose of the same injectable poliomyelitis vaccine (IPV) to an infant while only one dose was indicated. The child subsequently presented with some digestive disorders such as vomiting and diarrhea that required 24-hour observation in the emergency reception unit. The occurrence of this incident required the holding of a meeting with the various stakeholders. The aim was to examine the possible cause(s) of this incident, to be able to determine whether it was a fault attributable to the vaccinator or whether it was a systemic problem, the aim being to improve the safety of the practice of vaccination by preventing the occurrence of similar situations.
We report two clinical cases of subdural hygroma (SDH) in two male patients respectively aged 37 years and 44 years whose etiological factor was a cranio-encephalic traumatism. The cerebral scansperformed had shown a bi-frontoparietal SDH in one patient and a right fronto-parieto-occipital SDH in the other. They had been placed under corticotherapy. The disease course was marked by a transformation of the SDH into subdural hematoma in one of the two patients.
Employment is a social determinant of health whose ambivalence is a well-established fact. Unemployment is therefore detrimental not only to the health of the unemployed but also to that of their families. Research even suggests that they (the unemployed and their family members) would be more likely to die prematurely than others. On the other hand, a safe job is conducive to the good health of the workers, to their well-being and it brings them satisfaction on the professional level. Nevertheless, the ambivalent nature of work means that it can also determine poor health for workers insofar as “the social organization of work, the mode of management and social relations in the workplace have an impact on the health.” This article aims to identify the organizational and social factors that have a negative impact on the health of health workers and in the light of social determinants and hospital magnetism, to propose a nonexhaustive list of recommendations for redesigned health human resource (HHR) management.
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