Facteurs d'adhésion et utilisation des Mutuelles de Santé (MS) : région Ziguinchor au Sénégal.

AIM: The purpose of this article is to identify, the factors that would explain the adherence and use of MS and make recommendations for actions that would encourage the population to adhere more at the MS in the Ziguinchor region in Senegal. METHOD: The sample was concerned by 392 patients selected by the quota method in the hospitals of the region. The data were processed and analyzed by the sphinx and stata software through the logistic regression method. RESULTS: The factors that would explain the adherence and use of MS in the study area were: perception, the presence of an elderly person in the household, confidence in MS, household size and the pyramid medical institution.

[Membership factors and use of mutual health insurance in the Ziguinchor region of Senegal]. / Facteurs d'adhésion et utilisation des Mutuelles de Santé (MS) : région Ziguinchor au Sénégal.

AIM: The purpose of this article is to identify, the factors that would explain the adherence and use of MS and make recommendations for actions that would encourage the population to adhere more at the MS in the Ziguinchor region in Senegal. METHOD: The sample was concerned by 392 patients selected by the quota method in the hospitals of the region. The data were processed and analyzed by the sphinx and stata software through the logistic regression method. RESULTS: The factors that would explain the adherence and use of MS in the study area were: perception, the presence of an elderly person in the household, confidence in MS, household size and the pyramid medical institution.

[Sesame Health Programme at Senegal: Limitations of this free healthcare model]. / Plan Sésame au Sénégal : limites de ce modèle de gratuité.

INTRODUCTION: Up until now, elderly people have experienced medical management difficulties despite the free care provided by the Sesame Health Programme. The objective of this study was to determine the costs borne by beneficiaries and/or their families and to evaluate these costs in relation to overall management. This comprehensive, cross-sectional, quantitative study was conducted from 21 February to 21 March 2011 in the Ouakam gerontology centre. METHODS: Epi Info Version 6 software was used for data analysis. The study population was composed of 203 patients with a mean age of 68 years, with 59% of women and 63% of retired subjects. The most common diseases were hypertension (52%), cataract (16%), and osteoarthritis (12%). RESULTS: The beneficiaries healthcare costs were covered by the Sesame Health Programme, apart from most of the drugs used to treat chronic diseases, which remained at the charge of patients and/or their families. The overall mean cost of monthly management of the diseases detected in elderly people was estimated to be CFA 37,700, a large share of which (65%) was supported by the patient and/or the family corresponding to the purchase of these drugs. Other dysfunctions were also observed, particularly the difficulty of targeting beneficiaries, generic stock shortages, absence of generics for the treatment of chronic diseases. CONCLUSION: Recommendations are formulated to improve implementation of the Sesame Health Programme.

[Factors associated with the practice of exclusive breastfeeding among mothers of children aged 6 to 12 months in Kaolack (Senegal)]. / Facteurs associés à la pratique de l´allaitement maternel exclusif chez les mères d´enfants âgés de 6 à 12 mois dans la commune de Kaolack (Sénégal).

Introduction: the World Health Organization (WHO) recommends immediate and exclusive breastfeeding in order to reduce malnutrition and neonatal mortality. The purpose of this study was to determine the prevalence of exclusive breastfeeding (EBF) and to identify its associated factors among mothers of children aged 6 to 12 months in Kaolack. Method: we conducted a cross-sectional descriptive and analytical study. The study was conducted from July 8th, 2020 to February 8th, 2021. Multivariate analysis was performed using the logistic regression model. The target population consisted of mothers of children aged 6 to 12 months residing in the city of Kaolack and met during vaccination sessions. Results: a total of 400 women were enrolled in the study. Among them, 51.8% practiced EBF according to the WHO recommendations. The average age of mothers was 27.42 years; 56.3% were housewives and 82.7% have done at least 4 antenatal care (ANC). Logistic regression showed an association between EBF and the following factors: age < 25 years (OR=2.03 CI 95% [1.23-3.36]), receiving advice on EBF during ANCs (OR=2.92 CI 95% [1.70-5.01]), receiving advice on EBF during postnatal care (PNC) (OR=4.33 CI 95% [2.51-7.45]), the permanent presence of mother with her baby (OR=3.97 CI 95% [1.99-7.91]), and a good knowledge of EBF (OR=4.54 CI 95% [1.96-10.51]). Conclusion: these modifiable factors can help improve the practice of EBF in the city of Kaolack.

[Study Of The Availability Of Medicine For Childhood In Senegal]. / Etude De La Disponibilite Des Medicaments Utilises Dans La Prise En Charge Therapeutique Des Enfants Ages De Moins De 5 Ans Dans La Region De Dakar Au Senegal.

INTRODUCTION: In Senegal, the main causes of death are the pneumonia, the diarrhea and the malaria. The malnutrition is an underlying factor in more than a third of the deaths, because it returns the more vulnerable children to the serious illnesses. The general objective of this research is to study the availability and the price of medicine in the therapeutic care of the children of less than 5 years old in the region of Dakar in Senegal. METHODOLOGY: Our study is of transverse, descriptive concerned the public sanitary, the wholesalers, the private pharmacies, The population of study concerns the old children at least of 5ans. The methods used were the interviews by means of questionnaire. RESULTS: The group of antibiotics, acid anti, antidotes, vitamins, diuretics, antiemetic's, and psychotropic were not available. As regards generic medicines, relatively low availability of 30,4 %, 23,8 % and 16,7 % is respectively observed in the public, private and denominational sectors. The availability of generic medicines in Dakar was from 81 % in the public sector and from 113 % in the private sector. CONCLUSION: The findings make it imperative for all other relevant medicine drugs in order to reduce the mortality rate.

INTRODUCTION: Au Sénégal, les principales causes de mortalitéchez les enfants de moins de 5ans sont la pneumonie, la diarrhée et le paludisme. La malnutrition est un facteur sous-jacent dans plus d'un tiers des décès, car elle rend les enfants plus vulnérables aux maladies graves. MÉTHODE: Notre étude est de type transversal, descriptif et a porté sur les formations sanitaires publiques les grossistes, les pharmacies privées, L'objectif général de cette recherche est d'étudier la disponibilité et le prix des médicaments dans la prise en charge thérapeutique des enfants âgés de moins de 5 ans dans la région de Dakar au Sénégal. La méthode utilisée était des questionnaires et entrevues. RÉSULTATS: Le groupe des antibiotiques, des anti acides, des antidotes, des vitamines, des diurétiques, des antiémétiques et des psychotropes n'étaient pas disponibles. Concernant les médicaments génériques, des disponibilités relativement faibles de 30,4 %, 23,8% et 16,7% sont respectivement observées dans les secteurs public, privé et confessionnel. La disponibilité des médicaments génériques à Dakar était de 81% dans le secteur public et de 113% dans le secteur privé. CONCLUSION: Les résultats prouvent l'impérieuse nécessité de rendre disponibles les médicaments pédiatriques si nous voulons réduire la mortalité des enfants de moins de 5ans.

Communicable and non-communicable disease risks at the Grand Magal of Touba: The largest mass gathering in Senegal.

BACKGROUND: An estimated 4-5 million individuals gather each year in the holy city of Touba, Senegal during the Grand Magal religious pilgrimage. Pilgrims come from across Senegal and the surrounding countries, as well as from countries outside Africa. It is the largest mass gathering (MG) of the Mouride community and the largest Muslim religious MG in West Africa. METHOD: A cross-sectional study was conducted on all patients who attended a public healthcare structure during the November 2015 Grand Magal. RESULT: Data were collected on a total of 32,229 healthcare contacts. The most frequent reasons for consultation were trauma, followed by fatigue and heatstroke. Infectious diseases were also prevalent with, notably, a high rate of febrile systemic illnesses and malaria, diarrheal diseases, and respiratory tract infections. Such results are likely to be linked to overcrowding and climatic conditions, the relative lack of sanitary facilities, and limited medical resources available during the event. CONCLUSION: The context of the Grand Magal MG is unique, given its location in a tropical developing country and its international component which may favor the globalization of locally endemic diseases. As such, it warrants investment in modern methods for public health surveillance and planning of the event.

[Living the aging in Senegal Perceptions/representations and coping strategies of persons of age three: results of investigations retrospective]. / Vivre le vieillissement au Sénégal Perceptions/représentations et stratégies d'adaptation des personnes du troisième âge : résultats d'enquêtes rétrospectives.

In Senegal, due to the young age of the population (60%) the concerns of the old tend to be put in the background. And yet, problems related to old age are a reality. These problems come up not in terms of demography (the old represent only 4.7% of the population), but in terms of the breaking-up of the social fabric, urbanization and the dismantling of the solidarity and poverty networks. This work is based on a collection of qualitative data from three studies conducted between 2008 and 2011 with the elderly to assess their real- life experiences, their perception of aging, their challenges and coping strategies. The results showed a transformation in the role and status of the old; this transformation being caused by social and society-related mutations. As a result, the inter-generation solidarity links have much loosened in the urban areas making the old people more vulnerable (in economic, social, health terms), especially those in charge of a family. The situation has been made worse by the unemployment affecting their offspring. In addition, the old people, who are often suffering from chronic diseases, find it hard to take charge of their medical expenses, despite the institution of the National Sesame Health Plan for the old or free health care policy. This has made them even more vulnerable. Yet before this precarious situation, the elderly develop strategies to cope with difficulties. Some recommendations have been made with a view to improving their lives and socioeconomic condition.