Publications by authors named "Kolie D"
This study documents the experiences of health system personnel in the implementation of mass distribution campaigns for the control of lymphatic filariasis in rural Guinea. This was an exploratory qualitative study using data collected from implementing actors of mass distribution campaigns in the Boké health district. The results showed four main facilitators of mass distribution campaign rollout in the Boké health district: (i) support to the district teams in the organization of the campaigns; (ii) involvement of community-based associations in social mobilization; (iii) strong adherence of the communities to the different mass distribution campaigns, facilitated through the involvement of community relays, who are members of these communities, in the distribution of drugs; and (iv) transparency in the allocation of incentives to drug dispensers and supervisors.
View Article and Find Full Text PDFIntroduction: Gender-based violence (GBV), particularly sexual violence, is a significant global public health issue with severe physical, psychological, and social consequences for survivors and their communities, especially among women and girls. In Guinea, limited data exist on the frequency and management of sexual violence in rural areas. This study aimed to analyze the perceptions, responses, and challenges faced by women and girls' survivors of sexual violence and their communities in two rural districts of Guinea in 2020.
View Article and Find Full Text PDFArticle Synopsis
- This study explored the experiences of healthcare personnel and patients during free surgical campaigns for trachomatous trichiasis in Siguiri, Guinea, highlighting various challenges in providing effective surgical care.
- Twenty participants were interviewed, including patients, community health workers, and health service professionals, using techniques like document reviews and in-depth interviews with data analyzed both inductively and deductively.
- Key findings identified numerous challenges such as low involvement of local actors, inadequate health infrastructure, logistical issues, and community fears surrounding surgery, suggesting a need for better planning and stakeholder participation in future surgical activities.
This study aims to estimate the prevalence and analyze the factors associated with leprosy-related disabilities at the Kindia Disability Prevention and Physical Rehabilitation Centre (PIRP) in Guinea. It is a cross-sectional study using routine data from the centre from 2017 to 2021. Of 115 patients, 76% had a disability, 49% of which were grade II and 27% grade I.
View Article and Find Full Text PDFIntroduction: Vertical transmission of HIV remains a major challenge in Guinea, especially, in low-resource rural areas. This paper presents the results of a pilot project designed to enhance the prevention of vertical transmission through a comprehensive improvement plan implemented across 66 large-cohort sites.
Methods: Data from 66 large-cohort of mother to child transmission prevention (PMTCT) sites from 2019 to 2022 were analysed to compare PMTCT metrics before (2019-2020) and after (2021-2022) the improvement initiative.
Introduction: Studies on the organisation of care and the power dynamic between providers and patients with HIV in sub-Saharan Africa are rare. This study aims to describe the patient-provider relationship and explore the challenges to optimal and patient-centred care for HIV patients.
Methods: This was a qualitative exploratory descriptive study using in-depth individual interviews and focus group discussions.
Introduction: The low use of modern contraceptive methods by young girls is a real public health problem in sub-Saharan Africa, especially among young female students living in rural areas. The purpose of this study was to analyze the factors associated with contraceptive use among young female students in rural Guinea.
Method: This was an analytical cross-sectional study including 607 students from 10 secondary schools in the rural district of Kankan, Guinea.
Article Synopsis
- The study examines the ongoing impact of the COVID-19 pandemic on maternal and newborn healthcare providers globally, focusing on their physical, psychological, and economic experiences during that time.
- Data was collected from a survey involving 1,191 healthcare providers from 77 countries, revealing significant issues like decreased staffing, insufficient PPE, and increased stress levels.
- The findings highlighted that 70% of providers in low-income countries reported decreased income, indicating that these challenges were particularly severe and ongoing, affecting the quality of care delivered to patients.
Article Synopsis
- The rural pipeline approach aims to enhance the availability of health workers in remote and underserved areas of Sub-Saharan Africa, which is vital for effective health policy implementation.
- A scoping review was conducted, analyzing 443 references to identify 22 studies that showcased key components of rural pipeline success, such as selecting rural students, focused curriculum, and support for health worker retention.
- The review highlighted positive outcomes like increased rural health practitioners and improved healthcare quality, but also noted challenges such as increased workload for supervisors and concerns about the quality of care from student trainees.
Article Synopsis
- - The study aims to investigate how community health policy is implemented in Guinea, focusing on the decision-making authority and capacity of local officials to uncover reasons for gaps between the policy's design and its actual execution.
- - A mixed-methods approach will be used, involving both quantitative analysis (using surveys and data on maternal and child health) and qualitative methods (interviews and focus groups) across 27 selected communes with varying levels of policy implementation.
- - The results will be analyzed using statistical tools such as OLS regression and thematic analysis, with the goal of producing findings that can help refine the National Community Health Policy for better effectiveness in future rollouts.
Despite the recent repositioning efforts to increase the use of modern contraceptives, the prevalence of unmet need for contraception remains high among adolescent and young women in Guinea. This study analyzed the individual and contextual factors associated with the unmet need for contraception among adolescent and young women in 2018 in Guinea. We conducted a secondary analysis of the 2018 Demographic and Health Survey data.
View Article and Find Full Text PDFIntroduction: The objective of this study was to analyze providers' knowledge, attitudes, and practices regarding access to and use of contraception by urban adolescents and youth.
Methods: This is a cross-sectional study of 1,707 health care providers in 173 selected private and public health facilities in the capital city of Conakry and the seven administrative regions of Guinea. Factors associated with health care providers' attitudes and practices were then analyzed using logistic regression.
The purpose of this study was to document the experience of health providers' capacity strengthening during health crises and the contribution of such to the health system and the population resilience in the face of the COVID-19 pandemic in Guinea. We conducted a cross-sectional study using routine data collected from 41 health facilities in the project intervention areas, including associative health centers, community health centers, and district hospitals,. These data covered the period between 2019 and 2021.
View Article and Find Full Text PDFArticle Synopsis
- - The study evaluates Guinea's response to the COVID-19 pandemic from January 2020 to November 2021, identifying five key phases, including anticipation, strict measures, easing restrictions, dealing with multiple epidemics, and managing variants alongside vaccination efforts.
- - Researchers used policy documents, research papers, and media content to analyze the situation, emphasizing the need for an established governance framework and emergency funding before epidemics strike.
- - The findings indicate that each epidemic presents unique challenges, underscoring the importance of learning from past experiences while recognizing that excessive security measures can harm social stability.
Article Synopsis
- The FISTULA Care Plus Project implemented a Flexible Operational Research Training (FORT) course in the DRC from 2017 to 2021 to enhance research skills among medical team members from supported sites.
- The training included two courses over 13-14 months, with a focus on both in-person and online learning, resulting in improved skills in research protocol development, data management, and manuscript writing for participants, with half being women.
- The FORT model was effective, leading to six manuscripts and three international presentations, but scaling the program will require further adaptations for broader implementation.
Factors associated with surgical repair success of female genital fistula in the Democratic Republic of Congo: Experiences of the Fistula Care Plus Project, 2017-2019.
Trop Med Int Health
September 2022
Objective: We sought to document outcomes and factors associated with surgical success in hospitals supported by the Fistula Care Plus Project in the Democratic Republic of Congo (DRC), 2017-2019.
Methods: This was a retrospective cohort study analysing routine repair data on women with Female Genital Fistula. Univariate and multivariate analyses were conducted to determine factors associated with successful fistula repair.
Despite efforts to improve access to family planning, contraceptive prevalence remains relatively low among adolescents and youth in Guinea. The objective of this study was to understand the barriers to the use of modern contraceptive methods among urban adolescents and youth (15-24 years) in Conakry, Guinea. This was a qualitative study using an exploratory design.
View Article and Find Full Text PDFHelminthic and intestinal protozoan infections and malaria infections are common in children less than 15 yr old in sub-Saharan Africa, but little is known about these infections in Guinea. The aim of this study was to determine the prevalence of parasitic infections in children aged less than 15 yr and the relationship of these infections with anemia. The cross-sectional study was done in Dabbis sub-prefecture in the Boke region of Guinea from 18 to 26 March 2017.
View Article and Find Full Text PDFBackground: Guinea undertook health workforce reform in 2016 following the Ebola outbreak to overcome decades-long shortages and maldistribution of healthcare workers (HCWs). Specifically, over 5000 HCWs were recruited and deployed to rural health districts and with a signed 5-year commitment for rural medical practice. Governance structures were also established to improve the supervision of these HCWs.
View Article and Find Full Text PDFIntroduction: patient-centred care has become a rallying call for improving quality and access to care in countries where health system responsiveness and satisfaction with health services remain low. Understanding patient-provider interactions is important to guide implementation of an effective patient-centred care approach in sub-Saharan Africa. This review aims to overcome this knowledge gap by synthesizing the evidence on patient-provider interactions in sub-Saharan Africa.
View Article and Find Full Text PDFBackground: Motorcycle road traffic accidents (RTA) constitute an increasing public health challenge with victims more likely to sustain fatal injuries compared with other types of RTA. The aim of this study was to analyze motorcycle RTA-related morbidity and mortality among victims admitted to hospitals in Guinea from 2015 to 2017.
Materials And Methods: This was a cross-sectional study based on hospital records from six districts (Boké, Kindia, Mamou, Faranah, N'Zérékoré, and Siguiri) from January 1, 2015, to December 31, 2017.
Introduction: Guinea is a country with a critical deficit and maldistribution of healthcare workers along with a high risk of epidemics' occurrence. However, actors in the health sector have missed opportunities for more than a decade to attract political attention. This article aims to explain why this situation exists and what were the roles of actors in the agenda-setting process of the post-Ebola health system strengthening programme.
View Article and Find Full Text PDFBackground: The state of the Guinean health workforce is one of the country's bottlenecks in advancing health outcomes. The impact of the 2014-2015 Ebola virus disease outbreak and resulting international attention has provided a policy window to invest in the workforce and reform the health system. This research constitutes a baseline study on the health workforce situation, professional education, and retention policies in Guinea.
View Article and Find Full Text PDFBackground: Road traffic accidents (RTA) remain a global public health concern in developing countries. The aim of the study was to document the frequency, characteristics and hospital outcomes of road traffic accidents in Guinea from 2015 to 2017.
Methods: We conducted a retrospective cohort study using medical records of RTA victims from 20 hospitals and a cross-sectional study of RTA cases from eight police stations in eight districts in Guinea, West Africa.