Purpose
This study aims to estimate the acceptability of a future vaccine against COVID-19 and associated factors if offered in Congolese health-care workers (HCWs), since they have the highest direct exposure to the disease.
Patients and Methods
We conducted an analytical cross-sectional study among 23 Congolese referral hospitals, including three university hospitals, located in three towns from March through 30 April 2020. The main outcome variable was healthcare workers’ acceptance of a future vaccine against COVID-19. The associated factors of vaccination willingness were identified through a logistic regression analysis.
Results
A sample of 613 HCWs participated in the study and completed the study questionnaire, including 312 (50.9%) men and 301 (49.1%) women. Only 27.7% of HCWs said that they would accept a COVID-19 vaccine if it was available. From the logistic regression analysis, male healthcare workers (ORa=1.17, 95% CI: 1.15–2.60), primarily doctors (ORa=1.59; 95% CI:1.03–2.44) and having a positive attitude towards a COVID-19 vaccine (ORa=11.49; 95% CI: 5.88–22.46) were significantly associated with reporting willingness to be vaccinated.
Conclusion
For acceptability of vaccination against COVID-19 among others education among HCWs is crucial because health professionals’ attitudes about vaccines are an important determinant of their own vaccine uptake and their likelihood of recommending the vaccine to their patients.
Point your SmartPhone at the code above. If you have a QR code reader the video abstract will appear. Or use: https://youtu.be/RBTcuSkgNco Background: Adherence to public health instructions for the COVID-19 is important for controlling the transmission and the pandemic's health and economic impacts. The aim of this study was to determine the associated factors of non-adherence to public health and social measures instructions. Methods: This was a cross-sectional study conducted with 1913 participants in two provinces of DRC, Mbuji-Mayi, and Kamina. Predictors of non-adherence to COVID-19 preventive measures were identified using binary logistic regression analysis. P-value<0.05 was considered as a significant predictor. Results: Among 1913 participants (1057 [55.3%] male, age 34.1 [14.9] years), 36.6% were defined as non-adherents. Non-adherence was associated with never studied and primary education level [adjusted odds ratio (aOR)=1.63, CI=1.31-2.03], unemployed status [aOR=1.29, CI=1.01-1.67], living in Kamina (Haut-Lomami province) [aOR=1.63, CI=1.31-2.03], female gender of head of household [aOR=1.53, CI=1.16-2.03], no attending lectures/discussions about COVID-19 [aOR=1.61, CI=1.08-2.40], not being satisfied with the measures taken by the Ministry of Health [aOR=2.26, CI=1.78-2.81], not been regularly informed about the pandemic [aOR=2.25, CI=1.80-2.03], and bad knowledge about COVID-19 [aOR=2.36, CI=1.90-2.93]. Conclusion: The rate of non-observance of preventive measures for the COVID-19 pandemic is high, and different factors contributed. The government has to counsel the permanent updating of messages taking into account the context and the progress of the pandemic by using several communication channels.
Un cas de grossesse abdominale prolongée d'environ 18 mois avec mort fœtale, vécu à l'hôpital général de référence de Mulongo dans la province du Katanga, en République Démocratique du Congo, est rapporté dans ce papier. Ce cas clinique d’évolution étonnante permet de faire la revue de la littérature, de rappeler l'importance d'un bon suivi clinique et échographique de la grossesse et de s'interroger sur le niveau d’éducation de la femme ainsi que la qualité des soins prénataux en milieu rural congolais.
Introduction : la transmission des agents infectieux comme le virus de l’immunodéficience humaine (VIH), l’hépatite B (HBV), l’hépatite C (HCV) et la syphilis représente la plus grande menace pour la sécurité transfusionnelle du receveur. Cette étude visait à déterminer la séroprévalence des marqueurs infectieux en vue de contribuer à l’amélioration de la sécurité transfusionnelle par la sélection des donneurs. Méthodes : une analyse rétrospective des dossiers des donneurs de sang couvrant la période allant du 1 er janvier au 31 décembre 2008 a été réalisée. Résultats : la séroprévalence globale du VIH, VHB, VHC et la syphilis était respectivement de 2,9 %, 1,6 %, 0,2 % et 0,2 %. Nous avons constaté une séroprévalence élevée dans les tranches d’âge de 16 à 25 ans et de 46 à 55 ans ; ainsi que de 16 à 25 ans pour la syphilis. Discussion : ces résultats confirment la présence de l’infection par le virus de l’hépatite B à Kamina et donnent une première idée de la circulation du virus de l’hépatite C, du VIH/sida ainsi que de la syphilis au sein de la population de donneur de sang. Conclusion: par conséquent, une sélection et un dépistage rigoureux des donneurs de sang sont fortement recommandés pour assurer la sécurité du sang pour le receveur.
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