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.

Sleep disturbances, particularly insomnia, are common in school settings for adolescents. They affect the physical and mental balance with multiple consequences: various pain, fatigue, errors, reduced academic performance, drowsiness in class, repeated absences etc. We conducted a cross-sectional study using a questionnaire and the Epworth sleepiness scale with students from schools in the department of Thiès. The prevalence of insomnia was 21%, with a female prevalence. The average duration of sleep was 8.72 ± 1.1 hours with a variation according to the holidays, the days with or without class the next day. Risk factors are found, in particular living with a tutor other than the parents, the distance of the school from his place of residence, and the morning lesson schedules. Insomnia is significantly associated with sleep debt and excessive daytime sleepiness.

Night work in hospitals, despite its many negative psychosomatic, occupational and social repercussions, remains very little evaluated in African countries, and particularly in Senegal. The objective of this study was to evaluate its various repercussions on the health and socio-professional life of workers. For this, we conducted a cross-sectional and descriptive study over a period of 3 months using anonymous questionnaires. Our sample included health professionals performing night watch. A total of 65 had participated in the study. Women accounted for 63%. State nurses were more numerous (44.7%). The average age was 34.2 years old. The average seniority in night work was 7.1 years. 55.4% of workers felt comfortable with this type of schedule, compared with 44.6% feeling disrupted. 74.6% preferred daytime work. Several impacts of night work were identified. They were physiological, with poor sleep quality (48.4%), insufficient sleep duration (42.2%), menstrual disorders (24.7% of women). On the psychological level, stress (52.3%), temperamental disorders (26.5%), anxiety and depression (7.7%) were found. The somatic effects were chronic fatigue (100%), cardiovascular symptoms, weight disorders (46.1%). On a professional level, the nocturnal victims of blood exposure accidents accounted for 36.5%. On the social level, 42.2% reported disruptions in their family life. Thus, regular medical and psychological monitoring of night workers is fundamental.

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.