Objectif : Cette étude a pour objectif de déterminer les effets de la téléphonie mobile sur l’amélioration de l’observance de la prophylaxie post-exposition au centre antirabique d’Abidjan. Méthodes : Il s’agit d’une étude transversale à visée descriptive et analytique, qui s’est déroulée de septembre 2014 à mai 2015. La collecte des données s’est déroulée en deux étapes : d’abord l’interview de tous les patients au centre antirabique lors de leur première consultation, ensuite une interview téléphonique trois jours plus tard, destinée uniquement aux sujets qui avaient abandonné leur traitement prophylactique. Résultats : Les résultats obtenus indiquaient qu’après des appels téléphoniques, le taux d’abandon est passé de 59,3 % à 44,8 %. Les abandons étaient plus rares chez les patients ayant reçu un avis pour effectuer la surveillance vétérinaire (ORa = 0,23 ; IC95 % [0,11-0,48]), ayant déposé au moins un certificat vétérinaire (ORa = 0,25 ; IC95 % [0,15-0,43]) ou ayant reçu plus de deux doses vaccinales (ORa = 0,23 ; IC95 % [0,12-0,42]) avant appel téléphonique. Mais les taux d’abandon étaient élevés chez les patients de la classe d’âge 20 à 29 ans (ORa = 2,66 ; IC95 % [1,25-5,68]) et chez les patients ayant subi une exposition de catégorie III (ORa = 2,19 ; IC95 % [1,12-54,3]). Conclusion : Ces résultats dénotent que la téléphonie mobile est un outil utile pour sensibiliser les patients à adhérer à la prophylaxie post-exposition. Cependant, des campagnes d’information et de sensibilisation des populations sur l’issue fatale de la rage doivent être organisées.

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Introduction: Rabies is endemic and constitutes a public health problem in Côte d'Ivoire. In the health districts of Kong and Ferkessedougou, exposure to rabies infection reported by the National Institute of Public Hygiene of Ferkessedougou averages 200 cases per year. However, in the involvement of health workers from First Contact Health Establishments (FCHE) of the 2 Districts, the management of exposed persons is unknown. This study aimed to determine the involvement of healthcare personnel in FCHE in the health districts of Ferkessedougou and Kong in the elimination of human rabies. Material and Methods: This was a prospective cross-sectional study with a descriptive aim which took place from October 21, 2020 to November 20, 2020. The data were collected using a questionnaire and then analyzed with the software EXCEL and Epi Info 3.5.3. Principle Results: It emerged from this study that the average age of the participants was 36.8 years with an average professional seniority of 5.07 years. The majority (73.90%) of healthcare staff have not received training on rabies. However, plenty of healthcare personnel respectively experienced the transmission of the rabies virus from animals to humans (98.60%), with dogs (97.10%) as the main animal vector of rabies to man, the bite (100%) as the way of contamination of rabies, the immediate washing with water and soap (66.70%), the administration of the anti-rabies vaccine (75.4%), the National Institute of Public Hygiene as a reference structure (63.

Malaria, a febrile human disease transmitted by female anopheles whose ecology is linked to water, is a major public health problem in Côte d'Ivoire, more precisely in the Marahoué region located in the southwest of the country. In order to effectively control this disease, it is necessary to understand the etiology and the diffusion pattern of the vectors. This justifies this study, which proposes to determine the areas at risk of malaria transmission in order to carry out an effective fight against this disease in this region of Côte d'Ivoire. To achieve this, a combined approach of geographic information systems and multicriteria analysis was adopted. The analysis reveals that the south and northwest of the Marahoué region present a high risk for malaria transmission. This risk is linked to indicators such as climatic factors that cover 48.36% of the study area, environmental factors such as vegetation cover (NDVI), soil moisture (NDWI), altitude, hydrography (water point) and population that covers 55.29% of the area and land use. Also, the results indicated that 50.70% of the region has favorable conditions for malaria transmission. Overall, climatic and environmental indicators are the risk factors associated with the resurgence of malaria.