INTRODUCTION: Congenital birth defects are real, and they can affect any woman carrying a pregnancy. A particular action must be carried out for preventive purposes. METHODOLOGY: We carried out a cross-sectional study on congenital birth defects in the health district of Kenya. Our study included 68 children born with congenital malformation. This study concerned the six health facilities in the Kenya Health Zone that have maternity clinics from 2010 to 2014. The results were analyzed on SPSS version 23. RESULTS: Of the 68 children born with congenital malformation recorded during our study period, 54% were female compared to 46 males. There is no statistically significant relationship between congenital birth defects and antenatal care as shown in Table 1 (OR: 1.2, P-value equals 0.79). There were more cases of congenital malformation in 2014 74% followed by 2013 with 59%. The year 2010 recorded 5 cases or 13%. CONCLUSION: Congenital birth defects are a health problem in the world. They spare no corner around the world. The Democratic Republic of the Congo and especially the Sanitary District of Kenya are also concerned. It is expected that primary prevention measures will be strengthened because today's children are the future of tomorrow.
Introduction: The use of the female condom is still very low on university campuses. This study was conducted to assess the knowledge, attitudes and practices of female condom use in Lubumbashi. Method: We conducted a cross-sectional study on the use of the female condom on university campuses. Our sample consisted of 300 individuals, including 169 women and 131 men. A questionnaire was established to collect the data. SPPS version 23 helped us analyze the data, which was encoded in Excel. Results: Female condom use was reported in 137 women, or 81.1% of women had previously used the female condom (chi-square = 25.237). Single women were more likely than brides to use female condoms. Women who did not use female condoms were luckier than those who used it because they did not receive the information. Conclusion: Information on the existence of the female condom and the marital status of the survey influences the use of the female condom. Popularization about the existence of the female condom and its availability on university campuses are important steps to take for its use. Appropriate health education would be the key to popularize and promote the female condom.
Three cases of congenital malformation were observed, including cases of anal imperforation at the Lubumbashi Surgery and Traumatology Center in the Democratic Republic of Congo. These cases concerned the anal imperforation observed in three new male babies from the ex-triangle of death in the province of Upper Katanga (The Democratic Republic of The Congo). One case presented dehydration in stage B. Colostomy was the first act to save the three newborns. The colostomies were repaired after reopening the anal orifice. No deaths were recorded.
Introduction: The hospital is a key part of the health system. The referral general hospital is the local health system's appeal structure and therefore its organization determines the quality of the supply that a community needs to meet its health needs. Méthodology: We carried out a transversal descriptive study on the level of application of the organizational framework in the general hospitals of reference of the city of Lubumbashi. Our goal was generally to determine the organizational frameworks of Lubumbashi hospitals. We used a questionnaire administered to one of the members of the hospital's management committee, whether it was the Medical Director, the managing director, the Chief Medical Officer or even the Director of Nursing. A structured interview was used to collect data. Our sampling is comprehensive and its size is six general referral hospitals. Results: Our results show that the majority (75%) of interviewees are male with a sex ratio of two men for one woman. The median age of those surveyed is 42 years old. Regarding the strategic project, one hospital out of three declared to us to have an annual plan, this only hospital having the annual plan showed it to us. Regarding the organizational structure, five (83%) out of six hospitals showed their organizational charts while all reported having an organizational chart. Two out of six hospitals (33%) reported having job descriptions and showed them to us. No hospital has established an education. In all hospitals, the Medical Director was cited as the only person authorized to make a decision while the other members of the Steering Committee were cited in five (83%) while the other officials were not mentioned in any hospital. Conclusion: It is important that the political actors as well as the providers get involved in the proper organization of health services in general and the general referral hospital in particular in order to promote access to quality care in the perceptive of the universal health carecoverage.
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