[ EVALUATION DE LA PRISE EN CHARGE DE LA TUBERCULOSE DANS LA ZONE DE SANTE DE KADUTU, SUD-KIVU, RD CONGO ]
Volume 20, Issue 2, February 2016, Pages 362–372
David MARHEGANE Kwigomba1 and NSHOMBO NSIMIRE Laurence2
1 Faculté de Santé publique, Université Savante du Kivu, Bukavu, RD Congo
2 Département de Santé, Institut Supérieur de Techniques Médicales de Bukavu, Bukavu, RD Congo
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The General aim of this work was to contribute to the improvement or amelioration of the taking in care of the tuberculose generally in BUKAVU town and particularly in KADUTU area of health and its specific aims were the following:
To identify the sanitarian formations that take the tucuberculose in care in KADUTU area of health ; to release the eventual obstacles or causes of inaccessibility in front of the care ; to evaluate the level of implication of the treatment strategy that can be observed and to evaluate the level of personal knowledge healing and the patients in tuberculose materiel.
We have driven an analytic and transversal study.
The population of study is made of all patients with microscopy pulmonary tuberculose (TPM+) under the treatment that we have conducted in kadutu area of health during our research period and the prestataries or beneficiaries of cares which take care of them. We have submitted a questionnaire of enquiry to our study of population in order to manage this study .After the treatment and analysis, the result is that 72,3% of patients alternate of the taking of medicines at home, 33,3 % take the medicines every day in the sanitarian formations , 33,3% take twice a week and 6,6 % take once a week ; Inorder to reach the sanitarian formations ,the distance to go through is the principal obstacle that patients reach in the persecution or pursuit of the treatment (70% patients have approved this) ; at 20 % are effectuated the home visits and not effectuated to 80% which is a negative effect in cases of patients, for the measure of recuperation of irregulars to the cares of renouncement cases , the result of our study proves that 60% of healings don't proceed to the reach of these cases. But apart from that, this has also a negative impact on the following of patients. By opposition of these results , the program of fighting against the tuberculose recommend that the patients must take medicines every day in the medical structure and the absence of only one day to the treatment is against the measure s of recuperation (written invitation, home visit) done by the nurses ,family members, community members other patients. To sum up, the taking in care of tuberculose in the kadutu area of health is not effective.
Author Keywords: Tuberculose, taking in care, healing personal, sanitarian formation, co-infection.
Volume 20, Issue 2, February 2016, Pages 362–372
David MARHEGANE Kwigomba1 and NSHOMBO NSIMIRE Laurence2
1 Faculté de Santé publique, Université Savante du Kivu, Bukavu, RD Congo
2 Département de Santé, Institut Supérieur de Techniques Médicales de Bukavu, Bukavu, RD Congo
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The General aim of this work was to contribute to the improvement or amelioration of the taking in care of the tuberculose generally in BUKAVU town and particularly in KADUTU area of health and its specific aims were the following:
To identify the sanitarian formations that take the tucuberculose in care in KADUTU area of health ; to release the eventual obstacles or causes of inaccessibility in front of the care ; to evaluate the level of implication of the treatment strategy that can be observed and to evaluate the level of personal knowledge healing and the patients in tuberculose materiel.
We have driven an analytic and transversal study.
The population of study is made of all patients with microscopy pulmonary tuberculose (TPM+) under the treatment that we have conducted in kadutu area of health during our research period and the prestataries or beneficiaries of cares which take care of them. We have submitted a questionnaire of enquiry to our study of population in order to manage this study .After the treatment and analysis, the result is that 72,3% of patients alternate of the taking of medicines at home, 33,3 % take the medicines every day in the sanitarian formations , 33,3% take twice a week and 6,6 % take once a week ; Inorder to reach the sanitarian formations ,the distance to go through is the principal obstacle that patients reach in the persecution or pursuit of the treatment (70% patients have approved this) ; at 20 % are effectuated the home visits and not effectuated to 80% which is a negative effect in cases of patients, for the measure of recuperation of irregulars to the cares of renouncement cases , the result of our study proves that 60% of healings don't proceed to the reach of these cases. But apart from that, this has also a negative impact on the following of patients. By opposition of these results , the program of fighting against the tuberculose recommend that the patients must take medicines every day in the medical structure and the absence of only one day to the treatment is against the measure s of recuperation (written invitation, home visit) done by the nurses ,family members, community members other patients. To sum up, the taking in care of tuberculose in the kadutu area of health is not effective.
Author Keywords: Tuberculose, taking in care, healing personal, sanitarian formation, co-infection.
Abstract: (french)
Ce travail avait comme objectif général de contribuer à l'amélioration de la prise en charge de la tuberculose dans la ville de Bukavu en général et dans la zone de santé de kadutu en particulier et comme objectifs spécifiques : d'identifier les formations sanitaires qui prennent la tuberculose en charge dans la Zone de santé(Zs) de kadutu ;dégager les obstacles éventuels ou causes d'inaccessibilité aux soins ; Evaluer le niveau d'implication de la stratégie du traitement directement observé (TDO) et évaluer le niveau de connaissance du personnel soignant et des patients en matière de la tuberculose.
Nous avons mené une étude analytique et transversale. La population d'étude est composée de tous les malades avec tuberculose pulmonaire à microscopie positive sous traitement que nous avons trouvé dans la zone de santé de kadutu pendant la période de notre recherche et les prestataires de soins qui leur prennent en charge. Pour bien mené notre étude, nous avons soumis un questionnaire d'enquête à notre population d'étude. Apres traitement et analyse des données, il ressort que 72,3 % des malades alternent la prise des médicament à domicile, 33,3 prennent les médicaments chaque jour dans les formations sanitaires, 33, 3 % les prennent 2fois par semaine et 6,6 % les prennent une fois la semaine ;la distance à parcourir pour atteindre les structures sanitaires est le principal obstacle que connaissent les patients dans la poursuite de leur traitement (70 % l'ont éprouvé); les visites à domicile sont effectuées à 20 % et non effectuées à 80 % ce qui a un effet négatif sur le suivi des patients; pour ce qui est des mesures de récupération des irréguliers aux soins et les cas d'abandon , les résultats de notre recherche prouvent que 60 % des soignants ne procède pas à la recherche de ces cas. Ceci a également un impact négatif sur le suivi des patients .Par opposition à ces résultats, le programme de lutte contre la tuberculose recommande que les malades prennent les médicaments chaque jour dans la formation sanitaire et que l'absence d'un jour au traitement impose la mise en route des mesures de récupération (invitation écrite, visite à domicile) effectuée par les infirmiers, membre de la famille, membre de la communauté ou autres malades. En conclusion, la prise en charge de la tuberculose dans la zone de santé de kadutu n'est pas effective.
Author Keywords: Tuberculose, prise en charge, personnel soignant.
How to Cite this Article
David MARHEGANE Kwigomba and NSHOMBO NSIMIRE Laurence, “EVALUTION OF THE TAKING IN CARE Of TUBERCULOSE IN AREA OF HEALTH KADUTU, SOUTH-KIVU, DR CONGO,” International Journal of Innovation and Scientific Research, vol. 20, no. 2, pp. 362–372, February 2016.
