Publications

Non-communicable diseases (NCDs) known to cause more than half of all deaths in sub Saharan Africa over the past two decades has shown a steady increase to become a public health concern,. [1-4]. More than 30% of these deaths are recorded before the age of 60 in the resource poor countries. The mortality and morbidity caused by the NCDs is globally on the increase. However, the greatest impact has been recorded in sub Saharan Africa where healthcare facilities and medical awareness is low. In the developing countries NCDs is on the rise at the same proportion with infectious diseases that has led to an increasing disease burden, [2].

Contexte. . La vaccination est l'une des interventions de santé publique les plus efficiente qui contribue à la diminution de la morbidité, mortalités et des inégalités dans le monde entier. À ce jour, elle a permis d’éliminer une maladie et de contrôler plus de 7 autres. Après avoir été testéslors d’essais cliniques, seuls les vaccins qui répondent aux exigences de sécurité et d'efficacitésont enregistrés et autorisés par les autorités compétentes pour être utilisés dans les programmes de vaccination de routine et lors des campagnes de vaccination. Toutefois, il est connu que quelles que soient leurs performances, les phases de développement cliniques d'un vaccin ne peuvent pas détecter toutes les manifestations adverses post immunisation (MAPI).Ceci s’expliquerait par le fait que la taille d'échantillon des essais cliniques est limitée pour détecter les MAPI rares; une fraction donnée de ces MAPI est liée à des particu Read more...

Background:the survival of diabetic patient depends on the capacity of the health facilities to offer an adequate minimum package of healthcare. The availability of the necessary resources conditions the quality healthcare offered by a health facility. Objective: to assess the readiness of diabetes healthcare service in the health facilities in the west region of cameroon materials and methods: we carried out a cross sectional descriptive survey in the west region of cameroon targeting health facilities. These were selected by stratified random sampling from may to july 2016. An observation checklist was filled with the help of the head of the health facility to assess the readiness of diabetes healthcare service. We estimate the proportions of health facilities thathad laboratory equipment, basic equipment, diabetic medications/commodities and trained staff on diabetes management at 95% Read more...

Background: Limited access to safe water is a prominent public health challenge. This leads to disease outbreak, thus resulting in high morbidity and mortality. Objective: To evaluate access to potable water in Dschang Health District, West Cameroon. Method: A descriptive cross-sectional household study was carried in Dschang Health District from 24 to 28 May 2010. A standard questionnaire was administered to household heads. Water samples collected were analysed using Colorimetric methods and Enzyme-linked Immunosorbent Assay (ELISA) and compared to WHO standards. Data collected were analyzed using the Epi-Info software version 3.5.3 Results: Of the 300 households visited, only 12% of participants were able to give the correct definition of potable water and 25% of households used water from spring and CAMWATER. Average daily quantity of water used per person was 9.88 liters. Physicochemical and bacteriological tests revealed the water sources were of poor quality in general as onl Read more...

Background The resistance of diarrhoea-causing enteropathogens to antibiotics is a global concern.

Methods A cross-sectional descriptive study that had as objective to test the sensitivity of these pathogens to antibiotics frequently prescribed in the Logone and Chari Division was carried out in Kousseri from 24 July to 23 October 2015. Stool samples were collected from patients (children and adults) presenting at the Kousseri Annex Regional Hospital, in sterile containers and analysed as required by SOPs in the cholera detection laboratory of the NGO ‘Better Access to Health Care’ (BAHCARE) in Kousseri. Microbial isolation and identification was done using Hektoen and EMB culture media and API 20E pack (Biomerieux). Antibiotic susceptibility testing was done using the Kirby Bauer method with Muller Hinton medium.

Results A total of 150 stool samples were analysed, out of which 45 enteropathogens were isolated (66% o Read more...

ntroduction:In most of the health facilities in Cameroon, the management of patients with diarrhea is based on presumptive diagnosis due to limited laboratory resources. This study aimed to determine germs profile and their susceptibility to antibiotics usually prescribed against pathogenic bacteria associated with diarrheas at the Kousseri Regional Hospital Annex from July to October 2015.Methods:We conducted a descriptive and cross-sectional study of all consenting individual presenting with diarrhea to the Kousseri Regional Hospital Annex during the study period. Stool samples were collected from each patient. Patientdata were collected via anonymous questionnaire with face to face interview. Each stool sample was grown on media for enterobacteria and analyzed following the standard stool culture method. The sensitivity of the isolated strains to the most frequently prescribed antibiotics was assessed and the proportions of pati Read more...

Cholera remains the major public health problem in the world. Cholera is endemic in DRC especially in its east part. In the Kasai Oriental province, cholera is epidemic area which registered major epidemic cyclically with high case fatality rate. The last one in 2018 started in Mbuji-Mayi city but later affected the whole province during 45 weeks with 5854 total suspected cases registered including 277 deaths (CFR: 4.7%). Our main objective was to describe this outbreak focusing on its higher CFR. We conducted quantitative descriptive study using data from the provincial line listing. Cholera was defined according to national and WHO case definition. Analyses were performed using Microsoft Excel 2010 and Epi-info7. Men were more affected (contracting or dying of) by cholera in the province. The proportion of men affected in rural area as well as the proportion of death was higher than in Mbuji-Mayi city. The outbreak started in Mbuji-Mayi with around CFR: 27.3% as well as in the rur Read more...

Background: Household air pollution (HAP) is a recognised risk factor for many diseases, including respiratory diseases, cardiovascular/circulatory disorders, adverse pregnancy outcomes and cataracts. Population exposure to biomass fuels, including wood, varies among countries and from one fuel source to the other. This study aimed to investigate the different sources of HAP in peri-urban and rural communities in Cameroon. Methods: A cross-sectional survey was conducted in a representative sample of households from the Dschang Health District ( DHD) region. This included 848 homes in which a range of fuels for 2 cooking including biomass (firewood, charcoal, sawdust), kerosene and liquefied petroleum gas (LPG) were used both indoors and outdoors. Results: Of the study households, 651 (77%) reported exclusive use of firewood and 141 (17%) reported using more than one source of fuel. Exclusive use of firewood was greater in rural communities (94%) than in peri-urban communities (38%). Read more...

Globally, the levels of healthcare-associated infections (nosocomial infections) are important high, and especially those due to bacterial are significant and costly. Healthcare environments provide a worrying reservoir for spreading infections. According to the World Health Organization (WHO) Low and Middle-Income Countries may be particularly at risk, hence, the need to perform a timely assessment of surface contamination of bacterial origin in the major units of four different hospitals of the Littoral Region, Cameroon. A cross-sectional and descriptive study was conducted from December 2018 to May 2019. A simple random sampling was used to swap 10 selected equipment (treatment tables, operating tables, delivery tables, office tables, anesthesia equipment, surgical aspirators, oxygen concentrators, wheelchairs, patients and office chairs) and 10 materials (fans, patient bedside tables, patient bed rails, trolleys, door handles, negastoscopes, baby scales, air conditioners, Antise Read more...