Background: Skilled birth attendance during childbirth is known to promote better pregnancy outcomes as well as contribute to maternal and newborn survival. The study aimed to analyse the progress in the use of skilled birth attendance by pregnant women over the last two decades (2001 to 2017-2018) in Benin, and then to make projections to 2030.
Methods: A secondary analysis was made using Benin's Demographic and Health Survey (DHS) databases.
Schistosomes are parasitic diseases caused by flatworms (schistosomes or bilharzia), transmitted in the urine or in the faeces, and involving intermediate hosts (freshwater molluscs). Their recrudescence in endemic areas is no longer in question and remains a crucial public health problem in the world in general and in West Africa in particular. In order to eradicate bilharzia, many control strategies and policies have been implemented on both sides.
View Article and Find Full Text PDFRoad traffic accidents are the leading cause of death by trauma. Delays in in first aid due, inter alia, to the long time to transfer traffic accident victims to hospital and the lack of pre-hospital emergency care, contribute to the increase in hospital mortality. This study aims to analyse the referral conditions for severe road traffic injuries and to assess their effect on the occurrence of hospital deaths in Benin.
View Article and Find Full Text PDFJ Multidiscip Healthc
April 2022
Free movement between countries without a visa is allowed within the 15-country Economic Community of West African States (ECOWAS) region. However, little information is available across the region on the International Health Regulation (IHR 2005) capacities at points of entry (PoE) to detect and respond appropriately to public health emergencies such as Coronavirus Disease 2019 (COVID-19). ECOWAS and the member states can better tailor border health measures across the region by understanding public health strengths and priorities for improvement at PoEs.
View Article and Find Full Text PDFBased on recommendations from two consultative meetings held in Dakar, Senegal (2016) and Abuja, Nigeria (2017) the Economic Community of West African States (ECOWAS) implemented a Regional One Health Coordination Mechanism (R-OHCM). This study analyzed the process, challenges and gaps in operationalizing the R-OHCM in West Africa. We utilized a scoping review to assess five dimensions of the operation of an R-OHCM based on political commitment, institutional structure, management and coordination capacity, joint planning and implementation, as well as technical and financial resources.
View Article and Find Full Text PDFThe recycling of electronic waste (e-waste) contaminates ecosystems with metals, though a compilation of data from across sites worldwide is lacking, without which evidence-based comparisons and conclusions cannot be realized. As such, here, a systematic review of the literature was conducted to identify peer-reviewed studies concerning e-waste sites (published between 2005 and 2017) that reported on the concentration of heavy metals (Cd, Hg, As, Pb and Cr) in soil, water and sediment. From 3063 papers identified, 59 studies from 11 countries meeting predefined criteria were included.
View Article and Find Full Text PDFFront Public Health
May 2021
Study the prevalence and factors associated with the occurrence of surgical site infections in University Clinics of Trauma-Orthopedics, Reconstructive Surgery and Urology in a developing country. This was a retrospective descriptive and analytical study of 384 people operated on during the period of 2019. Logistic regression was used to study the factors associated with surgical site infections.
View Article and Find Full Text PDFBackground: In the large cities of Benin, motorcycle taxi drivers, mainly between the ages of 20 and 40, are particularly exposed to accidents due to their profession. User awareness, along with legislative reforms and enforcement measures, would reduce the incidence of crashes and injuries. This study aims to test the effectiveness of an awareness-raising model regarding helmet use for motorcycle taxi drivers.
View Article and Find Full Text PDFPurpose: The situation of road crashes-related deaths remains problematic in low-income countries. The present study aims at analyzing the first-aid knowledge and practices of professional motorcyclists (PMs) in the city of Cotonou in Benin.
Materials And Methods: This is a cross-sectional analytical study conducted from 25 March to 19 April 2019 in Cotonou and concerned PMs registered in a fleet who gave their consent to participate in the study.
The ability to prevent, promptly detect, and appropriately respond to a public health threat is essential for health security. Field epidemiology training has helped increase the quality and quantity of the public health workforce to strengthen disease surveillance, outbreak preparedness and response, and general public health capacity. We conducted a desk review on the status of the Field Epidemiology and Laboratory Training Program model in 16 countries in West Africa.
View Article and Find Full Text PDFIntroduction: The number of people living with dementia is growing worldwide and most rapidly in low- and middle-income countries. Little is known about dementia in Benin. We estimated the prevalence of dementia among retired people in Parakou, a northern city in Benin, and then assessed associated factors.
View Article and Find Full Text PDFBackground: Neurological disorders are some of the most disabling diseases. Epidemiological data on their incidence in Benin are scarce.
Objective: The prevalence of major neurological diseases among people older than 15 years was investigated in Titirou.
Objective: To study obesity prevalence and associated factors in sedentary activity users at the Dantokpa market, Cotonou.
Method: From October to November 2016, 460 subjects were selected by stratified survey. Anthropometric data and information regarding knowledge and practices of the subjects related to obesity were collected by a questionnaire.
Introduction: At the international level, further reflection on the role of community health workers is in progress. The objective of this work is to develop a model of the integration of community health workers in the National Health System.
Method: The study was conducted in Benin and Togo.
Introduction: Performance-based financing (PBF) approach is a public health intervention, whose effects on the pillars of this system are often not measured, especially with regard to the information system and to the effectiveness of public health interventions.
Methods: Our cross-sectional study was conducted in Benin in 67 health units randomly drawn from two PBF_HSS (Health Systems Strengthening) health zones and two PBF_NHSSP (Health Sector Support Program) areas, all experiencing PBF, and from two areas where the PBF had not been implemented. It allowed to evaluate the quality of the information and the effectiveness of public health interventions.
Introduction: This study aimed to evaluate the performance of the logistics management system (LMS) of malaria control (MC) resources in the Littoral Department, Benin, in 2017.
Methods: In June 2017, we conducted a cross-sectional evaluative study focusing on the structures for the storage and the disposal of MC resources as well as on staff involved in their management. The performance of the the logistics management system was evaluated on the basis of the observed compliance of the components and sub-components of the "Structure", the "Process" and the "Results" with the norms and standards defined by the Ministry of Health.
Introduction: Motorcycle taxis occupy a major place in urban transport. Motorcycle taxi drivers are exposed to occupational risk factors (ORF) including air pollution. The objective of this study was to evaluate these ORF among motorcycle taxi drivers and their perceptions of air pollution.
View Article and Find Full Text PDFIntroduction: In spite of free caesarean section applied in Benin since 2009, high rates of stillborn babies continue to be recorded. This study aimed to determine the factors associated with post-caesarean stillborn in Benin.
Methods: Cross-sectional study that covered all women who have delivered by caesarean from December 2013 to February 2014 in twelve hospitals chosen by simple random selection in each of the twelve departments of Benin.
Introduction: With the growing shortage of qualified healthcare professionals and the challenge of achieving the Millennium Development Goals, community participation has become an essential reality. In the Avrankou Adjarra Akpro-Missérété (3A) health zone of the Ouémé department, community volunteers are supported by UNICEF and the NGO Africare. The objective of this study was to assess the quality of the contribution of community volunteers to implementation of community-based integrated management of childhood illness (IMCI).
View Article and Find Full Text PDFHealth information systems in developing countries are often faulted for the poor quality of the data generated and for the insufficient means implemented to improve system performance. This study examined data quality in the Routine Health Information System in Benin in 2012 and carried out a cross-sectional evaluation of the quality of the data using the Lot Quality Assurance Sampling method. The results confirm the insufficient quality of the data based on three criteria: completeness, reliability and accuracy.
View Article and Find Full Text PDFIn Benin, mothers usually go to health facilities when childhood malaria is already in its late stage (severe anaemia, convulsions, unconsciousness). This study was undertaken in a rural area of Benin through a community-based participation action-research aiming to control child malaria with a focus on parental participation. The aim of this research was to better understand the situation with regards to parents' perceptions and perspectives of childhood fever, care seeking behaviour and practices as well as factors that influence the choice of treatment among the various options.
View Article and Find Full Text PDFAnalyse evolution of maternal deaths and quality of emergency obstetric care provided to the women admitted in four Benin referral maternities thus causes and reasons of deficiencies contributing to maternal death. A transversal retrospective study was conducted in two stage: evolution of maternal death ratio added to living births was analysed from 1994 to 2003, followed by extensive analysis of maternal death in 2003. Different hospital data recording and individual interviews were the main sources of data collecting.
View Article and Find Full Text PDFThe objective of this study was to evaluate the capacity of poor and non-poor households to pay for health care and to show how existing community assistance (or solidarity) networks (CAN) may compensate for this inability. Sixteen (16) study sites were randomly selected after stratification of Benin into four groups. All 1,312 households in our sample (668 poor and 664 non-poor) were interviewed, and 48 focus group were held with opinion leaders, women, healthcare workers, social workers, and persons responsible for these networks.
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