The resistance of women at childbearing age to contraceptive methods is an obstacle to improving the health of mothers and children. The mother's socio-demographic profile should be taken into account to increase the rate of contraceptive method use.The present correlational prospective study involved 2373 women of childbearing age in the period from 01 to 31 December 2020. The data analysis consisted of crossing the socio-demographic characteristics of the respondents and the use of contraception.This study shows that 79.3% of women surveyed resist the use of contraceptive methods. The age, the living environment, the level of education, the standard of living of the household, the main occupation, the birth interval, the number of children born and the awareness of contraception, are statistically associated with resistance to the use of contraceptive methods.Thus, the socio-demographic profile of women at reproductive age is an indicator of resistance to the use of contraceptive methods.
A cross-sectional survey was carried out in four health zones in the provincial division of Lomami in the Democratic Republic of Congo, to study the high rates of caesarean sections associated with diagnostic deficits and maternal deaths. The overall cesarean rate was 21.8%. The deficits of the diagnoses according to the four components are presented as follows: the sensitivity of the diagnoses varied between 0.54-071; the specificity of the diagnoses was between 0.85-0.90; positive predictive values 0.45-0.52 and negative predictive values 0.89-0.94. The maternal mortality ratio was 1073 p.100.000. The results of this study justify the need to strengthen strategies to improve maternal health by reducing cesarean section rates, diagnostic deficits and maternal mortality rates.
Introduction: Severe anemia is a major cause of morbidity and mortality in children. An epidemiological analysis would make it possible to estimate the related measures in order to fight effectively against their causes.Methods: The present retrospective descriptive study focuses on severe anemia in children under five years from January to December 2019. Sickle cell patients and children suffering from neoplasia were excluded from this study. All admissions from January to December 2019 and deaths, which met the selection criteria were listed.Results: Out of a total of 2,050 hospitalized children, 413 were admitted for severe anemia (20.1%), and 15.7% of deaths, i.e., a specific mortality of 31.6 p. 1000. Regarding the cause of severe anemia, malaria remains predominant in both sexes with 61.1% / 188 girls, respectively; and 52.9% / 225 boys. The study notes that anemia is much more common in the 2 – 5 years age group - 47.2%. At 88% of these children the outcome was favorable in their sex, also when the child lived in downtown Kabinda, ie 89.1%; also for the 2 - 5 year bracket, i.e. 90.3%.Conclusion: The implementation of the policy of free antimalarial drugs, the use of mosquito nets and awareness raising on basic hygiene measures must be effective. Strengthening these measures at the onset of the rainy seasons would prevent outbreaks of anemia.