Objective: To identify the determinants of the acceptability and skepticism of health workers about the anticovid-19 vaccination during the covid-19 pandemic in Senegal. Material and methods: This was a cross-sectional, descriptive study carried out among health personnel in the Sangalkam Health District from May 1 to May 15, 2021. A questionnaire was sent to the various health professional categories in the district. Anonymity and confidentiality were guaranteed. The data collected was entered and processed with Excel version 2013 software. Results: The participation rate was 82.5% (n = 140). Women represented 83.6% (n = 117). The average age of the respondents was 36.8 years. The average number of years of experience was 9.8 years. Nursing aides were more represented (23.6%). The vaccine rate was 87.1% (n = 122). The inactivated BIBP vaccine (Sinopharm) was the most administered (93.4%). The side effects were minor or even moderate and affected 30.3% of the vaccinees. On the other hand, 12.9% (n = 18) of the respondents were not vaccinated. The main determinants of vaccine acceptance were concern for protection (68%) and compliance with instructions from the hierarchy (29.5%). Mistrust of the information received (61.1%), fear of rumors (57.2%) and side effects (28.6%) were the main reasons for vaccine refusal. Conclusion: Awareness and communication are essential to remove barriers to anticovid-19 vaccination and increase acceptability.

Introduction: Appropriate complementary feeding is an important determinant for achieving healthy growth and survival of infants and young children in the first years of life. Poorly managed, it increases the risk of undernutrition, illness and death in the latter. This study aimed to determine the proportion of minimum food intake in breastfed children and to identify the associated factors in the municipality.Methods: A cross-sectional, descriptive and analytical study of households was carried out in the commune of Kaolack (Senegal) from November 15 to 21, 2017. The multi-stage sampling method was used to select mothers of elderly breastfed children 6-23 months. The analysis was done using R software (version 3.4.3). Descriptive analyzes and simple logical regression were done. Odds ratios with a 95% confidence interval were used to identify the associated factors.Results: A total of 260 women were surveyed. Mothers of children represented 93.8% and the rest were babysitters. The mean age was 27.8 ± 6.6 years. In 94.6%, they were married and in 78.9% the mothers lived in a monogamous marriage. 71.5% of women were in school and 69.6% of mothers had more than two dependent children. Daily market spending was stable in 82.4% of households. The number of people living in the household was less than or equal to 10 people in 60.4% of the households.The sex ratio (M / F) of breastfed children was 1.34. The mean age of breastfed infants was 13.9 ± 4.5 months. Their average weight was 9.1 ± 1.5 kg. The mean height of the children was 75.7 ± 5.5 cm. Among the children surveyed, only 28.7% received a minimum acceptable intake in their diet. Regarding follow-up, 57.3% of women did not respect follow-up appointments promoting child growth.The factors associated with the low proportion of the minimum acceptable intake in children were: the status of the mother compared to babysitters (OR = 0.22 [0.06– 0.84]), the link of kinship with the head of household being a parent of the mother (OR = 2.87 [1.25 - 6.6]) compared to households headed by the father of the child, the regularity of daily expenses (7.41 [2.01– 27.37]) and compliance with the follow-up appointments promoting the child's growth (OR = 3.36 [1.73 - 6.51]).Conclusion: To ensure appropriate complementary feeding in children from 6 to 23 months, it is important to strengthen the socioeconomic level of households, sensitize mothers to respect the follow-up appointments promoting the growth of the child.

Introduction: Posttraumatic stress disorder (PTSD) is a serious condition resulting from an individual's confrontation with a traumatic event. Thus, this confrontation can be at the origin of a shake-up of the three personal convictions of the individual, namely the invulnerability, the protective environment and the other helping person. Objective: The purpose of this study is to investigate risk factors for post-traumatic stress disorder in Senegalese peacekeepers on peacekeeping missions in Darfur. Methods: The study was transversal, descriptive and analytical, which took place from 19 April to 20 May 2013. It involved a closed population of 940 Senegalese peacekeepers stationed in Darfur as part of the United Nations Joint Mission and the African Union in Darfur (UNAMID). Data were collected at the workplace using a self-administered questionnaire after free and informed consent. A logistic regression was performed to explore the factors associated with PTSD through odds ratios and their confidence intervals. Results: A total of 536 individuals were surveyed. The mean age was 38.21 years (± 9.22). The average tenure in the profession was 15.36 years (± 9.41). The average length of stay in Darfur was 9.70 months (± 1.97). The majority of them represented the military (82.1%), the non-commissioned officers (50.8%) and most of them volunteered for the mission (77%). There was 19.8% of high emotional exhaustion. The prevalence of PTSD was 25.7% (138 individuals), of whom 30 had high PTSD and 34 peacekeepers had moderate PTSD. Adjusted PTSD factors were the experience of a traumatic situation with loss of life (OR = 1.9 [1.1 - 3.2]), a state of high emotional exhaustion (OR = 2.5 [1.3 - 4.7]), the desire to leave the profession (OR = 2.2 [1.1 - 4.4]) and recurrent health concerns (OR = 3.6 [2.1 - 6.0]). Discussion: Post-traumatic stress disorder in Senegalese peacekeepers is linked to factors such as the experience of psychic trauma and emotional exhaustion at work. Military health care workers should look for PTSD in the face of sudden will to quit and multiple somatizations. For a better mental health of the Senegalese peacekeepers, the working atmosphere should be improved by putting in place a better communication strategy, train the health workers in the management of the stress and reinforce the device by integrating to the contingents a team of psychosocial assistance.

Blood Exposure Accidents (BEA) are a daily risk faced by the staff of Kolda’s Regional Hospital Center (RHCK).The objective of this study was to assess the prevalence of BEA within this structure and to identify their main determinants. We have done a cross-sectional, descriptive study for an analytical purpose carried out over a period of two months. A total of 81 professionals agreed to participate in the study. Forty of them were victims of BEA (49.3%). The average age of the victims was 36.7 years. Women were the most affected (65%). 45% of victims were previously vaccinated against hepatitis B, before the occurrence of the accident. Nurses were more numerous (42.5%) and maternity was the service where the most victims were collected (25%). The mechanism of occurrence of the accident was dominated by the bite (82.5%). The most common procedures involved were surgical suture (20%), injections (20%) and catheterization (20%). The reporting rate was 66.7%. No contamination was observed. Several risk factors for the occurrence of BEA have been identified. They are psychological (stress, tiredness), organizational (overloaded and/or perforated containers, overwork), environmental (lack of lighting, unsuitable premises). Other factors were related to the patients (agitations, emergencies). In addition to this, there is a lack of respect for standard precautions as well as a lack of training and awareness among staff. Conclusion: the study has shown the need to raise awareness, train and improve the working conditions of caregivers.