Mitangala Ndeba Prudence - Academia.edu (original) (raw)

Papers by Mitangala Ndeba Prudence

Journal of advances in medicine and medical research, Feb 22, 2023

Objective: Official data on Coronavirus Disease 19 (COVID-19) pandemic in the Democratic Republic... more Objective: Official data on Coronavirus Disease 19 (COVID-19) pandemic in the Democratic Republic of Congo (DRC) show a low prevalence. This study assessed the seroprevalence of antibodies against the severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2) in the two main markets of Goma city, in the eastern DRC. Methods: We conducted a cross-sectional study to determine the seroprevalence of antibodies against SARS-CoV-2 in 454 sellers in Kituku and Virunga markets between September 1st and November 08th, 2021. Participants were asked to answer a questionnaire survey on COVID-19 symptoms and their attitudes against COVID-19, including whether they had been vaccinated against COVID-19. Presence of anti-SARS-CoV-2 in blood samples was investigated using QuickZen®. Results: The median (minimum-maximum) age of participants was 27.4 years (13.4-88.3). Participants aged 15 to 40 years old made up 80.6 % of the participants enrolled in the study (n=454), with women accounting for 65.1 % of all participants. No participant in the study had been vaccinated against SARS-CoV-2. The overall crude and adjusted seroprevalence rates of antibodies anti-SARS-CoV-2 were 73.8 % (95 % CI 69.7-77.9) and 82.7 % (95 % CI 79.2 %-86.2 %), respectively. COVID-19 symptoms were absent for 43,1% (n = 332) of the participants with anti-SARS-CoV-2 antibodies. During the same period, none of the participants with anti-SARS-CoV-2 antibodies required hospitalization. Conclusion: We discovered a high seroprevalence of anti-SARS-Cov-2 antibodies in the sellers at the two main Goma markets without any record of vaccination against SARS-CoV-2. No severe COVID-19 symptoms were reported among participants.

Journal of Advances in Medicine and Medical Research

Zenodo (CERN European Organization for Nuclear Research), Oct 17, 2020

Introduction : Face à la transition urbaine dans les pays en développement, cette étude propose d... more Introduction : Face à la transition urbaine dans les pays en développement, cette étude propose des éléments théoriques sur la contribution des systèmes éducatifs et de recherche pour adresser les défis sanitaires qui lui sont liés. Méthodes : En référence au cadre d'analyse intégrant les particularités urbaines, les missions des universités et le troisième objectif de développement durable, une revue narrative de la littérature a été menée sur PubMed, google scholar et certains sites d'organisations spécialisées. Résultats : Les études d'universités documentent l'ampleur du phénomène d'urbanisation dont la massification et la vitesse, en décalage avec la gouvernance urbaine, amplifient les défis sanitaires. Certaines stratégies sont proposées face à la déficience des conditions de vie et de travail, des systèmes d'assainissement, à l'incapacité des services de santé urbains à adresser les maladies transmissibles et celles non transmissibles liées à la précarité, à la transition épidémiologique, au vieillissement des populations et à la mondialisation. Discussion et conclusion : Pour relever ces défis sanitaires, les systèmes éducatifs et de recherche, pourraient structurer davantage les partenariats avec les instances de gouvernance urbaine, les acteurs urbains et changer de paradigme d'enseignement vers un modèle plus créatif.

International journal of innovation and scientific research, Nov 2, 2021

Introduction: In a national context of increasing urban populations and commitment to universal h... more Introduction: In a national context of increasing urban populations and commitment to universal health coverage, this study aims to analyze the household income and health care expenditure in the city of Goma, Eastern DRC. Methodology: This descriptive cross-sectional study was based on a 2017 survey of a sample of 1,000 households in the urban and suburban areas of the City of Goma on household income and health care expenditures during the last episode of illness. Data was analyzed by SPSS version 23. Results: The median monthly household income was 140 Usd, with 89.9% of households living on less than 1.9 Usd per day. Only 9.1% of households were covered by a health insurance system and 91.6% of households experienced at least one illness episode in the past three months. The use of care were dominated by self-medication by purchasing drugs from the pharmacy (50.7%), with non-care cases (6.8%), and varied by income quartile and gender (p <0.001). The median direct care expenditure was 10.7 Usd (0-2272.5 Usd), with catastrophic expenditures in 42.9% of cases and loss of working days and income, not varying according to income quartile (p> 0.05). Discussion and conclusion: This level of income and catastrophic healthcare expenditure requires progress towards a better thought-out compulsory health insurance system that capitalizes on innovative financing.

International Journal of Innovation and Applied Studies, Jul 2, 2021

Introduction: In connection with the reform of the intermediate level of the health system in the... more Introduction: In connection with the reform of the intermediate level of the health system in the DRC, this article describes the perceptions of health district teams, regarding to intermediate health level support, in North Kivu province. Methodology: This descriptive cross-sectional study conducted a self-administered questionnaire survey of senior staff in 34 health districts in North Kivu. The collected data was encoded and analyzed using SPSS version 26 software. Results: More than 85% of health district managers (29/34 districts) view positively the support and coaching at the intermediate level, in terms of the adequacy of the accompanying object, the gradient of the competences of the supervisors, the capacity building, the support for problem-solving and the progress on the path of revitalization of health districts. On the other hand, these perceptions are nuanced about the availability of framers, the frequency of accompanying visits, the juxtaposition of these visits on other activities and the effects on the use of services and the protection of users from financial risks. These perceptions do not vary by gender, age, occupational categories, and seniority in function and within the health district (p>0.05). Discussion and conclusion: These results show the value of more coherence, proactivity and responsiveness in support and reform of the intermediate level, to strengthen its impact on the performance of health district teams.

International Journal of Innovation and Applied Studies, Jul 2, 2021

Recognizing the dichotomy between innate and acquired gender, this study analyzes the relationshi... more Recognizing the dichotomy between innate and acquired gender, this study analyzes the relationships between men and women particularly, in the education sector among young students. This cross-sectional study carried out a questionnaire survey administered to a convenience sample, made up of 380 students from 3 university institutions in Goma, North Kivu, DRC. The themes evaluated concern knowledge towards gender and attitudes towards transdiversity in the training environment. The results show that the majority of respondents (three out of five) admit having perpetrated acts of violence in a university environment during the 12 months of reference. They openly manifest more unequal views of gender promotion. These results illustrate the need to improve the more egalitarian and inclusive learning environment, through awareness raising on positive and hemogenic masculinities in training settings in the Democratic Republic of Congo.

International Journal of Innovation and Applied Studies, Dec 5, 2020

Introduction: As part of a process to reorganize urban health services, this article analyzes the... more Introduction: As part of a process to reorganize urban health services, this article analyzes the profile of health services in the eastern DRC city of Goma; the aim is to identify their distribution and level of medicalization. Methods: This descriptive and cross-sectional study conducted a comprehensive survey of health care facilities in the city of Goma in January 2018. Geographical and health data (infrastructure, equipment, human resources, care provided) were collected by professionals. They were encoded and analyzed using SPSS version 20 software. Results: The urban supply of care in Goma is too bloated with one facility for 8,794 inhabitants, one hospital bed for 326 inhabitants, one nurse for 586 inhabitants and one doctor for 2567 inhabitants. On the other hand, a lack of midwives, sub-equipment and infrastructure that does not meet hospital standards are observed. This health facilities, mainly privately lucrative (79%) with 56% of establishments created in the last 6 years, are variously distributed. The first-line care offer represents 34% and incorporates a medical practice in 43% of cases. Discussion and Conclusion: This provision of care requires strong regulation from the perspective of a better governed, streamlined and staggered urban health system, which better meets the quality standards and user's expectations in urban contexts.

International Journal of Sciences: Basic and Applied Research, 2018

Over the last two decades, several countries that implemented strategies for reaching the Millenn... more Over the last two decades, several countries that implemented strategies for reaching the Millennium Development Goals (MDGs), have reduced their infant mortality by more than half. In spite of global decrease in infant mortality, in 2015, on the point of completion of the MDGs, Sub-Saharan Africa countries among them Democratic Republic of Congo (DRC), remained with highest infant mortality rate. Although making progress, neonatal mortality rate is declining less rapidly than the under-five mortality rate.In order to accelerate reaching infant mortality rate target, several countries among them DRC, have implemented strategies to substantially reduce neonatal mortality. In order to target actions, a descriptive cross-sectional study of neonatal deaths occurred between January 1 st , 2009 and June 30 th , 2014 was performed in referral health facilities of 6 North Kivu province health zones in DRC. Acute fetal distress, premature birth and infection were found to be the causes of 8...

Journal of Clinical & Experimental Pathology, 2013

Background: The relationship between malaria and nutritional status is still unclear and difficul... more Background: The relationship between malaria and nutritional status is still unclear and difficult to establish. Methods: For this purpose, information on 1 994 children admitted between January 2003 and November 2006 in Lwiro paediatric hospital, located in the Kivu region in the east of the Democratic Republic of Congo (RDC), was analyzed. The relationship between indicators of Protein Energy Malnutrition (PEM) on admission and the risk of clinical malaria during hospitalization was determined using Poisson regression. Results: The clinical malaria incidence during hospitalization was 7.65/1 000 child-days (228/29 803) and was significantly higher in children with the lowest nutritional indexes, requiring therapeutic feeding. Multivariate analysis showed that malaria incidence was significantly higher in children with the middle upper arm circumference < 115 mm (IRR: 1.75; 95% CI: 1.16 – 2.38) and with nutritional oedemas (IRR 1.66; 95% CI: 1.16 – 2.38). Conclusion: Children hospitalized with severe PEM and undergoing therapeutic refeeding were at a higher risk of clinical malaria and should be specifically protected against such a risk. *Corresponding author: Mitangala Ndeba Prudence, département de biostatistique ESP/ULB, CP 598, Route de Lennik 808, 1070 Bruxelles, Belgique, Tel: +243 998 088 072; E-mail: prudendeb@yahoo.fr Received December 13, 2011; Accepted April 20, 2012; Published April 24, 2012 Citation: Prudence MN, D’Alessandro U, Donnen P, Hennart P, Porignon D, et al. (2012) Clinical Malaria and Nutritional Status in Children Admitted in Lwiro Hospital, Democratic Republic of Congo. J Clin Exp Pathol S3:004. doi:10.4172/2161-0681. S3-004 Copyright: © 2012 Prudence MN, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Journal of clinical & experimental pathology, 2013

International Journal of Innovation and Applied Studies, Apr 2, 2019

Introduction : The organizational model of health in the Democratic Republic of Congo is based on... more Introduction : The organizational model of health in the Democratic Republic of Congo is based on primary health care. Overall, the organization of this system in urban areas still depend on the one of rural areas where public health facilities predominate. Only data from these integates facilities are taken into consideration for the evaluation of utilization services. In this context, in cities where private health facilities proliferate, the level of use is still considered low. Methodology : Data were analyzed in relation to the curative service utilization of all functional health facilities in the eastern DRC city of Goma in order to estimate the overall health coverage for the year 2017 and its contribution in monitoring progress towards universal health coverage. Results : Overall utilization of curative services was 0.61 new case per capita. In this global utilization, the contribution of integrated health facilities in the health system was only 18.7% (n = 579,555). More than 75% of this utilization was covered by private health facilities. But in thses private health facilities, quality was poor. Conclusion : In urban areas, most medical supply service was provided by private health facilities, their non consideration does not make it possible to correctly assess either their use by the population nor the progress towards universal health coverage. In a context of increasing urbanization, the accreditation of private health facilities could be an innovative strategy for their integration, improve quality and good monitoring progress towards universal health coverage.

International journal of innovation and scientific research, Feb 2, 2021

Introduction : Cet article décrit l’itinéraire thérapeutique de la patientèle urbaine de Goma, à ... more Introduction : Cet article décrit l’itinéraire thérapeutique de la patientèle urbaine de Goma, à l’Est de la République Démocratique du Congo ; l’objectif étant d’identifier le type de services de santé fréquentés par les patients et leur niveau de satisfaction. Méthodologie : Cette étude transversale descriptive a procédé par une enquête par questionnaire administré auprès d’un échantillon aléatoire simple de 1000 ménages de la ville de Goma, en septembre 2017. Les données collectées par des professionnels ont été encodées et analysées grâce au logiciel SPSS version 23. Résultats : Lors d’un épisode maladie, plus de la moitié des patients (51%) recourt en première intention à une officine pharmaceutique sans ordonnance ou à l’automédication, 25% recourent à une structure avec médecin et seulement 7% utilisent le centre de santé de son aire de santé. Enfin 7% de patients ne recourent à aucuns soins tandis que 3% de patients recourent à la pharmacopée traditionnelle. Des niveaux plus élevés de non-recours aux soins et de mortalité sont notés dans les ménages avec un chef de ménage de sexe féminin (p0,05) selon que le chef de ménage est de sexe masculin ou féminin. Discussion et Conclusion : Le recours important de la patientèle urbaine à l’automédication, secondairement aux services sanitaires avec médecins et exceptionnellement au centre de santé, impose de repenser l’organisation et la régulation des services de santé urbains.Peer reviewe

International journal of innovation and scientific research, Nov 2, 2021

Introduction: The study was about the mapping of health care Organization in urban areas. It aims... more Introduction: The study was about the mapping of health care Organization in urban areas. It aims is to show the apportionment, appurtenance, and profile of the pharmaceutical pharmacies in the Goma city, in eastern DRC. Goma city is served in medicine by the public and private sector. Methodology: The study is cross-sectional and descriptive. It was carried out by an exhaustive census of pharmacies. Data entry and analysis was done using SPSS version 23 software. Results: The inventory of pharmacies is 723 in the city of Goma, whether one pharmaceutical office for 1.314 habitants. Almost 70% of them have set up in the last 5 years, with 31% in 2017 alone. One third of pharmacies have official authorization minutes from the Ministry of Health. All of the pharmacies are private for profit and are supplied by the private sector. More than 90% of pharmacies operate in non-standard premises and are run in 92.1% of cases by healthcare providers. Conclusion: Private pharmaceutical pharmacies play a major role in the supply of medicines in urban areas of Goma. Their functioning far from the standards, seems to indicate a lack of regulation, which exposes the population to the consumption of drugs of a potentially non-optimal quality.

Cities & Health, 2019

In this article, we present the process leading to the pilot test of a new primary health care se... more In this article, we present the process leading to the pilot test of a new primary health care services model in Goma (DRC). This new model proposes the introduction of a multidisciplinary team in the urban health centres to offer comprehensive and better-quality patient care. Our contribution highlights the importance of an in-depth analysis of the urban context for the implementation of a new model of care, and the usefulness of a constructive dialogue and active participation of all relevant stakeholders. Our analysis informs launches new research perspectives on the improvement of health care services access in the urban areas.

Journal of Diabetes Research Reviews & Reports

Objectives: To explore the geographic determinants of gestational diabetes in eastern DRC and to ... more Objectives: To explore the geographic determinants of gestational diabetes in eastern DRC and to seek confounding factors. Methods: Cross-sectional descriptive study with a multicenter analytical aim conducted in the hot and cold season from April 2019 to February 2021. Included were 392 pregnant women at 24-28 weeks of amenorrhea. Blood glucose, cortisol, SO2, anthropometric measurements, 30 previous day’s temperature, altitude and atmospheric pressure (atm) were examined. The glycaemia ≥92mg/dL was pathological, in which case cortisolaemia was measured after matching with normal glycaemia. Data were analyzed using SPSS version 23 by calculating median, proportion, ANOVA, Pearson's Chi2 or Fisher's exact test, Wilcoxon -Mann–Whitney test. Results: The proportion of 23.8%, 37.4%, 13.8% and 25.0% of 392 pregnant women lived respectively at the altitude of 1400 m, 1500m, 1700m and 2419m. Pathological glycaemia was twice higher at < 1700 m = atm > 82% [32.9% (n = 295)] Vs...

Objective: To determine the prevalence of gestational diabetes and associated risk factors in the... more Objective: To determine the prevalence of gestational diabetes and associated risk factors in the eastern region of the Democratic Republic of Congo (DRC).Methods: A cross-sectional study was conducted in Goma city, Idjwi, Ngungu and Rutshuru districts between April 2019 and February 2021. Were included, pregnant women between 24 to 28 weeks of amenorrhea who consented to participate in the study. Blood sugar, anthropometric parameters and obstetrical and family history were studied. Gestational diabetes was defined as blood glucose level between 92 and 125mg/dL.Results: The overall prevalence was 21.2% (n=391) and was higher in Rutshuru [27.2% (n=92)] and Goma [26.9% (n=134)] compared to Ngungu [10.0% (n=110)] (p=0.005). An increased risk was associated with a history of a newborn weighing ≥ 4000g [OR 2.4 95% CI (1.3 – 4.4)] or family diabetes [OR 2.9 95% CI (2.0 – 4.9)]. Median age in the pathological group was not different from that with normal blood glucose [25.0 (16.0 – 44.0) ...

Journal of advances in medicine and medical research, Feb 22, 2023

Journal of Advances in Medicine and Medical Research

Zenodo (CERN European Organization for Nuclear Research), Oct 17, 2020

International journal of innovation and scientific research, Nov 2, 2021

International Journal of Innovation and Applied Studies, Jul 2, 2021

International Journal of Innovation and Applied Studies, Dec 5, 2020

International Journal of Sciences: Basic and Applied Research, 2018

Journal of Clinical & Experimental Pathology, 2013

Journal of clinical & experimental pathology, 2013

International Journal of Innovation and Applied Studies, Apr 2, 2019

International journal of innovation and scientific research, Feb 2, 2021

International journal of innovation and scientific research, Nov 2, 2021

Cities & Health, 2019

Journal of Diabetes Research Reviews & Reports