Knowledge and Practices of Health Providers on the Diagnosis and Biological Monitoring of Sickle Cell Disease in the City of Kindu, in the East of the Democratic Republic of Congo

Katawandja, Antoine Lufimbo; Kingwengwe, Aimé Abdala; Mwamba, Etienne Shindano

doi:10.4236/oalib.1106757

Cited by 4 publications

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“…31 Similar findings were reported from studies among Kisangani University students, 32 families directly affected by sickle cell disease in Mbujimayi, 33 and among healthcare providers in the city of Kindu, all in the Democratic Republic of the Congo. 28 , 34 Poor knowledge about sickle cell disease was identified amongst unmarried youths in Cameroon. 35 In Nigeria, poor knowledge about sickle cell disease has also been reported among secondary school students, 36 , 37 undergraduates, 1 , 38 , 39 local government workers, 40 and childbearing-age adult women.…”

Section: Resultsmentioning

confidence: 99%

A Critical Review of Sickle Cell Disease Burden and Challenges in Sub-Saharan Africa

Adigwe¹,

Onoja²,

Onavbavba³

2023

JBM

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Sickle cell disease is caused by an abnormality of the β-globin gene and is characterised by sickling of the red blood cells. Globally, sub-Saharan African countries share the highest burden of the disease. This study aimed at critically reviewing studies focusing on challenges of sickle cell anaemia in sub-Saharan Africa. A literature search was carried out in five major databases. Articles that met the inclusion criteria were included in the bibliometric review and critical analysis. A majority of the studies were undertaken in the West African region (85.5%), followed by Central Africa (9.1%). Very few studies had been undertaken in East Africa (3.6%), whilst the Southern African region had the fewest studies (1.8%). Distribution in relation to country revealed that three quarters of the studies were carried out in Nigeria (74.5%), followed by the Democratic Republic of the Congo (9.1%). According to healthcare settings, a strong majority of the studies were undertaken in tertiary health care facilities (92.7%). Major themes that emerged from the review include interventions, cost of treatment, and knowledge about sickle cell disease. Public health awareness and promotion as well as improving the quality of sickle cell centers for prompt management of patients with sickle cell disorder was identified as a critical strategy towards reducing the burden of the disease in sub-Saharan Africa. To achieve this, governments in countries located in this region need to adopt a proactive strategy in addressing gaps that have been identified in this study, as well as instituting other relevant measures, such as continuous media engagement and public health interventions relating to genetic counselling. Reforms in other areas that can help reduce the disease burden, include training of practitioners and equipping sickle cell disease treatment centers according to World Health Organization specifications.

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Section: Resultsmentioning

confidence: 99%

A Critical Review of Sickle Cell Disease Burden and Challenges in Sub-Saharan Africa

Adigwe¹,

Onoja²,

Onavbavba³

2023

JBM

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“…And the situation is not limited to Kinshasa; a study in Kindu in the Eastern part of the DRC found poorer knowledge among HCPs with 48.8% and 26.6% having awareness of Emmel test and haemoglobin electrophoresis, respectively. 22 A study in Tanzania showed that only 25.1% had good knowledge on SCD. 23 Encouragingly, participants demonstrated a high level of knowledge about the clinical manifestations of SCD.…”

Section: Discussionmentioning

confidence: 99%

“…Gomes and colleagues found a better practice than in the current study (65.5%), ranging from 40.4% to 87.23%. 22 It is interesting to note that the authors considered physicians and nurses without distinction and addressed the knowledge of management only on children. It is noteworthy that the study by Gomes and colleagues assessed HCPs as a collective group, without distinguishing between physicians and nurses, and focused solely on the knowledge of managing paediatric populations.…”

Section: Discussionmentioning

confidence: 99%

“…The HCPs show either average level (physicians, university and graduate level nurses) or poor level of knowledge on the epidemiology of SCD. It is essential for the HCPs to have a good knowledge on the epidemiology of sickle cell 22 A study in Tanzania showed that only 25.1% had good knowledge on SCD. 23 Encouragingly, participants demonstrated a high level of knowledge about the clinical manifestations of SCD.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge and practices of sickle cell disease among healthcare providers in Kinshasa, Democratic Republic of the Congo

Ngonde,

Fina,

Burgueno

et al. 2024

African Journal of Primary Health Care & Family Medicine

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Background: In Kinshasa, Democratic Republic of Congo, there is a low evocation of the diagnosis of sickle cell disease (SCD) by first-level healthcare providers (HCPs), most likely because of poor knowledge of the disease.Aim: To assess the levels of knowledge and practices of SCD and to identify determinants of the practices among primary HCPs.Setting: Healthcare facilities in Selembao health zone in Kinshasa, Democratic Republic of the Congo.Methods: A cross-sectional study of HCPs randomly selected through a two-stage sampling design. Data were collected using a pre-tested interviewer-administered questionnaire. Univariate and bivariate analysis were done to describe the levels of knowledge and practices of SCD. Factors associated with better practices on SCD were determined using multiple linear regression. The threshold for statistical significance was p ˂ 0.05.Results: A total of 318 HCPs, which included 80 physicians and 238 nurses, participated in the study. The participants showed different scores on the components of the knowledge. All the participants showed poor practices on SCD. Multiple linear regression retained overall knowledge of SCD as a significant predictor of better practice for physicians. Knowledge of SCD and duration of work experience were significant predictors of better practices among nurses.Conclusion: The practices of healthcare providers on SCD were far from optimal. These practices were significantly associated with knowledge and experience of healthcare providers.Contribution: This study highlighted the need for continuing professional education to enhance the management of SCD in the setting.

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Peripheral health workers’ knowledge and experience related to sickle cell disease: an in-depth interview study in six tribal-dominated districts of India

et al. 2022

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Knowledge and Practices of Health Providers on the Diagnosis and Biological Monitoring of Sickle Cell Disease in the City of Kindu, in the East of the Democratic Republic of Congo

Cited by 4 publications

References 0 publications

A Critical Review of Sickle Cell Disease Burden and Challenges in Sub-Saharan Africa

A Critical Review of Sickle Cell Disease Burden and Challenges in Sub-Saharan Africa

Knowledge and practices of sickle cell disease among healthcare providers in Kinshasa, Democratic Republic of the Congo

Peripheral health workers’ knowledge and experience related to sickle cell disease: an in-depth interview study in six tribal-dominated districts of India

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