Assessing the Integrated Community-Based Health Systems Strengthening initiative in northern Togo: a pragmatic effectiveness-implementation study protocol.

Background: Over the past decade, prevalence of maternal and child morbidity and mortality in Togo, particularly in the northern regions, has remained high despite global progress. The causes of under-five child mortality in Togo are diseases with effective and low-cost prevention and/or treatment strategies, including malaria, acute lower respiratory infections, and diarrheal diseases. While Togo has a national strategy for implementing the integrated management of childhood illness (IMCI) guidelines, including a policy on integrated community case management (iCCM), challenges in implementation and low public sector health service utilization persist.

Tuberculosis in children in Togo: epidemiology, diagnosis, treatment, and outcome.

Introduction: Tuberculosis (TB) remains one of the most lethal communicable diseases in the world, according to the World Health Organization (WHO). New strategies must be implemented to meet targets for 2035.

Objective: Describe the epidemiological and therapeutic aspects of tuberculosis in children in Togo.

[Follow-up of HIV-infected children receiving antiretroviral therapy in a rural area of Togo].

Objective: To evaluate the monitoring of HIV-infected children receiving antiretroviral therapy in rural areas of Togo and the effectiveness of the treatment.

Methods: This retrospective descriptive study, conducted at the Luis Scrosospi Center in Kouvé from 15 November, 2008, through 14 November, 2009, examined the records of children who had been receiving antiretroviral therapy for at least 6 months.

Results: We studied the records of 55 children.

[Evaluation of the glycemia of low-weight newborns within the 24th hour of life at Lomé University Hospital (Togo)].

Objective: To assess the glycemia of low-weight newborns (LWNBs) during their first 24h of life as well as their mother's glycemia.

Patients And Method: This was a cross-sectional prospective study within a case-control group, conducted at Lomé University Hospital (nationwide main hospital) from January to May 2006. One hundred thirty-nine LWNBs and 150 eutrophic term newborns (ETNBs), 98 mothers of LWNBs (MLWNBs), and 145 mothers of ETNBs (METNBs) were screened and monitored on glycemia dosage.

[Primary results of antiretroviral treatment among HIV/AIDS infected children in Lomé (Togo)].

Unlabelled: Since 2004 in Togo HIV/AIDS infected children have, free of charge, access to antiretroviral drugs according to the national program. The aim of this study was to investigate the clinical, biological and prognosis aspects of anti-retroviral treatment on HIV/AIDS infected children.

Patients And Method: We conducted a cross sectional study on 72 HIV/AIDS infected children with anti-retroviral treatment, under the supervision of clinicians within 3 associations specialized in the management of subjects infected by HIV/SIDA at Lomé (Togo).

[Genital bacterial carriage during the last trimester of pregnancy and early-onset neonatal sepsis].

Unlabelled: Bacterial infections remain a major cause of morbidity and mortality in newborn infants.

Objective: To determine the bacterial ecology and pathological status of the genital organs during the last trimester of pregnancy and the germs of the following early-onset neonatal sepsis, in order to evaluate the risk of materno-foetal infections and to find out a drug prophylaxis.

Method: Vaginal and endocervical samples, usually taken during the first trimester of pregnancy were delayed and taken during the last trimester of pregnancy.

[Comparative study of neonatal bacterial meningitis in Lomé, Bobo-Dioulasso, Casablanca and Lyon].

Unlabelled: Bacterial meningitis in new-borns remains a serious event because of its high mortality and morbidity rates in Africa.

Objective: To identify the clinical and bacteriological epidemiology and the outcome of neonatal bacterial meningitis in three African cities.

Method: We have analysed and compared three hospital studies done in humid tropical, Sahelian, and desert Africa with a European study.

[Contraceptive methods used by young women in the township of Lomé (Togo)].

Despite intensive development of reproductive health services among Togolese youth over the past ten years, contraceptive prevalence remains low, particularly among young women. To help understand the reasons for the low rate of use of reproductive health services by young women (adolescents and young adults) and to assess prevalence of their contraceptive use in Lomé. In a cross-sectional study in the five precincts of Lomé township from March 08, 1999, to April 17, 1999, approximately 500 adolescent girls and young women (aged 10-24 years) were interviewed according to a semi-structured questionnaire.

[Bacterial flora in the genital tract the last trimester of pregnancy].

Unlabelled: Very widespread in our clinical setting, early-onset sepsis is due to organisms that commonly colonize or infect the maternal genital tract; identifying such organisms would help improve prevention and treatment.

Objective: To determine the bacterial ecology and the pathological status of the genital organs during the last trimester of pregnancy, in order to evaluate the risk of materno-fetal infections and to improve the present prophylactic measures based on monitoring bacterial carriage during the first trimester.

Method: Vaginal and endocervical samples, usually taken during the first trimester of pregnancy were delayed and taken during the last trimester of pregnancy, in patients with no signs of sepsis and not taking antibiotics.