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Aims: This study aims to assess the knowledge of people from Central Africa about Universal Healt... more Aims: This study aims to assess the knowledge of people from Central Africa about Universal Health Coverage and show the contribution of Information-Education-Communication for its adoption. Methods: a cross-sectional analytical study across 4 of 6 Central African Countries was conducted. Independent variables are sociodemographic characteristics. Dependent variables are knowledge about Information-Education-Communication and Universal Health Coverage. The questionnaire was disseminated by WhatsApp images or word file or copy/paste of the text and send to the contacted and trained focal points. From the Smartphone, the filmed or transferred data were entered into a CSpro 5.0 input form. Mean score calculations and Odd Ratio with 95 % Confidence Interval for p < 0.005 were used to make associations. Results: the Universal Health Coverage had never been heard of by 56.3% of the participants. The Universal Health Coverage was defined as health insurance by (43.9%), free care (30...
Obstetrics and Gynecology International
Objective. To analyze the epidemiological aspects of invasive cervical cancer according to HIV st... more Objective. To analyze the epidemiological aspects of invasive cervical cancer according to HIV status. Methods. This was an historical cohort study from January 2010 to April 2017 in three hospitals at the Yaoundé city Capital, Cameroon, after the National Ethics Committee’ approval. We included invasive cervical cancers with documented HIV status. Odds ratios and 95% confidence interval were calculated to assess the association between the different variables and HIV status. Survival was analyzed using the Kaplan–Meier. The level of significance was set up at <5%. Results. Among the overall 213 cervical cancer patients, 56 were HIV+ (24.67%). Factors associated with positive HIV status were age below 40 (OR: 2.03 (1.38–2.67)), celibacy (OR: 2.88 (1.58–4.17)), nonmenopausal status (OR: 2.56 (1.36–3.75)), low parity, primiparity (OR: 2.59 (1.43–3.74)), and for parity with 2–4 children (OR: 2.24 (1.35–3.12)). Concerning the HIV+ patients, tumor was diagnosed late (stages III-IV) (O...
IntroductIon Precancerous lesion of the cervix is a benign and asymptomatic epithelial abnormalit... more IntroductIon Precancerous lesion of the cervix is a benign and asymptomatic epithelial abnormality. However, if untreated, they can progress to invasive cancer. [1] Cervical cancer is the second leading cause of cancer deaths among women in resource-limited countries, Background: Cervical cancer is a serious disease, responsible for more than 311,000 deaths worldwide each year. The objective of the study was to assess the knowledge, attitudes, and practices (KAPs) regarding cervical cancer screening of women aged 25-65. Materials and Methods: This was an analytical KAP study conducted from May 2, 2018, to August 10, 2018, including women aged 25-65 years, attending the gyneco-obstetrics departments of six hospitals in Brazzaville. The variables of interest were sociodemographic and reproductive characteristics, KAPs. Frequencies, central tendency parameters, and odds ratios were calculated using Epi Info 7.2.2.6 software. We used Pearson, Fisher, and Wald statistical tests, with a significance level of 0.05. Results: We interviewed 169 women aged 25-65 years (average 35 [±9.05] years). The majority had an unsatisfactory level of knowledge (70.41%), favorable attitudes (56.21%), and bad practices (43.20%). Factors associated with better knowledge were at least secondary school education (adjusted odds ratio [ORa]: 1.76 [1.02-3.34]) and being employed (ORa: 4.24 [2.60-6.93]). Women with the best knowledge had the best attitudes (ORa: 3.86 [2.38-6.26]) and best practices (ORa: 5.28 [3.08-9.05]). Those with better attitudes had better practices (ORa: 2.94 [1.87-4.61]). Conclusion: Women in Brazzaville lack knowledge about cervical cancer. Better knowledge and attitudes were associated with best practices, hence the need to implement awareness-raising strategies to give greater impetus to the participation of Congolese women in cervical cancer screening.
La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que d... more La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.
Introduction: cervical cancer is an illness that causes 250,000 deaths worldwide. Data on Health ... more Introduction: cervical cancer is an illness that causes 250,000 deaths worldwide. Data on Health professional's skills is highly important for the elaboration of prevention strategies. Objective: assess the knowledge, attitudes and practices (KAP) among Brazzaville midwives on cervical cancer screening. Methods: analytical KAP Study, from May 2 nd to August 10 th 2018. Participants are midwives working in the Gynaecology-Obstetrics departments of six hospitals in Brazzaville (Republic of Congo). Variables were related to their sociodemographic and occupational characteristics, as well as to their knowledge, attitudes and practices. Analyses were done using the Epi Info 7.2.2.6 software. Frequencies, central trend parameters, as well as rib ratios were calculated. Pearson, Fisher and Wald statistical tests with a significance level of 5% where used. Results: the study included 114 midwives aged 43.07 (± 7.40) years. They had an unsatisfactory level of knowledge (59.64%), favourable attitudes (92.98%) and poor practices (71.
IntroductIon Cervical cancer is a malignant neoformation that develops on the uterine cervix and ... more IntroductIon Cervical cancer is a malignant neoformation that develops on the uterine cervix and most often on the exocervical Background: Approximately 1500 women in Cameroon die annually from cervical cancer, but only 8% of women at risk have undergone cervical cancer screening. The objective of this study was to analyze the impact of an intrahospital awareness strategy on the frequency of cervical cancer screening at Yaoundé University Teaching Hospital(YUTH). Materials and Methods: This quasi-experimental study (before/ after) was conducted at the Yaoundé UTH. It involved women who received an awareness of cervical cancer intervention at the Yaoundé CHU (intervention group) and those who did not (without intervention group) for 4 months (March to June) of 2 consecutive years (2016 and 2017). Proportions, central tendency parameters (mean or median), odds ratios (ORs), and 95% confidence intervals (CIs) were calculated. Results: A total of 1,313 women participated in screening for cervical cancer, of whom 40.60% were in the without intervention group and 59.40% were in the intervention group. The level of education and marital status were heterogeneously distributed in the two groups (P < 0.05). Women with a higher education level and who were married were more likely to participate in cervical cancer screening after intrahospital sensitization (OR [95% CI] = 5.64 [4.41-7.20] and OR [95% CI] = 1.48 [1.19-1.85], respectively). Conclusion: An intrahospital awareness intervention increased the number of participants in screening for cervical cancer. There is a need to implement this strategy in other hospitals and place particular emphasis on sensitizing less educated and single women.
Facteurs associés aux barrières d'accès au dépistage du cancer du col Antaon et al ______________... more Facteurs associés aux barrières d'accès au dépistage du cancer du col Antaon et al __________________________________________________________________________________________________
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Cette étude rapporte le vécu des femmes souffrant d'incontinence urinaire (IU) reçues au service ... more Cette étude rapporte le vécu des femmes souffrant d'incontinence urinaire (IU) reçues au service de Gynécologie du CHU de Yaoundé. Pour ce faire, une étude qualitative descriptive a été conduite auprès de 12 femmes souffrant d'incontinence urinaire. Les données ont été collectées par des entretiens semi-structurés entre le 25 septembre et le 12 décembre 2013. Les entretiens avec les femmes se sont tenus au domicile pour 11 d'entre elles et au lieu de service pour une autre. Ils ont été enregistrés, transcrits, puis analysés pour rapporter le vécu des femmes souffrant d'IU. Les patientes étaient âgées de 23 à 68 ans, huit étaient mariées, trois célibataires et l'une veuve. Dix avaient atteint le secondaire ou plus. Concernant les croyances étiologiques sur l'incontinence urinaire, la plupart des causes évoquées étaient la vieillesse (1), le diabète (1), la malformation de la colonne vertébrale (1), le sommeil profond (4), l'accouchement (3), le mysticisme (1), l'infection urinaire (1) et le fait de consommer régulièrement de l'eau (1). Pour ce qui est de l'estime de soi, l'incontinence urinaire a amené certaines femmes à se sous-estimer au point de ne plus trouver leur place dans la société, avec une tendance suicidaire observée chez une d'elles. En conclusion, l'IU est mal vécue par les femmes. Il s'avère donc nécessaire de mener des études pour mieux cerner le phénomène au Cameroun.
Pan African Medical Journal
Advances in Public Health
Background. Biomedical waste (BMW) is defined as unwanted materials generated during diagnosis, t... more Background. Biomedical waste (BMW) is defined as unwanted materials generated during diagnosis, treatment, operation, immunization, or in research activities including production of biologicals. Healthcare workers are responsible for the proper management of this waste for human safety and for the protection of the environment. Methods. An analytical knowledge, attitude, and practice (KAP) study was carried out at Biyem-Assi District Hospital from June 1st to July 5th, 2018, including 100 health workers from different departments. Variables of interest were knowledge, attitudes, and practices of the respondents. A structured and pretested questionnaire was used for data collection. Data analysis was carried out using software Epi Info version 7.2.2.6. Logistic regression was used to establish the relationship between knowledge, attitudes, and practices. Results. Nurses constituted 32.0% of the participants, and more than half of the participants had 1–4 years of working experience (...
Aims: This study aims to assess the knowledge of people from Central Africa about Universal Healt... more Aims: This study aims to assess the knowledge of people from Central Africa about Universal Health Coverage and show the contribution of Information-Education-Communication for its adoption. Methods: a cross-sectional analytical study across 4 of 6 Central African Countries was conducted. Independent variables are sociodemographic characteristics. Dependent variables are knowledge about Information-Education-Communication and Universal Health Coverage. The questionnaire was disseminated by WhatsApp images or word file or copy/paste of the text and send to the contacted and trained focal points. From the Smartphone, the filmed or transferred data were entered into a CSpro 5.0 input form. Mean score calculations and Odd Ratio with 95 % Confidence Interval for p < 0.005 were used to make associations. Results: the Universal Health Coverage had never been heard of by 56.3% of the participants. The Universal Health Coverage was defined as health insurance by (43.9%), free care (30...
Obstetrics and Gynecology International
Objective. To analyze the epidemiological aspects of invasive cervical cancer according to HIV st... more Objective. To analyze the epidemiological aspects of invasive cervical cancer according to HIV status. Methods. This was an historical cohort study from January 2010 to April 2017 in three hospitals at the Yaoundé city Capital, Cameroon, after the National Ethics Committee’ approval. We included invasive cervical cancers with documented HIV status. Odds ratios and 95% confidence interval were calculated to assess the association between the different variables and HIV status. Survival was analyzed using the Kaplan–Meier. The level of significance was set up at <5%. Results. Among the overall 213 cervical cancer patients, 56 were HIV+ (24.67%). Factors associated with positive HIV status were age below 40 (OR: 2.03 (1.38–2.67)), celibacy (OR: 2.88 (1.58–4.17)), nonmenopausal status (OR: 2.56 (1.36–3.75)), low parity, primiparity (OR: 2.59 (1.43–3.74)), and for parity with 2–4 children (OR: 2.24 (1.35–3.12)). Concerning the HIV+ patients, tumor was diagnosed late (stages III-IV) (O...
IntroductIon Precancerous lesion of the cervix is a benign and asymptomatic epithelial abnormalit... more IntroductIon Precancerous lesion of the cervix is a benign and asymptomatic epithelial abnormality. However, if untreated, they can progress to invasive cancer. [1] Cervical cancer is the second leading cause of cancer deaths among women in resource-limited countries, Background: Cervical cancer is a serious disease, responsible for more than 311,000 deaths worldwide each year. The objective of the study was to assess the knowledge, attitudes, and practices (KAPs) regarding cervical cancer screening of women aged 25-65. Materials and Methods: This was an analytical KAP study conducted from May 2, 2018, to August 10, 2018, including women aged 25-65 years, attending the gyneco-obstetrics departments of six hospitals in Brazzaville. The variables of interest were sociodemographic and reproductive characteristics, KAPs. Frequencies, central tendency parameters, and odds ratios were calculated using Epi Info 7.2.2.6 software. We used Pearson, Fisher, and Wald statistical tests, with a significance level of 0.05. Results: We interviewed 169 women aged 25-65 years (average 35 [±9.05] years). The majority had an unsatisfactory level of knowledge (70.41%), favorable attitudes (56.21%), and bad practices (43.20%). Factors associated with better knowledge were at least secondary school education (adjusted odds ratio [ORa]: 1.76 [1.02-3.34]) and being employed (ORa: 4.24 [2.60-6.93]). Women with the best knowledge had the best attitudes (ORa: 3.86 [2.38-6.26]) and best practices (ORa: 5.28 [3.08-9.05]). Those with better attitudes had better practices (ORa: 2.94 [1.87-4.61]). Conclusion: Women in Brazzaville lack knowledge about cervical cancer. Better knowledge and attitudes were associated with best practices, hence the need to implement awareness-raising strategies to give greater impetus to the participation of Congolese women in cervical cancer screening.
La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que d... more La reproduction ou représentation de cet article, notamment par photocopie, n'est autorisée que dans les limites des conditions générales d'utilisation du site ou, le cas échéant, des conditions générales de la licence souscrite par votre établissement. Toute autre reproduction ou représentation, en tout ou partie, sous quelque forme et de quelque manière que ce soit, est interdite sauf accord préalable et écrit de l'éditeur, en dehors des cas prévus par la législation en vigueur en France. Il est précisé que son stockage dans une base de données est également interdit.
Introduction: cervical cancer is an illness that causes 250,000 deaths worldwide. Data on Health ... more Introduction: cervical cancer is an illness that causes 250,000 deaths worldwide. Data on Health professional's skills is highly important for the elaboration of prevention strategies. Objective: assess the knowledge, attitudes and practices (KAP) among Brazzaville midwives on cervical cancer screening. Methods: analytical KAP Study, from May 2 nd to August 10 th 2018. Participants are midwives working in the Gynaecology-Obstetrics departments of six hospitals in Brazzaville (Republic of Congo). Variables were related to their sociodemographic and occupational characteristics, as well as to their knowledge, attitudes and practices. Analyses were done using the Epi Info 7.2.2.6 software. Frequencies, central trend parameters, as well as rib ratios were calculated. Pearson, Fisher and Wald statistical tests with a significance level of 5% where used. Results: the study included 114 midwives aged 43.07 (± 7.40) years. They had an unsatisfactory level of knowledge (59.64%), favourable attitudes (92.98%) and poor practices (71.
IntroductIon Cervical cancer is a malignant neoformation that develops on the uterine cervix and ... more IntroductIon Cervical cancer is a malignant neoformation that develops on the uterine cervix and most often on the exocervical Background: Approximately 1500 women in Cameroon die annually from cervical cancer, but only 8% of women at risk have undergone cervical cancer screening. The objective of this study was to analyze the impact of an intrahospital awareness strategy on the frequency of cervical cancer screening at Yaoundé University Teaching Hospital(YUTH). Materials and Methods: This quasi-experimental study (before/ after) was conducted at the Yaoundé UTH. It involved women who received an awareness of cervical cancer intervention at the Yaoundé CHU (intervention group) and those who did not (without intervention group) for 4 months (March to June) of 2 consecutive years (2016 and 2017). Proportions, central tendency parameters (mean or median), odds ratios (ORs), and 95% confidence intervals (CIs) were calculated. Results: A total of 1,313 women participated in screening for cervical cancer, of whom 40.60% were in the without intervention group and 59.40% were in the intervention group. The level of education and marital status were heterogeneously distributed in the two groups (P < 0.05). Women with a higher education level and who were married were more likely to participate in cervical cancer screening after intrahospital sensitization (OR [95% CI] = 5.64 [4.41-7.20] and OR [95% CI] = 1.48 [1.19-1.85], respectively). Conclusion: An intrahospital awareness intervention increased the number of participants in screening for cervical cancer. There is a need to implement this strategy in other hospitals and place particular emphasis on sensitizing less educated and single women.
Facteurs associés aux barrières d'accès au dépistage du cancer du col Antaon et al ______________... more Facteurs associés aux barrières d'accès au dépistage du cancer du col Antaon et al __________________________________________________________________________________________________
[
Cette étude rapporte le vécu des femmes souffrant d'incontinence urinaire (IU) reçues au service ... more Cette étude rapporte le vécu des femmes souffrant d'incontinence urinaire (IU) reçues au service de Gynécologie du CHU de Yaoundé. Pour ce faire, une étude qualitative descriptive a été conduite auprès de 12 femmes souffrant d'incontinence urinaire. Les données ont été collectées par des entretiens semi-structurés entre le 25 septembre et le 12 décembre 2013. Les entretiens avec les femmes se sont tenus au domicile pour 11 d'entre elles et au lieu de service pour une autre. Ils ont été enregistrés, transcrits, puis analysés pour rapporter le vécu des femmes souffrant d'IU. Les patientes étaient âgées de 23 à 68 ans, huit étaient mariées, trois célibataires et l'une veuve. Dix avaient atteint le secondaire ou plus. Concernant les croyances étiologiques sur l'incontinence urinaire, la plupart des causes évoquées étaient la vieillesse (1), le diabète (1), la malformation de la colonne vertébrale (1), le sommeil profond (4), l'accouchement (3), le mysticisme (1), l'infection urinaire (1) et le fait de consommer régulièrement de l'eau (1). Pour ce qui est de l'estime de soi, l'incontinence urinaire a amené certaines femmes à se sous-estimer au point de ne plus trouver leur place dans la société, avec une tendance suicidaire observée chez une d'elles. En conclusion, l'IU est mal vécue par les femmes. Il s'avère donc nécessaire de mener des études pour mieux cerner le phénomène au Cameroun.
Pan African Medical Journal
Advances in Public Health
Background. Biomedical waste (BMW) is defined as unwanted materials generated during diagnosis, t... more Background. Biomedical waste (BMW) is defined as unwanted materials generated during diagnosis, treatment, operation, immunization, or in research activities including production of biologicals. Healthcare workers are responsible for the proper management of this waste for human safety and for the protection of the environment. Methods. An analytical knowledge, attitude, and practice (KAP) study was carried out at Biyem-Assi District Hospital from June 1st to July 5th, 2018, including 100 health workers from different departments. Variables of interest were knowledge, attitudes, and practices of the respondents. A structured and pretested questionnaire was used for data collection. Data analysis was carried out using software Epi Info version 7.2.2.6. Logistic regression was used to establish the relationship between knowledge, attitudes, and practices. Results. Nurses constituted 32.0% of the participants, and more than half of the participants had 1–4 years of working experience (...