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Journal articles on the topic 'Public health – Congo (Democratic Republic) – Lubumbashi'

Author: Grafiati

Published: 4 June 2021

Last updated: 16 February 2022

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1

Kakudji Kyungu, Aimé. "Exacerbation of vulnerability in a hospital setting in Lubumbashi (Democratic Republic of Congo)." Global Health Promotion 20, no. 1_suppl (March 2013): 51–56. http://dx.doi.org/10.1177/1757975912462423.

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This article presents an ethnographic study of the pseudonymous Saint Amand Hospital in Lubumbashi (Democratic Republic of Congo) and of the way in which struggles for control of the hospital’s resources contributed to shape certain practices that were damaging to the institution. We examine how, following the disengagement of both the State and a large bankrupt mining enterprise, the ‘atypical’ governance of the hospital and the institutional instability it generated led to professional vulnerability among care providers. We also look at how, in turn, this situation exacerbated the vulnerability of the helpless and uneducated patients attending that hospital.

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Carsi Kuhangana, Trésor, Taty Muta Musambo, Joseph Pyana Kitenge, Tony Kayembe-Kitenge, Arlène Kazadi Ngoy, Paul Musa Obadia, Célestin Banza Lubaba Nkulu, et al. "Energy Drink Consumption among Adolescents Attending Schools in Lubumbashi, Democratic Republic of Congo." International Journal of Environmental Research and Public Health 18, no. 14 (July 17, 2021): 7617. http://dx.doi.org/10.3390/ijerph18147617.

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Background: The consumption of energy drinks (EDs) is increasing in the general population, but little is known about the consumption of EDs among pupils in Africa. This study was designed to assess the consumption of EDs among pupils between 10 and 17 years of age and to assess average caffeine concentrations contained in EDs sold in Lubumbashi. Methods: We conducted a cross-sectional survey in five schools using a standardised questionnaire taken face-to-face. Samples of locally purchased EDs were analysed by High Performance Liquid Chromatography with Ultra-Violet spectrometry (HPLC-UV). Results: Of 338 pupils (54% girls), 63% reported having consumed at least one ED in the last week and 34% drank at least one ED a day. The cheapest ED was the most widely consumed. Among pupils having consumed at least one ED in the last week, 79% reported consuming it for refreshment and 15% to get energy. For those who reported not consuming EDs, 40% reported that their parents or teachers forbade them to drink EDs. Some (14%) teenagers, mainly boys, mixed ED with alcohol. The concentrations of caffeine measured in twelve brands of EDs ranged from 7.6 to 29.4 mg/100 mL (median 23.3), giving caffeine contents of 37.5 to 160 mg (median 90 mg) per can or bottle. The estimated daily intake of caffeine through EDs was between 51.3 mg and 441.3 mg among those consuming EDs regularly. Conclusion: Our study convincingly demonstrates that caffeine-containing EDs are not only consumed by youngsters living in affluent societies. We documented widespread regular consumption of EDs among (pre-)adolescent schoolchildren living in Lubumbashi, a large city of the Democratic Republic of Congo (DRC). In view of the global market expansion of caffeinated EDs, it is reasonable to suspect that similar surveys in other urban areas of sub-Saharan Africa would yield similar findings. Pricing and advertising regulations and education on EDs are necessary to limit the regular consumption of EDs among adolescents.

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Ilunga, P. M., O. Mukuku, P. M. Mawaw, A. M. Mutombo, T. K. Lubala, M. Shongo Ya Pongombo, P. Kakudji Luhete, S. O. Wembonyama, A. Mutombo Kabamba, and O. Luboya Numbi. "Risk factors for low birth weight in Lubumbashi, Democratic Republic of the Congo." Médecine et Santé Tropicales 26, no. 4 (October 2016): 386–90. http://dx.doi.org/10.1684/mst.2016.0607.

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Kabamba Ngombe, L., R. Nlandu Ngatu, C. Nyembo Mukena, B. Kabyla Ilunga, S. Wembonyama Okitotsho, J. B. Kakoma Sakatolo, O. Luboya Numbi, and B. Danuser. "Silicosis in underground miners in Lubumbashi, Democratic Republic of the Congo: 27 cases." Médecine et Santé Tropicales 28, no. 4 (October 2018): 395–98. http://dx.doi.org/10.1684/mst.2018.0812.

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Habimana, Laurence, Kabange E. Twite, Pierre Wallemacq, Philippe De Nayer, Chantal Daumerie, Philippe Donnen, Muenze K. Kalenga, and Annie Robert. "Iodine and iron status of pregnant women in Lubumbashi, Democratic Republic of Congo." Public Health Nutrition 16, no. 8 (January 16, 2013): 1362–70. http://dx.doi.org/10.1017/s1368980012005484.

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AbstractObjectiveAdequate iodine and Fe intakes are imperative during pregnancy to prevent fetal defects, but such data are not available in the Democratic Republic of Congo. We aimed to assess iodine and Fe status in pregnant women from Lubumbashi.DesignCross-sectional study. We measured urinary iodine concentration (UIC) in random urine samples using a modified Sandell–Kolthoff digestion method; the WHO reference medians were used to classify iodine intake as deficient, adequate, more than adequate or excessive. Serum ferritin concentrations were measured by immunoenzymatic assay and considered insufficient when <12 ng/ml.SettingMaternity units from rural, semi-urban and urban areas of Lubumbashi, Democratic Republic of Congo.SubjectsTwo hundred and twenty-five randomly selected pregnant women attending prenatal consultation, seventy-five postpartum women and seventy-five non-pregnant women as controls.ResultsOverall median UIC in pregnant women was 138 (interquartile range: 105–172) μg/l, indicating iodine deficiency, whereas postpartum and non-pregnant women had adequate iodine intake: median UIC = 144 μg/l and 204 μg/l, respectively. Median UIC values were lower in late pregnancy than in early pregnancy: in the first, second and third trimester respectively 255 μg/l, 70 μg/l and 88 μg/l in the rural area; 306 μg/l, 166 μg/l and 68 μg/l in the semi-urban area; and 203 μg/l, 174 μg/l and 99 μg/l in the urban area. Fe was insufficient in 39 % of pregnant women compared with 21 % of non-pregnant and postpartum women. In the third trimester, deficiencies in both iodine and Fe were high: 40 %, 12 % and 18 % in the rural, semi-urban and urban areas, respectively.ConclusionsOur data suggest that pregnant women are at risk of iodine and Fe deficiencies in Lubumbashi. Country policies fighting against iodine and Fe deficiencies during pregnancy should be reinforced.

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Musa Obadia, Paul, Tony Kayembe-Kitenge, Célestin Banza Lubaba Nkulu, Paul Enzlin, and Benoit Nemery. "Erectile dysfunction and mining-related jobs: an explorative study in Lubumbashi, Democratic Republic of Congo." Occupational and Environmental Medicine 77, no. 1 (October 29, 2019): 19–21. http://dx.doi.org/10.1136/oemed-2019-105771.

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IntroductionThe African Copperbelt is a site of intense artisanal and industrial mining and refining of copper and cobalt. Anecdotal reports of erectile dysfunction (ED) among mineworkers in the area led us to conduct an explorative study to investigate the possible association between ED and working in mining-related jobs.MethodsWe included 42 consecutive men (18–40 years) buying sildenafil (the active substance of Viagra) from a pharmacy located in a popular neighbourhood in Lubumbashi, and 42 age-matched (±2 years) men buying painkillers. All participants replied to questionnaires administered face-to-face to obtain sociodemographic data, including information on occupation, and a score of erectile function using the International Index of Erectile Function (IIEF6).ResultsThe IIEF6 score (maximum 30) was lower among sildenafil-buyers (median 17, range 8–30) than among painkiller-buyers (median 30, range 17–30). The proportion of mining-related jobs was higher among sildenafil-buyers (19/42, 45%) than among painkiller-buyers (7/42, 17%), yielding an OR of 4.1 (95% CI 1.5 to 11.3; p=0.009). The proportion of mining-related jobs was higher among men with ED (defined as IIEF6 <26) (24/45, 54%) than among men without ED (2/39, 5%) (OR 21.1; 95% CI 4.5 to 98.4; p<0.001). Using a more stringent definition of ED (IIEF6 <22) gave similar results: 55% (20/36) of men with ED had a mining-related job versus 13% (6/48) of men without ED (OR 8.7; 95% CI 2.9 to 25.7; p=0.001).DiscussionThe findings of this preliminary study justify further epidemiological studies of the possible role of occupational exposures in the pathogenesis of male sexual dysfunction among miners and workers in the copper and cobalt industry.

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Mbey, Pitchou Mukaz, Olivier Mukuku, Willy Kalau Arung, Guylain Kitoko Tengu, Nasser Lubosha Amisi, Véronique Kabila Kyabu, Etienne Fwamba Koshe Odimba, and François Katombe Tshilombo. "Clinical, Histopathological, and Prognostic Characteristics of Patients with Prostate Cancer in Lubumbashi, Democratic Republic of Congo." Prostate Cancer 2020 (December 9, 2020): 1–7. http://dx.doi.org/10.1155/2020/5286929.

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Introduction. Prostate cancer is currently a public health problem with a frequency that varies from country to country. This study aims to describe the epidemiological, clinical, and histopathological and outcome features of prostate cancer in Lubumbashi in the Democratic Republic of Congo. Materials and Methods. This was a descriptive longitudinal study of patients diagnosed with prostate cancer at the University Clinics of Lubumbashi. The study period was 3 years (2017 to 2019). Parameters studied were age and clinical, biological (PSA level, prostatic specific antigen), histopathological, and outcome features. Results. The mean age of patients was 68.7 years (range: 47 and 90 years). The 60 to 69 age group was the most affected (43.18%). Elderly subjects (≥60 years old) represented 89.77% of the cases (n = 79). Voiding disorders were the main reason for consultation in 55.68% of the cases. The mean PSA level was 133.7 ng/ml (range: 4 and 1564.5 ng/ml) at diagnosis and 125.4 ng/ml after 3 months of follow-up (range: 0.16 and 1782.1 ng/ml). Adenocarcinoma was the predominant histological type (100%). In prognosis, 31.82% of patients had a Gleason score greater than 7 and 59.10% had a high risk at the D’Amico risk classification for Prostate Cancer. Hormone therapy was administered alone in 75% of the cases and in combination with pulpectomy in 13.64% of the cases. The 3-year overall survival was 56.82%. Conclusion. Prostate cancer is frequent and has a poor outcome in our country. The establishment of an individual screening policy would be an undeniable advantage in improving the prognosis.

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Nangana, Luzitu Severin, Ben Monga, Nlandu Roger Ngatu, Etongola Papy Mbelambela, Lukuke Hendrick Mbutshu, and Kaj Francoise Malonga. "Frequency, causes and human impact of motor vehicle-related road traffic accident (RTA) in Lubumbashi, Democratic Republic of Congo." Environmental Health and Preventive Medicine 21, no. 5 (May 4, 2016): 350–55. http://dx.doi.org/10.1007/s12199-016-0536-0.

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Carsi Kuhangana, Trésor, Caleb Kamanda Mbayo, Joseph Pyana Kitenge, Arlène Kazadi Ngoy, Taty Muta Musambo, Paul Musa Obadia, Patrick D. M. C. Katoto, Célestin Banza Lubaba Nkulu, and Benoit Nemery. "COVID-19 Pandemic: Knowledge and Attitudes in Public Markets in the Former Katanga Province of the Democratic Republic of Congo." International Journal of Environmental Research and Public Health 17, no. 20 (October 13, 2020): 7441. http://dx.doi.org/10.3390/ijerph17207441.

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Background. Public markets were exempted from the restrictive regulations instituted to limit the rapid spread of the COVID-19 pandemic in the Democratic Republic of the Congo (DRC). In the early stage of the pandemic, we assessed people’s knowledge, attitudes, and behavior on public markets towards COVID-19. Methods. We conducted a cross-sectional study from 16 to 29 April 2020 among sellers and customers frequenting the food sections of ten public markets in three large cities (Kolwezi, Likasi, and Lubumbashi) and one small town (Lwambo) of the former Katanga province. We administered a questionnaire on knowledge (about clinical characteristics, transmission and prevention) and on attitudes in relation to COVID-19. We also observed prevailing practices (hand-washing and mask-wearing). Results: Of the 347 included participants (83% women, 83% sellers), most had low socioeconomic status and a low level of education. Only 30% of participants had correct knowledge of COVID-19. The majority of the respondents (88%) showed no confidence in the government’s ability to manage the upcoming pandemic crisis. Nearly all respondents (98%) were concerned about the associated increase in food insecurity. Preventive practices were rarely in place. Conclusion: For an effective implementation of measures to prevent the spread of COVID-19 in Africa, appropriate health education programs to improve knowledge and attitudes are warranted among the population frequenting public markets.

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Freeman, Anna, Modeste Kiumbu, Blaise Mwamba, Joseph Atibu, Henri Mukumbi, Louis Mwila, Christopher Cummiskey, Kristen Stolka, Jennifer Hemingway-Foday, and Jamie E. Newman. "Patient Outcomes in Lubumbashi, Democratic Republic of Congo After a Disruption in HIV Care Due to Decreased Global Fund Appropriations." AIDS and Behavior 18, no. 11 (April 4, 2014): 2135–43. http://dx.doi.org/10.1007/s10461-014-0761-8.

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Malonga, Kaj Françoise, Hendrick Lukuke Mbutshu, Jean-Jacques Lunda Ngandu, Mukengeshayi Abel Ntambue, and Michel Makoutode. "Hospital Hygiene Maternity Hospital Public Lubumbashi Democratic Republic of Congo." Open Journal of Preventive Medicine 07, no. 04 (2017): 74–85. http://dx.doi.org/10.4236/ojpm.2017.74007.

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12

Mukuku, Olivier, Pascal Nawej, Marcellin Bugeme, Frank Nduu, Paul Makan Mawaw, and Oscar Numbi Luboya. "Epidemiology of Epilepsy in Lubumbashi, Democratic Republic of Congo." Neurology Research International 2020 (January 29, 2020): 1–5. http://dx.doi.org/10.1155/2020/5621461.

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Background. Epilepsy is one of the most common neurological conditions, but the majority of epilepsy patients in sub-Saharan countries do not receive appropriate treatment. In the Democratic Republic of Congo (DRC), particularly in Lubumbashi, very few epidemiological studies on epilepsy have emerged. This study aims to analyze demographic characteristics, semiology of epileptic seizures, and their etiologies in patients followed in hospital. Methods. This is a prospective descriptive study that enrolled 177 epileptic patients who performed a neurological consultation at the Centre Médical du Centre Ville (CMDC) in Lubumbashi (DRC) from January 1, 2016, to December 31, 2017. Results. The mean age of the patients was 20.0 years (range: 5 months and 86 years). The male sex was predominant (57.1%). The mean age at the seizure onset was 13.1 years, and the mean duration between onset of seizures and consultation was 83.5 months. The family history of epilepsy was present in 27.7%. Generalized tonic-clonic seizures were the most frequent (58.2%), followed by atonic generalized seizures (9.6%) and focal clonic seizures (8.5%). The etiology was found in 68 (38.4%) patients and was dominated by neurocysticercosis (26.5%), meningitis (25%), perinatal pathologies (20.6%), and head injury (20.6%). Conclusion. This study is a useful starting point from which health programs and health professionals can work to improve the diagnosis and quality of epilepsy management in our community.

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Mutangala, Nowa, Mor Ndiaye, André Ngombe Kaseba, Clarence Mukeng, Philippe Mulenga Cilundika, and Eric Sompwe Mukomena. "Occupational Hearing Hazards among Informal Sector Welders in Lubumbashi, Democratic Republic of Congo." Health 13, no. 09 (2021): 995–1009. http://dx.doi.org/10.4236/health.2021.139075.

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Jacques Ngoy, Kitenge, Mukuku Olivier, Kinenkinda Xavier K, and Kakudji Prosper L. "Maternal and perinatal outcomes of uterine rupture in Lubumbashi, Democratic Republic of Congo." Clinical Journal of Obstetrics and Gynecology 3, no. 2 (October 20, 2020): 136–41. http://dx.doi.org/10.29328/journal.cjog.1001067.

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Introduction: Uterine rupture is one of the peripartum complications, which cause nearly about one out of thirteen maternal deaths. This study aimed to assess the prevalence and associated factors of mortality among women with uterine rupture in referral hospitals of Lubumbashi, in the south east part of the Democratic Republic of Congo. Methods: Institution based cross sectional study was conducted from December 1st, 2012 to 31st, 2016 on uterine rupture. During the study selected 158 women were included by using exhaustive sampling method. Data were checked, coded and analyzed into STATA version 12. Chi-square test was used to identify the predictors of maternal and perinatal mortalities in women with uterine rupture and 95% Confidence Interval of odds ratio at p - value less than 0.05 was taken as a significance level. Results: The overall prevalence of uterine rupture was 0.49%. The average age of the patients was 29.5 ± 6.2 years and 71.52% of them were between 20 and 34 years old; more than 60% had a parity ≥4 (average parity: 4.7 ± 2.5). 81.17% of the cases had a fully ruptured uterus and 51.17% of the uterine ruptures were located in the lower segment. Repair of the pregnant ruptured uterus was performed in 93.04% of the cases and hysterectomy in 5.06%. Maternal and perinatal mortalities were 8.86% and 72.04% respectively. Regarding maternal mortality, no parameter showed a significant association with maternal death. As for perinatal mortality, parity ≥4, complete rupture and segmento-corporeal lesion were significantly associated with perinatal death (p < 0.05). Conclusion: Uterine rupture remains one of the causes of maternal and perinatal mortality in Lubumbashi. The place occupied by uterine ruptures in obstetric activity requires joint and urgent action by all stakeholders in the health system in order to combat this scourge, witness to poor quality obstetric care.

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Aldis, William, and Erik Schouten. "War and public health in Democratic Republic of Congo." Lancet 358, no. 9298 (December 2001): 2088. http://dx.doi.org/10.1016/s0140-6736(01)07129-x.

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Fleck, Fiona. "The Democratic Republic of the Congo: quantifying the crisis." Bulletin of the World Health Organization 87, no. 1 (January 1, 2009): 6–7. http://dx.doi.org/10.2471/blt.09.020109.

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Kaseba, André Ngombe, Tshipapa Mujinga, Aly Antoine Kamano, Cissé Kadari, Kikunda Ghislain, Nowa Mutangala, Philippe Mulenga-Cilundika, and Eric Mukomena Sompwe. "Determinants and Knowledge on Geo-Helminthiasis in Prison Inmates: Case of Kassapa Central Prison, Lubumbashi, Democratic Republic of Congo." Health 13, no. 05 (2021): 600–618. http://dx.doi.org/10.4236/health.2021.135045.

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Aldersey, Heather M., Ann P. Turnbull, and H. R. Turnbull. "Family Support in Kinshasa, Democratic Republic of the Congo." Journal of Policy and Practice in Intellectual Disabilities 13, no. 1 (March 2016): 23–32. http://dx.doi.org/10.1111/jppi.12143.

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Elongi, J. P., B. Tandu-Umba, B. Spitz, F. Verdonck, D. Kashitu, B. Buassa, and N. Dikamba. "Seasonal variations in hematocrit in Kinshasa, Democratic Republic of Congo." Médecine et Santé Tropicales 22, no. 1 (January 2012): 102–3. http://dx.doi.org/10.1684/mst.2012.0034.

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Aubin Ndjadi, Wembonyama Kasongo, Mukuku Olivier, Kanteng Gray A-Wakamb, Shongo Mick Ya-Pongombo, Mutombo André Kabamba, Tambwe Albert Mwembo-A-Nkoy, Ngwej Dieudonné Tshikwej, Wembonyama Stanis Okitotsho, and Luboya Oscar Numbi. "General practitioners’ knowledge, attitudes and practices on antibiotic prescribing for acute respiratory infections in children in Lubumbashi, Democratic Republic of Congo." Journal of Pulmonology and Respiratory Research 4, no. 1 (September 15, 2020): 011–17. http://dx.doi.org/10.29328/journal.jprr.1001015.

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Objective: To assess the knowledge, attitudes and practices declared among general practitioners (GPs) concerning the use of antibiotics for the treatment of ARI in children under 5 years in Lubumbashi. Methods: A cross-sectional survey was conducted to assess the level of knowledge, attitude and practices concerning antibiotic prescribing among 67 GPs working in the pediatric setting in various health structures in Lubumbashi city, in the Democratic Republic of Congo. Data were collected from April 1st to June 30th, 2020. Results: GPs had limited knowledge about antibiotic prescriptions (mean of 46% correct answers to 8 questions). Although they are generally concerned about antibiotic resistance (mean ± SD = 0.50 ± 0.68), and are unwilling to submit to pressure to prescribe antibiotics to meet patient demands and expectations (mean ± SD = –1.78 ± 0.31) and the requirements to prescribe antibiotics for fear of losing patients (mean ± SD = –1.67 ± 0.47), there was a lack of motivation to change prescribing practices (mean ± SD = −0.37 ± 0.94) and strong agreement that they themselves should take responsibility for tackling antibiotic resistance (mean ± SD = 1.24 ± 0.74). Multiple linear regression results showed that higher knowledge scores were associated with less avoidance of responsibility when prescribing antibiotics (β = 0.919; p = 0.000). Conclusion: To curb the over-prescription of antibiotics, it is not enough to improve knowledge in itself. The lack of motivation of physicians to change must be addressed through a systematic approach. These data show the need for interventions that support the rational prescribing of antibiotics.

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Aldersey, Heather M., Grace L. Francis, Shana J. Haines, and Chun Yu Chiu. "Family Quality of Life in the Democratic Republic of the Congo." Journal of Policy and Practice in Intellectual Disabilities 14, no. 1 (December 23, 2016): 78–86. http://dx.doi.org/10.1111/jppi.12189.

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Kabinda Maotela, J., S. Y. Ramazani, P. Misingi, and M. Dramaix-Wilmet. "Blood transfusion in the Democratic Republic of Congo: efforts and challenges." Médecine et Santé Tropicales 25, no. 4 (October 2015): 342–49. http://dx.doi.org/10.1684/mst.2015.0487.

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Kitronza, Panda Lukongo, and Philippe Mairiaux. "Occupational Stress among Textile Workers in the Democratic Republic of Congo." Tropical Medicine and Health 43, no. 4 (2015): 223–31. http://dx.doi.org/10.2149/tmh.2015-24.

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Sikangula, Ibangye, C. M. E. Nyankunde, and Philip B. Wood. "A series of 32 prostatectomies in the Democratic Republic of Congo." Tropical Doctor 37, no. 3 (July 1, 2007): 173–75. http://dx.doi.org/10.1258/004947507781524863.

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Abdominal prostatectomy is viewed with some trepidation in Africa due to the possible postoperative complications. A plea is made in this paper to remove the prostate under direct vision by a retropubic route rather than by attempting a blind suprapubic (transvesical) procedure. A series of 32 retropubic prostatectomies is reviewed.

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Olin, John, Jacques Kokolamami, Francois B. Lepira, Kashamuka Mwandagalirwa, Bavon Mupenda, Michel Lubaki Ndongala, Suzanne Maman, Robert Bollinger, Jean Nachega, and John Mokili. "Community preparedness for HIV vaccine trials in the Democratic Republic of Congo." Culture, Health & Sexuality 8, no. 6 (November 2006): 529–44. http://dx.doi.org/10.1080/13691050600888434.

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Aerssens, Annelies, Daniel De Vos, Jean-Paul Pirnay, Cedric Yansouni, Joannes Clerinx, Alfons Van Gompel, and Patrick Soentjens. "Schistosomiasis in Belgian Military Personnel Returning From the Democratic Republic of Congo." Military Medicine 176, no. 11 (November 2011): 1341–46. http://dx.doi.org/10.7205/milmed-d-11-00023.

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Mumba, Dieudonne, Elaine Bohorquez, Jane Messina, Victor Kande, Steven M. Taylor, Antoinette K. Tshefu, Jeremie Muwonga, et al. "Prevalence of Human African Trypanosomiasis in the Democratic Republic of the Congo." PLoS Neglected Tropical Diseases 5, no. 8 (August 2, 2011): e1246. http://dx.doi.org/10.1371/journal.pntd.0001246.

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André, Emmanuel, Olivier Rusumba, Carlton A. Evans, Philippe Ngongo, Pasteur Sanduku, Marhegane Munguakonkwa Elvis, Habimana Ndwanyi Celestin, et al. "Patient-led active tuberculosis case-finding in the Democratic Republic of the Congo." Bulletin of the World Health Organization 96, no. 8 (June 4, 2018): 522–30. http://dx.doi.org/10.2471/blt.17.203968.

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Doocy, Shannon, Jillian Emerson, Elizabeth Colantouni, Johnathan Strong, Kimberly Amundson-Mansen, and Joseph Menakuntuala. "Evaluating interventions to improve child nutrition in Eastern Democratic Republic of Congo." Public Health Nutrition 22, no. 1 (December 6, 2018): 3–14. http://dx.doi.org/10.1017/s1368980018002859.

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AbstractObjectiveThe prevention of malnutrition in children under two approach (PM2A), women’s empowerment and agricultural interventions have not been widely evaluated in relation to child diet and nutrition outcomes. The present study evaluated the effectiveness of PM2A, women’s empowerment groups (WEG), farmer field schools (FFS) and farmer-to-farmer training (F2F).DesignCommunity-matched quasi-experimental design; outcome measures included children’s dietary diversity, stunting and underweight.SettingCommunities in South Kivu, Democratic Republic of the Congo.ParticipantsA total of 1312 children from 1113 households.ResultsAchievement of minimum dietary diversity ranged from 22·9 to 39·7 % and was significantly greater in the PM2A and FFS groups (P<0·05 for both comparisons). Fewer than 7·6 and 5·8 % of children in any group met minimum meal frequency and acceptable diet targets; only the PM2A group differed significantly from controls (P<0·05 for both comparisons). The endline stunting prevalence ranged from 54·7 % (PM2A) to 69·1 % (F2F) and underweight prevalence from 22·3 % (FFS) to 34·4 % (F2F). No significant differences were found between intervention groups and controls for nutrition measures; however, lower prevalences of stunting (PM2A, −4 %) and underweight (PM2A and FFS, −7 %) suggest potential impact on nutrition outcomes.ConclusionsChildren in the PM2A and FFS groups had better child diet measures and nutrition outcomes with the best results among PM2A beneficiaries. Interventions that address multiple aspects nutrition education, health, ration provision and income generation may be more effective in improving child diet and nutrition in resource-poor settings than stand-alone approaches.

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Lunguya, Octavie, Marie-France Phoba, Steve Ahuka Mundeke, Edmonde Bonebe, Pierre Mukadi, Jean-Jacques Muyembe, Jan Verhaegen, and Jan Jacobs. "The diagnosis of typhoid fever in the Democratic Republic of the Congo." Transactions of the Royal Society of Tropical Medicine and Hygiene 106, no. 6 (June 2012): 348–55. http://dx.doi.org/10.1016/j.trstmh.2012.03.006.

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Mugisho, E., M. Dramaix, D. Porignon, J.-B. Mouafo, A.-M. Vanbellinghen, P. Hennart, and S. Meuris. "Ineffectiveness of Chloroquine Antenatal Prophylaxis in East of Democratic Republic of Congo (RDC)." Tropical Doctor 33, no. 3 (July 2003): 177–78. http://dx.doi.org/10.1177/004947550303300323.

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Hasker, Epco, Pascal Lutumba, François Chappuis, Victor Kande, Julien Potet, Anja De Weggheleire, Charles Kambo, Evelyn Depoortere, Bernard Pécoul, and Marleen Boelaert. "Human African Trypanosomiasis in the Democratic Republic of the Congo: A Looming Emergency?" PLoS Neglected Tropical Diseases 6, no. 12 (December 13, 2012): e1950. http://dx.doi.org/10.1371/journal.pntd.0001950.

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Kimoni, Glorieux Bikyeombe, Faustin Kasereka Kisenge, and Ahuka Ona Longombe. "Epidemiological and Clinical Characteristics of Goiter Operated Patients in Kisangani (Democratic Republic of Congo)." Journal of Medical Research 6, no. 6 (December 30, 2020): 299–301. http://dx.doi.org/10.31254/jmr.2020.6609.

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Goiter is a real public health problem in the world and particularly in the Democratic Republic of Congo (DR Congo). We conducted this study with the aim of studying goiter in order to identify the profile of patients with goiter surgery. Materials and methods: We report a retrospective study, documentary analysis spread over 2 years, from January 1, 2018 to December 31, 2019, on 52 cases of goiter scheduled and operated in the surgical department of the Millennium Polyclinic in Kisangani, DR Congo. The data were encoded in the Excel file and grouped together in the form of tables then analyzed after percentage calculation. Results: Surgical goiter is a disease with a significant frequency in our environment. Most of the operated patients were female with 90.3% and came from the urban area in Kisangani with 34 cases or 65.3%. The clinic was marked by left and right lobar goiter as well as dysphonia and dysphagia as a symptom of compression. Conclusion: Goiter is still a serious public health problem in the Democratic Republic of Congo. The majority of patients have large, old goiter with noticeable respiratory symptoms.

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Julie, Ndayi Kabamba, Ilunga Kandolo Simon, Kabange Umba Irène, Matungulu Matungulu Charles, Abdulu Mahuridi, Mwinkeu Kasongo Narcisse, and Malonga Kaj Francoise. "Barriers to the Implementation of the Nursing Approach in Public Hospitals in Lubumbashi in the Democratic Republic of Congo: A Cross-Sectional Descriptive Study." OALib 04, no. 07 (2017): 1–14. http://dx.doi.org/10.4236/oalib.1103721.

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Trenholm, J. E., P. Olsson, and B. M. Ahlberg. "Battles on women's bodies: War, rape and traumatisation in eastern Democratic Republic of Congo." Global Public Health 6, no. 2 (September 28, 2009): 139–52. http://dx.doi.org/10.1080/17441690903212065.

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Masumbuko Claude, Kasereka, and Michael T. Hawkes. "Ebola crisis in Eastern Democratic Republic of Congo: student-led community engagement." Pathogens and Global Health 114, no. 4 (April 18, 2020): 218–23. http://dx.doi.org/10.1080/20477724.2020.1754654.

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Mukwege, Denis Mukengere, Olaa Mohamed-Ahmed, and Joseph R. Fitchett. "Rape as a strategy of war in the Democratic Republic of the Congo." International Health 2, no. 3 (September 2010): 163–64. http://dx.doi.org/10.1016/j.inhe.2010.06.003.

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Khonde Kumbu, R., K. Mbanzulu Makola, and Lu Bin. "Prevalence ofSchistosoma mansoniInfection in Four Health Areas of Kisantu Health Zone, Democratic Republic of the Congo." Advances in Medicine 2016 (2016): 1–5. http://dx.doi.org/10.1155/2016/6596095.

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Background. Schistosomiasis is a public health problem in Democratic Republic of the Congo but estimates of its prevalence vary widely. The aim of this study was to determine prevalence ofSchistosoma mansoniinfection and associated risk factors among children in 4 health areas of Kisantu health zone.Methods. A cross-sectional study was carried out in 4 health areas of Kisantu health zone. 388 children randomly selected were screened forS. mansoniusing Kato Katz technique and the sociodemographic data was collected. Data were entered and encoded using software EpiData version 3.1. Analysis was performed using SPSS version 21 software.Results. The prevalence ofS. mansoniwas 26.5% (103); almost two-thirds (63) (61.2%) had light infection intensity. A significant association was found betweenS. mansoniinfection and age (p=0.005), educational level (p=0.001), and practices of swimming/bathing (p<0.001) and using water from river/lake/stream for domestic use (p<0.001). Kipasa health area had high prevalence of schistosomiasis (64.6%) (64/99; 95% CI 54.4–74.0) compared to other health areas.Conclusion.Schistosoma mansoniinfection still remains a public health problem in these areas. There is a need to promote health education and promote behavioral changes in children towards schistosomiasis.

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Guo, Fuyu, Huayi Xiong, Xinran Qi, Rie Takesue, Siyu Zou, BM, Qiwei He, PhD, Eric Frasco, Hanyu Wang, and Kun Tang. "Maternal Health-Seeking Behavior and Associated Factors in the Democratic Republic of the Congo." Health Education & Behavior 48, no. 5 (May 21, 2021): 700–709. http://dx.doi.org/10.1177/10901981211010438.

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Maternal health-seeking behavior (MHSB) is crucial for maternal health. However, little is known about MHSB in the Democratic Republic of the Congo (DRC). This study aims to evaluate the situation and socioeconomic associates of MHSB in the DRC. Based on the responses of 8,360 participants in a nationally representative survey, we adopted a K-modes cluster analysis algorithm to categorize women into three groups (i.e., infrequent service-users, partial service-users, and full service-users) according to their recent MHSB. Multinomial logistic regression was applied to identify the associated predictors of MHSB. The results show that most women (90.29%) did not receive integral maternal health services, including antenatal care, institutional delivery, and postnatal care. Compared with their counterparts, women who received higher maternal educational attainment, had good HIV-related knowledge, lived in urban regions, and lived in wealthier households were more likely to be partial service-users or full service-users. Women exposed to mass media at least once a week were more likely to be full service-users rather than infrequent service-users. The majority of participants who lived in Kasai and near provinces were infrequent service-users, indicating poor MHSB status in the region. Interventions to promote maternal health knowledge and awareness are highly recommended to improve MHSB in the DRC.

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Mbusa Kambale, R., Y. Balibuno, N. Isia Francisca, J. Bwija Kasengi, G. Fatuma Mayele, and B. Mungo Masumbuko. "Traditional uvulectomy, a common practice in South Kivu in the Democratic Republic of Congo." Médecine et Santé Tropicales 28, no. 2 (April 2018): 176–81. http://dx.doi.org/10.1684/mst.2018.0779.

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Brainard, Julii, Rob D’hondt, Engy Ali, Rafael Van den Bergh, Anja De Weggheleire, Yves Baudot, Frederic Patigny, et al. "Typhoid fever outbreak in the Democratic Republic of Congo: Case control and ecological study." PLOS Neglected Tropical Diseases 12, no. 10 (October 3, 2018): e0006795. http://dx.doi.org/10.1371/journal.pntd.0006795.

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Martinot, Amanda, Annelies Van Rie, Sabue Mulangu, Marie Mbulula, Nikki Jarrett, Frieda Behets, Valentin Bola, and Etienne Bahati. "Baseline assessment of collaborative tuberculosis/HIV activities in Kinshasa, the Democratic Republic of Congo." Tropical Doctor 38, no. 3 (July 2008): 137–41. http://dx.doi.org/10.1258/td.2007.070063.

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Beese, Daniel, and Gail Beckett. "Ebola virus disease: are you up to date?" Practice Nursing 30, no. 12 (December 2, 2019): 572–77. http://dx.doi.org/10.12968/pnur.2019.30.12.572.

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While the risk of seeing cases of Ebola in general practice in the UK remains low, Daniel Beese and Gail Beckett explain the importance of keeping up to date with what to do in light of the recent disease outbreak in the Democratic Republic of Congo In July 2019, an outbreak of Ebola in the Democratic Republic of Congo was declared a Public Health Emergency of International Concern by the World Health Organization. During the last major outbreak, only a few patients with Ebola were cared for by the NHS, but media interest was high and public anxiety widespread. The fear of infection saw much time and effort put into developing a plethora of guidance, policies and protocols to prevent and control any potential risk of spread. As it is now 4 years since the last outbreak, it is an opportune time to review response arrangements.

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Casey, Sara E., Meghan C. Gallagher, Babou Rukengeza Makanda, Janet L. Meyers, Mereia Cano Vinas, and Judy Austin. "Care-Seeking Behavior by Survivors of Sexual Assault in the Democratic Republic of the Congo." American Journal of Public Health 101, no. 6 (June 2011): 1054–55. http://dx.doi.org/10.2105/ajph.2010.300045.

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Dijkzeul, D., and C. A. Lynch. "NGO management and health care financing approaches in the Eastern Democratic Republic of the Congo." Global Public Health 1, no. 2 (June 2006): 157–72. http://dx.doi.org/10.1080/17441690600658792.

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Coghlan, Benjamin, Pascal Ngoy, Flavien Mulumba, Colleen Hardy, Valerie Nkamgang Bemo, Tony Stewart, Jennifer Lewis, and Richard J. Brennan. "Update on Mortality in the Democratic Republic of Congo: Results From a Third Nationwide Survey." Disaster Medicine and Public Health Preparedness 3, no. 2 (June 2009): 88–96. http://dx.doi.org/10.1097/dmp.0b013e3181a6e952.

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ABSTRACTBackground: The humanitarian crisis in the Democratic Republic of Congo (DRC) has been among the world’s deadliest in recent decades. We conducted our third nationwide survey to examine trends in mortality rates during a period of changing political, security, and humanitarian conditions.Methods: We used a 3-stage, household-based cluster sampling technique to compare east and west DRC. Sixteen east health zones and 15 west zones were selected with a probability proportional to population size. Four east zones were purposely selected to allow historical comparisons. The 20 smallest population units were sampled in each zone, 20 households in each unit. The number and distribution of households determined whether they were selected using systematic random or random walk sampling. Respondents were asked about deaths of household members during the recall period: January 2006–April 2007.Findings: In all, 14,000 households were visited. The national crude mortality rate of 2.2 deaths per 1000 population per month (95% confidence interval [CI] 2.1–2.3) is almost 70% higher than that documented for DRC in the 1984 census (1.3) and is unchanged since 2004. A small but significant decrease in mortality since 2004 in the insecure east (rate ratio: 0.96, P = .026) was offset by increases in the western provinces and a transition area in the center of the country. Nonetheless, the crude mortality rate in the insecure east (2.6) remains significantly higher than in the other regions (2.0 and 2.1, respectively). Deaths from violence have declined since 2004 (rate ratio 0.7, P = .02).Conclusions: More than 4 years after the official end of war, the crude mortality rate remains elevated across DRC. Slight but significant improvements in mortality in the insecure east coincided temporally with recent progress on security, humanitarian, and political fronts. (Disaster Med Public Health Preparedness. 2009;3:88–96)

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Tuakuila, J., D. Lison, A. C. Lantin, F. Mbuyi, G. Deumer, V. Haufroid, and P. Hoet. "Worrying exposure to trace elements in the population of Kinshasa, Democratic Republic of Congo (DRC)." International Archives of Occupational and Environmental Health 85, no. 8 (January 24, 2012): 927–39. http://dx.doi.org/10.1007/s00420-012-0733-0.

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Coulborn, R. M., F. Nackers, C. Bachy, K. Porten, H. Vochten, E. Ndele, M. Van Herp, E. Bibala-Faray, S. Cohuet, and I. Panunzi. "Field challenges to measles elimination in the Democratic Republic of the Congo." Vaccine 38, no. 13 (March 2020): 2800–2807. http://dx.doi.org/10.1016/j.vaccine.2020.02.029.

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Adhikari, Tara Ballav, Pawan Acharya, Anupa Rijal, Mala Ali Mapatano, and Arja R. Aro. "Correlates of mistimed and unwanted pregnancy among women in the Democratic Republic of Congo." Journal of Biosocial Science 52, no. 3 (August 14, 2019): 382–99. http://dx.doi.org/10.1017/s0021932019000518.

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AbstractUnwanted and mistimed pregnancies impose threats on the health and well-being of the mother and child and limit the acquisition of optimal sexual and reproductive health services, especially in resource-constrained settings like the Democratic Republic of Congo (DRC). This study aimed to determine the prevalence and correlates of mistimed and unwanted pregnancies among women in the DRC. Data were drawn from the 2013–14 DRC Demographic Health Survey (EDS-RDC II). Bivariate and multivariate logistic regression analysis was performed to identify correlates of mistimed and unwanted pregnancies. Sequential logistic regression modelling including distal (place of residence), intermediate (socio-demographic and socioeconomic factors) and proximal (reproductive health and family planning) factors was performed using multivariate analysis. More than a quarter (28%) of pregnancies were reported as unintended (23% mistimed and 5% unwanted). Women who wanted no more children (aOR 1.21; CI: 1.01, 1.44) had less than 24 months of birth spacing (aOR 2.14; CI: 1.80, 2.54) and those who intended to use a family planning method (aOR 1.24; CI: 1.01, 1.52) reported more often that their last pregnancy was mistimed. Women with five or more children (aOR 2.13; CI: 1.30, 3.49), those wanting no more children (aOR 13.07; CI: 9.59, 17.81) and those with more than 48 months of birth spacing (aOR 2.31; CI: 1.26, 4.23) were more likely to report their last pregnancy as unwanted. The high rate of unintended pregnancies in the DRC shows the urgency to act on the fertility behaviour of women. The associated intermediate factors for mistimed and unwanted pregnancy indicate the need to accelerate family planning programmes, particularly for women of high parity and those who want no more children. Likewise, health promotion measures at the grassroots level to ensure women’s empowerment and increase women’s autonomy in health care are necessary to address the social factors associated with mistimed pregnancy.

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Williams, John T., Achim Mambu Vangu, Habib Balu Mabiala, Honore Bambi Mangungulu, and Elizabeth K. Tissingh. "Toxicity in the supply chain: cobalt, orthopaedics, and the Democratic Republic of the Congo." Lancet Planetary Health 5, no. 6 (June 2021): e327-e328. http://dx.doi.org/10.1016/s2542-5196(21)00057-7.

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