Pratique des médecins généralistes en matière de dépistage de l’hépatite virale B en République du Bénin

Kodjoh, N.; Wadagni, A. A. C.; Alassan, Khadidjatou Saké; Kpossou, Aboudou Raïmi; Vignon, Rodolph Koffi; Houinato, Dismand

doi:10.1007/s12157-014-0546-8

Cited by 1 publication

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“…These observations are the result of the lack of training of general practitioners in the screening [7,8] and the management of viral hepatitis [9]. This is aggravated by the lack of Anonymous and Free Screening Centres, and the lack of treatment centers of patients.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic Itineraries of Patients with Chronic Hepatitis B and C in Benin: The Wanderings in Search of Care towards the Therapeutic Impasse

Kodjoh

Sbi

et al. 2017

GHOA

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Introduction: Viral hepatitis B and C are endemic in the Republic of Benin. However, no national strategy is in place to support patients and to control these diseases. This study aims to trace the therapeutic itineraries of patients seeking care and to assess the cost of treatment steps. Patients and Methods:This is a descriptive and analytical prospective, crosssectional study, conducted from January to June 2010 in the Department of Gastroenterology and Hepatology of the National and University Hospital of Cotonou. Information on the therapeutic management was collected from patients with hepatitis B or C in direct interview. Results:One hundred and two patients were included. For the first visit, 73.5% of patients were using modern medicine against 20.6% for traditional medicine. In contrast, 58% of those who consulted a second line and more made use of traditional healers. The average number of practitioners consulted by each patient was 2.72 ± 1.84 with a maximum of seven practitioners consulted. The alleged curative treatments offered were not antiviral. The average cost of these treatments was illusory 112,000 FCFA while the minimum wage is only 31,600 FCFA in Benin. Conclusion:This study highlights the shortcomings of the national health system response to the issue of hepatitis, and the need to make the fight against these endemic diseases a public health priority.

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Section: Discussionmentioning

confidence: 99%