Publications by authors named "S Wembonyama"

Introduction: Sickle cell disease (SCD) is a global public health priority due to its high morbidity and mortality. In the Democratic Republic of the Congo (DRC), effective care for this disease depends on the availability of resources and the level of knowledge of healthcare workers (HCWs). However, in Bukavu, there is limited data available on these two crucial aspects, which are vital for enhancing the care of patients with SCD.

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Background: HIV/AIDS-related early mortality has long been a significant challenge. Subsequent to recent policy changes and treatment advancements, we aimed to assess changes in early mortality rates in 2017-19 and 2020-23 compared to 2013-16.

Methods: This is a 10-year multicenter survival study in people living with human immunodeficiency virus having initiated ART between 2013 and 2023.

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Article Synopsis
  • The rise in cesarean section rates has raised concerns about obstetric vesico-uterine fistula (OVUF) in the Democratic Republic of the Congo (DRC), warranting a study to analyze its epidemiology, clinical features, and treatment outcomes.
  • This descriptive study, conducted from January 2017 to December 2022, included 1,267 patients with obstetric fistulas, of which 355 (28.0%) were identified as OVUF, predominantly affecting younger women from rural areas with low educational attainment.
  • Key findings revealed that all OVUF cases were caused by cesarean deliveries, with a significant number of patients experiencing longer durations before repair, and most fistulas being solitary
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  • This study evaluated the quality of life (QoL) of obstetric fistula (OF) patients before and after surgical repair using the WHOQOL-BREF questionnaire in the Democratic Republic of the Congo.
  • The study involved 158 patients, revealing a significant improvement in QoL across various domains (physical, social, psychological, and environmental) after surgery, with notable changes in mean scores (e.g., physical QoL improved from 28.37 to 66.32, p<0.001).
  • The findings indicate that successful surgical repair of OF not only alleviates the physical and psychological effects of the condition but also enhances overall patient wellbeing, underscoring the need for accessible, quality surgical services
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  • Breast cancer is the most common cancer in women, particularly affecting those in developing countries like the DRC, where late detection leads to higher mortality due to lack of screening and awareness.
  • A survey of 543 healthcare workers in Kinshasa revealed that 61% had good knowledge of breast cancer, with factors like age, gender, workplace setting, and previous training significantly influencing their knowledge levels.
  • The study emphasizes the need for ongoing medical education to enhance breast cancer awareness and knowledge among healthcare workers to improve early detection and treatment outcomes.
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