Low birth weight is one of the real public health problems. It is used as an indicator that reflects fetal growth within its mother but also predicts the future and growth of the child, at least in the first years of life. Several studies express the point of view that there would be a very high morbidity and mortality rate in children born with low birth weight than in other children.
The general reference hospital being a 2nd level structure takes care of all people in need of health from the entire health zone. It has been noted according to our observation that there have been more and more children born with low birth weight, particularly at the maternity ward of the HGR of Gemena, a reason for any person with a scientific mind to seek to discover what the determinants may be. It should be noted that the study was conducted in the peri-urban area of Gemena and covered nine health areas out of the twenty-three in the health zone. Rural health areas were not taken into account in this study given the difficulties of access and financial constraints. Well beyond the ZSUR of Gemena and its particular typology (urban health areas and rural health areas), each health zone, depending on the context, can be full of specific factors that other studies can help to discover.
Beyond the survey, our observation, our sense of apprehension and our curiosity were used to collect empirical data, analyze them and bring out the essential elements useful for providing guidance as results for our study. Overall, six factors were incriminated for which a positive association was found between the parameter analyzed and the occurrence of low birth weight (LBW).
This set of factors identified and listed above are therefore not exhaustive. It should also be noted that since the study was prospective, only cases recorded during the period of our study were considered for analysis. Like the shadow that hides the forest, rural areas and those not analyzed may well hide many other factors.
This study focuses on medico-social support for the elderly in the town of Gemena, particularly in the SUKIA district. It all started with a bitter observation and a sad reality about the abandonment of old people in our circles. In the streets of Gemena, it is not uncommon to find elderly people either begging or carrying heavy loads on their heads to go and sell. So, they had to give themselves a deserved rest. The objective that we have set for ourselves is to identify the socio-economic and health conditions in which the elderly in our community live. But also, identify the obstacles to their support. We used a descriptive, transversal estimate in the quantitative approach. The sampling type was of the probability cluster type, with a sample size of 200 people.
The question we asked ourselves was how to provide medico-social support for the elderly in the town of Gemena. We started from the hypothesis according to which medico-social support for the elderly is almost non-existent in the city of Gemena because of: poverty; the abandonment of children and the lack of support from the Congolese state. At the end of our study, we came to the conclusion that medico-social support for the elderly is provided largely through the support of children, while support from the Congolese state is nil.
Youth is in crisis, all over the world we deplore several problems linked to youth or adolescence: drugs, premature sexuality with its share of consequences, alcohol, delinquency, dropping out of studies, illegal abortions, STDs.
After the analyzes carrying out the verification of the hypotheses, we arrived at the following results: The study shows in relation to the knowledge that, 68% of our respondents have a very sufficient level of knowledge, 26.0% whose level is sufficient and 6.0% with an insufficient level of knowledge. This allows us to reject our first hypothesis according to which, the pupils of the terminal degree of Gemena observe a low level of knowledge on sexuality, prevention of HIV / AIDS and STIs; and, this low level of knowledge is due to low life skills education. This, in light of our acceptability criterion of 60% or more.
Age (X2: 66.762a; dof: 3; p = 0.000) and sex (X2: 177.344a; dof: 1; p = 0.000) have an impact on knowledge, attitudes and practices in matters of sexuality. And prevention of STIs, HIV / AIDS, because all calculated values are greater than tabular values.
The fact of having studied the course of the EDAV has a positive impact on the acquisition of knowledge (X2: 84.017a; dof: 2; p = 0.000), favorable attitudes (X2: 147.890a; dof: 1; p = 0.000) and good practices for the prevention of STIs and HIV / AIDS (X2: 21.782a; dof: 1; p = 0.000); because all calculated values are much greater than tabular ones.
We allow ourselves to confirm our second hypothesis according to which there are relationships between the level of knowledge, attitudes and practices of students in terms of HIV / AIDS and STI prevention and the impact (the fact of having studied the course) from life skills education.