[Leprosy epidemiology in Daoukro health district (Côte d'Ivoire) from 1999 to 2017]. / Épidémiologie de la lèpre dans le district sanitaire de Daoukro (Côte d'Ivoire) de 1999 à 2017.

Introduction: Leprosy is a real problem in the Daoukro health district despite the actions of the National programme for elimination. Objective: To describe the epidemiological and clinical profile of new leprosy cases in the Daoukro health district from 1999 to 2017. Method: Descriptive survey including leprosy patients admitted to the dermato-leprology department from 1999 to 2017. Results: From 1999 to 2017, the incidence of leprosy fluctuated from 4.4 to 0 per 100,000 with a peak of 14.2 in 2003. In 2016 and 2017 no cases of leprosy were reported. The mean age was 36.8 years (SD=20). A majority of cases were uneducated and living in rural areas. Females and children under 15 years of age accounted for 53% and 16% of cases respectively. Clinically, cutaneous signs were predominant in the patients. The multibacillary form accounted for 82%. Nearly 1 out of 4 patients had a grade 2 disability (24%). All patients received treatment (multidrug therapy). Among them, 83.8% were cured, while 0.5% were not cured. In addition, regarding 29 patients (15.7%) details of how their disease progressed were not available. Among the patients declared cured, 26% had sequels. Conclusion: Leprosy control activities must be strengthened in order to maintain the achievements in this non-endemic district.

Déterminants du recours au test de dépistage du VIH chez les femmes en âge de procréer au Burundi.

INTRODUCTION: In sub-Saharan Africa, particularly in Burundi, uptake of HIV testing, which is fundamental to initiating treatment is relatively low. The present study aims to identify the individual and contextual determinants related to the uptake of HIV testing among women of childbearing age in this country. MATERIALS AND METHODS: This was an analysis of secondary data from Burundi's 2016-2017 demographic and health surveys. Our target population was women aged 15 to 49. Data were analyzed with the software stata 15.1. In bivariate analysis, the chi-square test and simple logistic regression allowed us to identify the candidate variables for modeling at the 20% threshold. Multilevel binary logistic regression made it possible to identify the individual and contextual determinants of the uptake of HIV / AIDS testing in these women. RESULTS: Out of a total of 8,537 women included in this study, 17.63% were between 15 and 24 years old, 46.44% between 25 and 34 and 35.93% between 35 and 49. The individual determinants of uptaking HIV testing were age, level of education, parity, marital status, decision-making power, and frequency of radio listening. Note that 1.36% of the use of the HIV testing was attributable to the region and the place of residence was an important variable of the context. CONCLUSION: This analysis of population data from DHS surveys in Burundi made it possible to identify the individual and contextual determinants influencing the uptake of HIV testing in Burundi. Further qualitative research should also address the contextual barriers that influence the uptake of screening.

[Predictors Of The Use Of Prenatal Care Among Women Who Have Given Birth In Burundi: A Multilevel Analysis]. / Predicteurs Du Recours Aux Soins Prenataux Chez Les Femmes Ayant Accouchees Au Burundi : Une Analyse Multiniveau.

OBJECTIVE: Identify the predictors of the use of antenatal care in Burundi. DATA AND METHODS: This were an analysis of secondary data from the 2016 - 2017 demographic and health surveys in Burundi. The survey population was women who gave birth in the last five (05) years prior to the survey and gave their informed consent. Our sample consisted of 7,372 women. The data were analyzed with Stata 15.1 software. In bivariate analysis, the Chi-2 test, and simple logistic regression allowed us to identify the candidate variables for modelling at the 20% threshold. Multilevel ordinal logistic regression identified individual and contextual predictors of prenatal care use. RESULTS: The use of antenatal care by women who gave birth in Burundi was influenced by the area of residence (rural area : OR=1.25; 95% CI [1.05 - 1.49]), level of education (secondary level: OR=1.36; 95% CI [1.12 - 1.65]), parity (OR=0.77; 95% CI [0.68 - 0.87]), HIV transmission during pregnancy (OR=1.22; 95% CI [1.06 - 1.41]) and internet use frequency (OR=1.60; 95% CI [1.16 - 2.20]). The intraclass correlation coefficient was (Ii 3 = 0.0050083). CONCLUSION: Consideration of these determinants in the development of strategies to improve antenatal care utilization is necessary.

OBJECTIF: Identifier les facteurs prédictifs du recours aux soins prénatals au Burundi. DONNÉES ET MÉTHODES: Il s'agissait d'une analyse de données secondaires provenant des enquêtes de démographie et de santé 2016 ­ 2017 du Burundi. Notre échantillon était constitué de 7372 femmes. Les données ont été analysées avec le logiciel stata 15.1. La régression logistique ordinale multiniveau a permis d'identifier les prédicteurs individuels et contextuels du recours aux soins prénatals. RÉSULTATS: Le recours aux soins prénataux par les femmes ayant accouché au Burundi était influencé par le milieu de résidence (milieu rural : OR=1.25 ; IC 95% [1.05 ­ 1.49]), le niveau d'éducation (niveau secondaire : OR=1.36 ; IC 95% [1.12 ­ 1.65]), la parité (OR=0.77 ; IC 95% [0.68 ­ 0.87]), la transmission du VIH pendant la grossesse (OR=1.22 ; IC 95% [1.06 ­ 1.41]) et la fréquence d'utilisation de l'internet (OR=1.60 ; IC 95% [1.16 ­ 2.20]). Le coefficient de corrélation intraclasse était (Ii 3 = 0.0050083). CONCLUSION: La prise en compte de ces déterminants dans l'élaboration des stratégies d'amélioration de l'utilisation des soins prénataux s'avère nécessaire.

[Urban alcohol consumption among secondary school students in Côte d'Ivoire]. / Consommation d'alcool en milieu urbain chez les élèves du secondaire en Côte d'Ivoire.

INTRODUCTION: Alcohol consumption is both a health and social risk factor. Few studies have been conducted on alcohol use among students in Côte d'Ivoire. This study was designed to determine factors associated with alcohol consumption among secondary school students in Côte d'Ivoire. METHODS: A cross-sectional study was conducted in May 2011 among public secondary school students in Abidjan. One class for each year of study was randomly selected. Multivariate analysis was conducted between alcohol consumption and independent variables. RESULTS: A total of 316 students participated in the survey. The mean age (SD) of the study population was 16.1 (2.7) years. One hundred and fourteen respondents (36.1%) reported having already drunk alcohol. Age of first alcohol consumption was 10-14 years among girls (48.8%) and 15-19 years among boys (49.3%). Multivariate logistic regression identified the following factors associated with alcohol use among students: Christian religion, more pocket money, living with parents who drink alcohol and the student's perception of alcohol as a refreshing drink or having an antidepressant effect. CONCLUSION: In the light of the determinants of alcohol consumption and the students'suggestions in our study, it appears essential to involve students in actions concerning alcohol abuse.