La prise en charge à domicile du paludisme chez l’enfant de 0 à 5 ans: Un problème réel de santé publique à Lubumbashi (RD Congo)

Mutombo, Augustin Mulangu; Kanteng, Gray; Tshibanda, Kristel Nzeba; Lubala, Toni Kasole; Kabuya, Maguy Nsangaji; Wembonyama, Stanis Okitotsho; Luboya, Oscar Numbi

doi:10.11604/pamj.2014.18.214.4733

Cited by 5 publications

(4 citation statements)

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“…It is a common practise noted in urban areas contributing to community participation in reducing mortality due to malaria. A study by Mutombo has shown that the perception of home-managed malaria in children from 0-5 years in Lubumbashi (DRC) was not in line with the national recommandations [ 29 ]. This imply the need to reinforcing interventions of community perspectives by assuring the training of community facilitator and the supply of artemisinine combined treatement.…”

Section: Discussionmentioning

confidence: 99%

Severe malaria and death risk factors among children under 5 years at Jason Sendwe Hospital in Democratic Republic of Congo

Mutombo¹,

Mukuku²,

Tshibanda³

et al. 2018

Pan Afr Med J

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IntroductionMalaria is still a major public health concern in the Democratic Republic of Congo. Its morbidity and mortality challenge the actual strategies of the fight agains malaria. This study was aimed to describe the epidemiology, the clinical caracteristics and the risk factors of death associated to severe malaria in the pediatric population under 5 years at Sendwe Hospital of Lubumbashi.MethodsThis analytical retrospective study was conducted in Lubumbashi, in the province of Haut-Katanga. All patients under 5 years hospitalized for severe malaria were registered from January 2014 to December 2016.ResultsAmong the 3,092 patients hospitalised during our study period, 452 (14.6%) were admitted for severe malaria. The average age was 27.04 months, the male sex was the most affected (53.54% with the sex-ratio 1.15). The most frequent forms of gravity noticed were cerebral malaria (48.23%) and severe anemia (46.90%). Death was noted in the evolution in 28.32%. Repeated convulsion (OR = 2.27; 95% CI: 1.47-3.48), coma (OR = 3.55; 95% CI: 2.19-5.74) and severe acute malnutrition (OR = 3.32; 95% CI: 1.56-7.06) were asscociated with a high risk of death.ConclusionThis research shows that severe malaria is still an important cause of morbidity and mortality among young children in Lubumbashi. Neurologic and anemic forms are the most frequent. The predictive signs of death are: repeated convulsions, coma and severe acute malnutrition.

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Section: Discussionmentioning

confidence: 99%

Severe malaria and death risk factors among children under 5 years at Jason Sendwe Hospital in Democratic Republic of Congo

Mutombo¹,

Mukuku²,

Tshibanda³

et al. 2018

Pan Afr Med J

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“…The four mean reasons reported by parent/guardians for the use of SM as first therapeutic itinerary in 1 st therapeutic recourse was that they considered the disease as mild in 63.4%, they reported knowledge of treatment in 11.7% and the financial problem in 6.9%. A study conducted in Congo Lubumbashi has found that 31.5% of mothers practiced self-medication because of limited resources [40].…”

Section: Discussionmentioning

confidence: 99%

Characterization of pharmaceutical medication without a medical prescription in children before hospitalization in a resource-limited setting, Cameroon

Penda¹,

Moukoko²,

Youmba³

et al. 2018

Pan Afr Med J

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IntroductionThe use of different therapeutic approaches is common among sick children in Cameroon. The main objective of this study was to characterize the use of non-prescription drugs and describe the therapeutic itineraries of sick children before admission to the hospital.MethodsA cross-sectional and prospective study was conducted from January to May 2017. A closed-ended questionnaire (CEQ) consisting of one or several response options was administered to the parents/guardians of the children on admission to the hospital in the pediatric ward of the Laquintinie Hospital in Douala (LHD) and the Cité des Palmiers District Hospital (CPDH) of the city of Douala. Inclusion of participants was made consecutively for adolescents who gave their consent and parents or guardians who signed the informed consent for all children. The confidentiality of the data was ensured by the replacement of the names by codes.ResultsOverall, 295 hospitalized children were included with an average age of 3.1 (SD: 3.3) years in the study. More than half of these children (58.6%) came from LHD. More than 90% of parents had at least one therapeutic recourse (TR). The ratio of boys to girls 3/1. Self-medication (74.1%) and medical consultation (16.9%) were the main therapeutic paths in 1st recourse. The medical consultation (80.2%) and the pharmaceutical advice (16.9%) were used frequently in 2nd recourse. The mean lapse time to see a medical professional was 2.7 days (min-max: 0-14 days). The main symptoms associated with TR were fever (76.6%), vomiting (24.7%) and diarrhea (22.7%). The most frequently used drugs were Analgesics/antipyretics (47.6%), antimalarials (15.0%) and antibiotics (10.2%) and the family medicine box was the highest source of drugs.ConclusionSelf medication remains the first therapeutic path, followed by medical consultation as second therapeutic path taken when the disease is perceived as serious.

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“…It is responsible for 67% of external consultations and 47.3% of deaths of children under 5 years old. Indeed, a Congolese child under 5 years of age experiences between 6 and 10 episodes of malaria fever per year (Mutombo et al, 2020;Mutombo et al, 2014). To combat this endemic, the National Malaria Control Program in DR Congo (NMCP) has implemented different strategies for malaria control as proposed by the WHO.…”

Section: Introductionmentioning

confidence: 99%

“…To combat this endemic, the National Malaria Control Program in DR Congo (NMCP) has implemented different strategies for malaria control as proposed by the WHO. Despite the availability of funds and the existence of means of control, malaria continues to fill hospitals and kill children under 5 years of age (Mutombo et al, 2014). Indeed, the Democratic Republic of Congo is a country with considerable floristic biodiversity.…”

Section: Introductionmentioning

confidence: 99%

Ethnobotanical Study of Plants Used by Traditherapists for the Treatment of Malaria in the City of Butembo, North Kivu, East of the Democratic Republic of Congo

Syamasamba

Kapiri²,

Muhesi³

et al. 2022

IJIAS

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Malaria is a serious public health problem in the Democratic Republic of Congo (DRC) in general and in the city of Butembo in particular. To complete the lack of information, the objective of this article is to identify the different plant species used in the traditional treatment of malaria in the city of Butembo. Ethnobotanical investigations were conducted among 91 traditherapists. Semi-structured interviews with the use of a pre-established questionnaire were used for data collection. This study allowed the inventory of 26 plant species belonging to 18 botanical families. The species of the Asteraceae family are the most solicited by the therapists of the city of Butembo (25.27%). This family is followed by the Myrtaceae and Rubiaceae families, each with a total of 12.09%. Then come the Caricaceae, Poaceae, and Fabaceae with respectively 9.89%, 9.89%, and 8.79% of citations. Leaves are the most used organ (70.33%) in the preparation of drugs. The pharmaceutical form of preparation is decoction (81.32%). The antimalarial recipes are administered by oral (100%). The species most solicited by the therapists are Artemisia annua (12.09%), Eucalyptus maideni var globulus (10.99%), Cinchona ledgeriana (10.99%), Cymbopogon citratus (9.89%), Carica papaya (9.89%), Cassia occidentalis (7.69%), and Bidens pilosa (8.79%). In consideration of these results, phytochemical and pharmacological analysis of these plants is essential to help validate their traditional use and to find new plants with antimalarial potential that would play the first role in the development of improved traditional medicines (ITM) with antimalarial activity.

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La prise en charge à domicile du paludisme chez l’enfant de 0 à 5 ans: Un problème réel de santé publique à Lubumbashi (RD Congo)

Cited by 5 publications

References 1 publication

Severe malaria and death risk factors among children under 5 years at Jason Sendwe Hospital in Democratic Republic of Congo

Severe malaria and death risk factors among children under 5 years at Jason Sendwe Hospital in Democratic Republic of Congo

Characterization of pharmaceutical medication without a medical prescription in children before hospitalization in a resource-limited setting, Cameroon

Ethnobotanical Study of Plants Used by Traditherapists for the Treatment of Malaria in the City of Butembo, North Kivu, East of the Democratic Republic of Congo

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