RESUMO
The Democratic Republic of Congo (DRC) is the second most malarious country in the world, but little information is available on malaria control measures in pregnancy. We conducted a longitudinal study among 395 women pregnant with singletons in the Vanga and Mayoko health facilities, Vanga Health Zone, Kwilu Province. We recruited 406 pregnant women between April and October 2019. Malaria prevalence at recruitment was 18.8% in Vanga and 30.1% in Mayoko (difference p<0.01). At delivery, malaria prevalence in placental samples was 9.7% in Vanga and 17.7% in Mayoko (difference p=0.04). The overall prevalence of anemia (< 11 g/dl hemoglobin) in both sites was high at recruitment (68.8%) and at delivery (62.9%). Malaria infection rates in the mother were high but decreased between first ANC contact and delivery - from 24.2% to 13.6%. It is unclear whether regular use of ITNs and uptake of IPTp-SP have contributed to that decrease.
RESUMO
Training young doctors in family medicine is challenging in any setting and many variables can influence the success or failure of a residency program. This article is the end result of a collaborative work that started in June 2019 at the WONCA Africa Regional Conference in Kampala, during a workshop lead by the Besrour Centre for Global Family Medicine at the College of Family Physicians of Canada. We present here the perspective of a small group of young African family physicians on the experience of being a resident in family medicine in Africa in 2019, hoping that the picture we depict here helps to promote the necessary improvements in the training programs in Africa for the near future.
Formar novos médicos de família é um desafio em qualquer cenário e muitas variáveis podem influenciar o sucesso ou o fracasso de um programa de residência. Este artigo é o resultado final de um trabalho colaborativo iniciado em junho de 2019, na Conferência Regional WONCA África em Kampala, Uganda, durante um workshop liderado pelo Centro Besrour do Colégio Canadense de Medicina de Família. Apresentamos aqui a perspectiva de um pequeno grupo de jovens médicos de família africanos sobre a experiência de ser residente em medicina de família na África em 2019, esperando que a imagem que representamos aqui ajude a promover as melhorias necessárias nos programas de residência na África em um futuro próximo.
La formación de nuevos médicos de familia es un desafío en cualquier lugar y muchas variables pueden influir en el éxito o el fracaso de un programa de residencia. Este artículo es el resultado final del trabajo colaborativo iniciado en junio de 2019 en la Conferencia Regional de África WONCA en Kampala, Uganda, durante un taller dirigido por el Centro Besrour del Colegio Canadiense de Medicina Familiar. Presentamos aquí la perspectiva de un pequeño grupo de jóvenes médicos de familia africanos sobre la experiencia de ser residente en medicina familiar en África en 2019, con la esperanza de que la imagen que representamos aquí ayude a promover mejoras en los programas de residencia en África en un futuro próximo.
