Introduction : Malgré plusieurs initiatives du ministère de la Santé marocain pour protéger le droit des migrants à accéder aux services de santé, la vaccination des enfants migrants demeure un problème de santé publique. Objectif de l’étude : L’objectif de cette étude était de mesurer la couverture vaccinale et d’identifier les facteurs associés à la non-complétude vaccinale des enfants migrants subsahariens de moins de 5 ans dans la ville de Casablanca. Méthodes : À partir d’une étude transversale à visée analytique, un échantillonnage en boule de neige a été réalisé et un questionnaire a été administré aux mères migrantes subsahariennes des enfants de moins de 5 ans. Les résultats des analyses descriptives et le test de Chi 2 ont permis d’élaborer un modèle prédictif à travers la régression logistique multivariée. Les informations collectées incluaient les caractéristiques sociodémographiques, les facteurs liés à l’accessibilité au service de vaccination, les connaissances et perception des mères sur la vaccination. Résultats : Environ 57,0 % des enfants migrants subsahariens de moins de 5 ans ont été incomplètement ou non vaccinés. Les facteurs associés significativement au statut vaccinal après l’analyse multivariée étaient le niveau d’études des mères (4,895 [1,907-12,562]), le statut professionnel (0,411 [0,206-0,821]), la connaissance des avantages de la vaccination (0,035 [0,004-0,309]) et du calendrier vaccinal (6,854 [3,172-14,813]), le temps d’attente (0,115 [0,051-0,261]), les barrières administratives (7,572 [2,004-28,617]) et psychologiques (0,086 [0,043-0,170]). Conclusion : Le statut vaccinal des enfants migrants de moins de 5 ans de la ville de Casablanca demeure un problème de santé publique, et nécessite une meilleure prise en charge afin d’améliorer la situation vaccinale de cette population vulnérable.
Background. Implementing decisive and effective infection prevention and control measures necessitates a thorough grasp of the general population’s level of knowledge in order to identify existing gaps and react appropriately. Objective. The goal of this cross-sectional research was to assess public knowledge, attitudes, and practices (KAP) about COVID-19 in Kankan Guinea, in order to better understand the ercial use only socio-demographic factors that are associated with poor KAP. Materials and Methods. The study population consists of 1230 people who reside in five health districts in the Kankan region. An anonymous paper-based questionnaire, given face-to-face by trained field agents, was used to gather data. Results. The research included 1230 Guineans in total. The bulk of respondents (60%) were familiar with COVID-19. Only 44% of respondents under the age of 29 had a clear understanding of COVID-19. Male participants knew more about COVID-19 than female ones (P=0.003). The majority of participants (82%) had negative attitudes toward COVID-19, while 61% reported positive practices linked to COVID-19 measures. In this research, being female was a risk factor for poor knowledge of COVID-19 (P0,001), and being single was a risk factor for negative attitudes toward COVID-19 (P=0,009). Conclusion. Appropriate measures should be taken to increase public awareness and improve general practice of preventive measures aimed at reducing the spread of infectious diseases such as COVID-19.
Introduction : Diabetes is a constantly evolving chronic disease, with a prevalence of 8.5% in 2014 compared to 4.7% in 1980 corresponding to 422 million the number of adults living with diabetes in 2014, compared to 108 million in 1980. Its early management is necessary to avoid these disastrous complications. Thus, Primary Health Care Establishments are the first gateway for this care. It is essential to describe the profile of this management at local level for diabetes control measures adapted to the local population.Objective : This study aims to describe the epidemiological and therapeutic profile of diabetes at the Primary Health Care Establishments level in the prefecture of Sidi Bernoussi during the year 2018.Methodology: We carried out a descriptive observation study based on data from the 4 quarterly epidemiological surveillance reports for diabetics in the year 2018. Including all diabetics screened and cared for at public health of the prefecture of SIDI BERNOUSSI during the year 2018.Results : The proportion of prevalent cases at Sidi Bernoussi's primary health care establishments level represented 2% of the desert population and is dominated by the age group of [40-59 years] (39.9% of cases). The new cases recruited during the year 2018 are dominated by the female sex of the same age group with a sex ratio of 1.95 for 1 man. Diabetes complications are dominated by hypertension (70% of complicated cases), Oral Antidiabetics are used 54% in the management of diabetics against 1% for hygiene and diet measures alone.Conclusion : We recommend to integrate data from the private sector at the level of the prefectural health directorate of Sidi Bernoussi to have a better real view of the epidemiological situation in the prefecture. In addition, the implementation of the National Multisectoral Strategy for the Prevention and Control of Non-Communicable Diseases 2019 - 2029 and the Multisectoral Strategy for the Prevention and Control of Non-Communicable Diseases 2016-2025 at the local level must be accentuated on early diagnosis allowing care based more on lifestyle. Finally, this present study would be improved by a prospective and analytical study in the prefecture.
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