Publications by authors named "Hedible Gildas Boris"
Antibiotic prescribing practices according to the AWaRe classification among children under 5 of age attending public primary care centres in four West African countries: a cross-sectional study (AIRE project, 2021-2022).
BMJ Paediatr Open
October 2024
Article Synopsis
- - The study aimed to analyze antibiotic prescribing practices for children under 5 in West African countries using the WHO AWaRe classification, covering data from 15,854 outpatient visits at public primary health centers.
- - Results showed high rates of antibiotic prescriptions among neonates and young infants, with percentages ranging from 59% to 83% across Burkina Faso, Guinea, Mali, and Niger, and about 93% of prescribed antibiotics being first-choice treatments, mainly amoxicillin.
- - Conclusions indicate that while high numbers of antibiotics were prescribed, the appropriateness of these prescriptions—and the potential need for further evaluation—remains important, with a minimum threshold of 60% met for the recommended categories in each country. *
Article Synopsis
- Acceptability is crucial for the implementation of health innovations, but it lacks clarity, especially in low and middle-income countries, where new technological tools are being introduced.
- A scoping review revealed inconsistencies in definitions and practical tools for measuring acceptability, prompting researchers to use the "best fit framework synthesis" method to create a new conceptual framework.
- This new framework highlights six key determinants (like compatibility and social influence) and two moderating factors (intervention and context), providing a structured way to understand and manage the acceptability of health innovations.
Background: The AIRE operational project will evaluate the implementation of the routine Pulse Oximeter (PO) use in the integrated management of childhood illness (IMCI) strategy for children under-5 in primary health care centers (PHC) in West Africa. The introduction of PO should promote the accurate identification of hypoxemia (pulse blood oxygen saturation Sp02 < 90%) among all severe IMCI cases (respiratory and non-respiratory) to prompt their effective case management (oxygen, antibiotics and other required treatments) at hospital. We seek to understand how the routine use of PO integrated in IMCI outpatients works (or not), for whom, in what contexts and with what outcomes.
View Article and Find Full Text PDFFever is one of the most common reasons for pediatric consultation in Africa. Malaria incidence has now dropped considerably, yet etiologies of non-malarial febrile diseases are poorly documented. This pilot study aimed to 1) identify pathogens potentially associated with non-malarial fever in children younger than 10 years in the suburbs of Dakar and 2) describe the epidemiological characteristics of these patients.
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