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3%). selleck kinase inhibitor In 99.5%, malaria was positive as per blood smear test. All physicians complied with the exemption policy despite the lack of drugs, reagents, communication, and waiting time for laboratory results with 54.5%, 36.4%, 9.1%, 67%, respectively.

This study has shown that the free policy in its implementation at Abobo Sud General Hospital is experiencing shortcomings. A large-scale study should be carried out to compile information in optimizing this policy.

This study has shown that the free policy in its implementation at Abobo Sud General Hospital is experiencing shortcomings. A large-scale study should be carried out to compile information in optimizing this policy.

The need for an efficient and reliable health information system motivated Gabon, with the support of the World Bank, to finance a project to reinforce its health information system. An audit of this system was required to report on the reality of the existing system and tools.

Over the course of two periods, May to September 2016 and April to May 2018, information was collected using both qualitative and quantitative approaches. In this framework, were carried out successively participative workshops including health actors in Gabon, a survey of health care workers, an analysis of reference documents relating to national health policies, and an analysis of the strengths, weaknesses, opportunities, and threats to the system.

In total, 171 health care professionals participated in the different workshops, and 770 others were questioned among 150 health care establishments from 10 health care regions of the country. At the end of this research work, organizational and technical problems were noted at the level of the health information system of Gabon, notably the absence of a judicial framework defining the roles and responsibilities of the different actors of the system, weak data management, a stovepipe information system, several non-interoperable IT applications, and weak completeness rate, at 30%. Among the 770 health care professionals surveyed, 539 (70%) were favorable to a new information system. As for the main assets, we noted the existence of computing equipment and acceptable internet coverage, 31.5% of the health care establishments are connected via cable.

This research sheds light on the existing health information system and should enable the implementation of a new system.

This research sheds light on the existing health information system and should enable the implementation of a new system.

Medical evacuation is the transfer of a patient from a health institution to another for more appropriate care. The medical evacuation process is framed by legal texts. Dysfunctions are still possible.

The aim of this article is to study the medical evacuation process in order to identify possible dysfunctions.

A cross-sectional qualitative study was conducted from December 2017 to August 2018. We recruited 11 people according to saturation principles. They were all involved in the medical evacuation process. Data were collected according to an interview guide and recorded using a Dictaphone. Data analysis consisted of gathering the information extracted from the verbatim.

Dysfunctions were noted in the doctor’s decisions for a possible evacuation, the constitution of the medical evacuation file and the signature of the clinical observation by the doctors. Irregularity in the Medical Evacuation Board meetings was also noted, leading to inappropriate decision-making. We found the absence of inter-sectorial collaboration in evacuation, leading to poor follow-up of transferred patients. We also found the payment for hospitalization and medical care in private accounts instead of selected hospitals’ accounts as stated in the evacuation guide.

The medical evacuation process in the Republic of Congo suffers from many irregularities including the doctor’s decision, administrative and financial decisions, as well as the follow-up of patient in the host country and in the hospital abroad.

The medical evacuation process in the Republic of Congo suffers from many irregularities including the doctor’s decision, administrative and financial decisions, as well as the follow-up of patient in the host country and in the hospital abroad.

In Côte d’Ivoire, national modern contraceptive prevalence remains low, at 21% in 2017.Purpose of research The objective of this study was to identify socio-cultural obstacles related to the use of modern contraception among women of reproductive age.

We conducted a descriptive and qualitative study in Dallas, in the Adjamé commune, located in the center of Abidjan. The survey took place from 9th June to 7th July 2018. In addition, we conducted four focus groups with men over 20 years old, women of reproductive age between 15 and 49 years old, and two religious leaders recruited according to a reasoned sampling. Group discussion guides and individual interview guides were used as data collection tools. Moreover, we analyzed data after recording and transcribing, following a thematic content analysis.

We interviewed thirty participants including 14 men, 14 women, and two religious leaders. The main obstacles described were the lack of reliable and adequate information, misconceptions about contraception, fear of side effects, illiteracy, male decision-making power, religious prohibitions, and the socio-cultural contradictions. To circumvent these obstacles, women secretly used contraceptives, thereby exposing themselves to social risks.

Our study highlighted the persistence of socio-cultural practices. For that reason, taking into account people’s perceptions is necessary to improve the use of modern contraception at the community level.

Our study highlighted the persistence of socio-cultural practices. For that reason, taking into account people’s perceptions is necessary to improve the use of modern contraception at the community level.

In Senegal, the issue of access to maternal, reproductive and sexual health services remains a health priority. Although there have been many health interventions, women’s access to health services remains limited due to women’s limited autonomy in making decisions about their health.Purpose of research The objective of this study was to study the factors associated with women’s decision-making autonomy in relation to their own health in Senegal in 2017.

Six-point twenty-six percent (6.26%) of women were autonomous in making decisions about their health. For 80.33% of women, it was their husband or partner who decided for them.The factors associated with women’s decision-making autonomy were the 20-24 and 45-49 age groups with AOR of 0.28 [0.10-0.77] and 2.99 [1.25-7.17], rural housing environment (AOR = 0.52 [0.34-0.80]), higher women’s level of education (AOR = 4.10 [1.54-10.93]), the level of education of the husband/primary partner (AOR = 1.98 [1.08-3.