Feasibility of prevention of perinatal HIV infection by nevirapine in rural areas of the northeast Democratic Republic of Congo, 2002–2004

2008 ◽  
Vol 80 (5) ◽  
pp. 772-776 ◽  
Author(s):  
M. Kirere Mathe ◽  
D. Sondag-Thull ◽  
P. Lepage
Author(s):  
Marius Schneider ◽  
Vanessa Ferguson

Found in East Africa, Rwanda borders the Democratic Republic of Congo (DRC), Tanzania, Uganda, and Burundi. It is a hilly and fertile landlocked state of 26,338 square kilometres (km). It is one of the smallest countries on the continent but is densely populated with 12.2 million people in 2017. Kigali is the capital of and largest city in Rwanda. It is also Rwanda’s economic, cultural, and transport hub and is found in the centre of the country. Most of the population lives in rural areas. Rwanda has a forty-five-hour working week and the currency used is Rwandan franc (FRW).


2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Amuda Baba ◽  
Tim Martineau ◽  
Sally Theobald ◽  
Paluku Sabuni ◽  
Marie Muziakukwa Nobabo ◽  
...  

Abstract Background Midwifery plays a vital role in the quality of care as well as rapid and sustained reductions in maternal and newborn mortality. Like most other sub-Saharan African countries, the Democratic Republic of Congo experiences shortages and inequitable distribution of health workers, particularly in rural areas and fragile settings. The aim of this study was to identify strategies that can help to attract, support and retain midwives in the fragile and rural Ituri province. Methods A qualitative participatory research design, through a workshop methodology, was used in this study. Participatory workshops were held in Bunia, Aru and Adja health districts in Ituri Province with provincial, district and facility managers, midwives and nurses, and non-governmental organisation, church medical coordination and nursing school representatives. In these workshops, data on the availability and distribution of midwives as well as their experiences in providing midwifery services were presented and discussed, followed by the development of strategies to attract, retain and support midwives. The workshops were digitally recorded, transcribed and thematically analysed using NVivo 12. Results The study revealed that participants acknowledged that most of the policies in relation to rural attraction and retention of health workers were not implemented, whilst a few have been partially put in place. Key strategies embedded in the realities of the rural fragile Ituri province were proposed, including organising midwifery training in nursing schools located in rural areas; recruiting students from rural areas; encouraging communities to use health services and thus generate more income; lobbying non-governmental organisations and churches to support the improvement of midwives’ living and working conditions; and integrating traditional birth attendants in health facilities. Contextual solutions were proposed to overcome challenges. Conclusion Midwives are key skilled birth attendants managing maternal and newborn healthcare in rural areas. Ensuring their availability through effective attraction and retention strategies is essential in fragile and rural settings. This participatory approach through a workshop methodology that engages different stakeholders and builds on available data, can promote learning health systems and develop pragmatic strategies for the attraction and retention of health workers in fragile remote and rural settings.


2019 ◽  
Vol 2019 ◽  
pp. 1-10 ◽  
Author(s):  
Japheth Nkiriyehe Kwiringira ◽  
Paulino Ariho ◽  
Henry Zakumumpa ◽  
James Mugisha ◽  
Joseph Rujumba ◽  
...  

Background. While studies have focused on HIV prevalence and incidence among fishing communities, there has been inadequate attention paid to the construction and perception of HIV risk among fisher folk. There has been limited research with respect to communities along Lake Albert on the border between Uganda and the Democratic Republic of Congo (DRC). Methods. We conducted a qualitative study on three landing sites of Butiaba, Bugoigo, and Wanseko on the shores of Lake Albert along the border of Uganda and the Democratic Republic of Congo. Data were collected using 12 Focus Group Discussions and 15 key informant interviews. Analysis was done manually using content and thematic approaches. Results. Lakeshore livelihoods split families between men, women, and children with varying degrees of exposure to HIV infection risk. Sustaining a thriving fish trade was dependent on taking high risks. For instance, profits were high when the lake was stormy. Landing sites were characterized by widespread prostitution, alcohol consumption, drug abuse, and child labour. Such behaviors negatively affected minors and in many ways predisposed them to HIV infection. The lake shore-border heterogeneity resulted in a population with varying HIV knowledge, attitudes, behavior, and competencies to risk perception and adaptation amidst negative masculinities and negative resilience. Conclusion. The susceptibility of lakeshore communities to HIV is attributable to a complex combination of geo-socio, the available (health) services, economic, and cultural factors which converged around the fishing livelihood. This study reveals that HIV risk assessment is an interplay of plural rationalities within the circumstances and constraints that impinge on the daily lives by different actors. A lack of cohesion in a multiethnic setting with large numbers of outsiders and a large transient population made the available HIV interventions less effective.


2011 ◽  
Vol 101 (5) ◽  
pp. 591-597 ◽  
Author(s):  
M. Virgilio ◽  
T. Backeljau ◽  
R. Emeleme ◽  
J.L. Juakali ◽  
M. De Meyer

AbstractMost of the current knowledge about African tephritids originates from studies performed in agricultural areas, while information about their distribution in pristine or moderately disturbed environments is extremely scarce. This study aims at (i) describing levels of spatial variability of frugivorous tephritids in tropical forests and small rural villages of the Congo River basin and (ii) verifying if human-mediated activities, such as small-scale agriculture and trade, can affect their distribution patterns. Four locations were sampled along a 250 km stretch of the Congo River. At each location, pristine and disturbed habitats (i.e. tropical forests and small rural villages, respectively) were sampled, with three replicate sites in each combination of habitat and location. Sampling with modified McPhail traps baited with four different attractants yielded 819 tephritid specimens of 29 species from seven genera (Bactrocera, Carpophthoromyia, Ceratitis, Dacus, Celidodacus, Perilampsis, Trirhithrum). The three most abundant species sampled (Dacus bivittatus, D. punctatifrons, Bactrocera invadens) showed significant variations in abundance across locations and sites and accounted for 98.29% of the overall dissimilarity between habitats. Assemblages differed among locations and sites while they showed significant differences between pristine and disturbed habitats in two out of the four locations. This study shows that frugivorous tephritids in central Congo have remarkably patchy distributions with differences among locations and sites representing the main source of variability. Our data show that, in rural villages of central Democratic Republic of Congo, human activities, such as small-scale agriculture and local commerce, are not always sufficient to promote differences between the tephritid assemblages of villages and those of the surrounding tropical forests.


EcoHealth ◽  
2017 ◽  
Vol 14 (1) ◽  
pp. 115-115 ◽  
Author(s):  
Steve Ahuka-Mundeke ◽  
Ahidjo Ayouba ◽  
Placide Mbala-Kingebeni ◽  
Caroline Foncelle ◽  
Mukulumanya Mubonga ◽  
...  

AIDS Care ◽  
2017 ◽  
Vol 29 (8) ◽  
pp. 1026-1033
Author(s):  
Sue Napierala Mavedzenge ◽  
Jamie E. Newman ◽  
Martin Nduwimana ◽  
Helene Bukuru ◽  
Pierre Kariyo ◽  
...  

2014 ◽  
Vol 91 (5) ◽  
pp. 334-337 ◽  
Author(s):  
Silvia Carlos ◽  
Miguel Ángel Martínez-González ◽  
Eduardo Burgueño ◽  
Cristina López-del Burgo ◽  
Miguel Ruíz-Canela ◽  
...  

2009 ◽  
Vol 13 (5) ◽  
pp. 914-920 ◽  
Author(s):  
Andrea A. Kim ◽  
Faustin Malele ◽  
Reinhard Kaiser ◽  
Nicaise Mama ◽  
Timothée Kinkela ◽  
...  

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