Author(s) :

Boloko Muhega Papy, Imani Ramazani, Mabakutuvangilanga Ntela Simon-Decap.

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The transition to the LMD (Bachelor-Master-Doctorate) framework poses considerable challenges for students previously educated under the conventional system, particularly at the Higher Institute of Medical Techniques (ISTM) in Kinshasa. This research endeavor seeks to identify the factors that contribute to these difficulties within the context of educational transition. The investigation is grounded in a survey conducted with 123 students enrolled in LMD bridging programs. The analysis encompasses sociodemographic and relational factors, specific adversities, emotional regulation, and academic organization, all validated through statistical testing. A significant 63% of students encounter challenges related to resilience within the LMD framework. Notably, only marital status exhibits substantial statistical significance. Communication reluctance and feelings of discouragement emerge as predominant social barriers. Identified adversities include a preference for the traditional system, increased workload, and financial pressures. Acceptance of one’s circumstances and adaptability are essential for effective emotional regulation, whereas the lack of a tutoring network represents a critical organizational deficiency. This study underscores an urgent imperative to enhance both individual and institutional support mechanisms aimed at bolstering student resilience and success during their transition to the LMD system. The implementation of targeted strategies is essential for addressing these needs effectively.

No. of Downloads :

22

Author(s) :

Salami Lamidhi, Makoutodé Charles Patrick, Mongbo Virginie, Bédié Vignon, Sossa Jérôme Charles, Ouendo Edgard-Marius, Fayomi Benjamin.

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Abstract Results-based financing (RBF) is described as an intervention that generates significant results in health services. The lack of evidence in Benin since its adoption led this study to analyze, via functions supported by institutional framework, the quality of implementation and the sustainability characteristics of the two RBF models used in the country. The study was carried out on 2015 in two zones covered by the RBF_PRPSS model developed by the Health System Performance Strengthening Project (PRPSS) and two others exposed to the RBF_PASS model implemented by the Health System Support Project (PASS). The data collected by documentary review and interview were used to determine the quality index of the RBF implementation. The two models, whose structures implicitly integrated five functions, presented at the start a weak functionality of the health facilities and an irregularity and a low quality of the regulation. Three years after its start, the quality of RBF implementation in Benin was below average, with an index of 52.5% (± 5%) in the RBF_PRPSS and 45.5% (± 5%) in the RBF_PASS. The functions with the lowest scores in both models were regulation, delivery and verification. In sum, reactivity and efficiency were low in RBF_PRPSS while reactivity and independence were low in RBF_PASS. The low quality of implementation of the two RBF models and the uncertainty of the financing, concomitant with the delay of evidence, hypothecate their durability and incite to design a harmonized and adapted model for the country.

No. of Downloads :

10

Author(s) :

Makelele Bahati Agathe, Ntoto Kunzi Bernard, Mahabi Andemambike Arland, Kafinga Luzolo Emery.

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The Obstetric emergencies represent a major challenge for maternal and child health, particularly in contexts where access to information and care is limited. This study aimed to explore the knowledge, attitudes and practices of pregnant women facing obstetric emergencies, particularly placenta previa in the Kadutu health zone, in the city of Bukavu in the east of the DRC. This is a qualitative study using a phenomenological design. Semi-directive interviews were conducted with 15 pregnant women attending three hospital structures in the Kadutu Health Zone (HPGRB, HGR KADUTU and CS MARIA) for a period from June 1 to August 30, 2024 (i.e. 3 months). We used inductive thematic analysis of the data. After analyzing the data, the results show that the majority of pregnant women have never heard of placenta previa. Those who have heard of it have done so mainly in the context of informal conversations, or through limited medical teaching. Regarding the attitudes and practices of pregnant women regarding placenta previa, the majority indicate that they would immediately go to the hospital when they are diagnosed with placenta previa for fear of the risks. The results of this study reveal a lack of knowledge regarding placenta previa among pregnant women. However, their willingness to get to the hospital quickly is a positive point. It is up to all stakeholders to strengthen the knowledge of pregnant women to promote proactive health behaviors.

No. of Downloads :

29

Author(s) :

Lompempe Batuli Georges, Mitungu Makenga Toussaint, Maboso Boyengele Grace, Nakea Zubongo Gaston, Bailu Bonyonya Gloire, Nswele Ilundu Odon.

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Nowadays, the supply of health products is subject to many constraints, some related to the internal and external environment. The objective of this research was to explore the obstacles encountered by managers in the supply chain and to develop effective strategies to improve the problems faced by managers in the supply chain. Qualitative descriptive research with a phenomenological aim was used to collect the most detailed and in-depth information on the obstacles related to the pharmaceutical supply chain. Our interviews were conducted over a one-month period from August 16 to September 16, 2024 in the Wangata health zone. The respondents were managers involved in the supply chain. 19 semi-directive interviews were conducted after noting the saturation of information among the respondents. The results of our research show that the availability of medicines, financing, inventory management and finally storage locations or warehouses are the real obstacles that the Wangata health zone faces in the pharmaceutical supply chain. It is in this perspective that the study proposed the use of information systems in logistics management, staff training and finally, negotiation based on a partnership with a large supplier as effective strategies to overcome these obstacles. The study evaluated pharmaceutical policies as ineffective due to a low rate of applicability at the level of organizations where medical products are used. The conclusion drawn from this research emphasizes compliance with the standards and pharmaceutical policies of the DRC and the employment of qualified personnel in order to guarantee an interrupted supply of medicines in health facilities.

No. of Downloads :

24

Author(s) :

Pwema Kiamfu Victor, Nsimanda Ipey Camille, Woto Kwete Gaston, , Nyami Pero Jeancy, Mbuyamba Madiya Timothée, Kitoko Falanka Perpétue, Ngombe Massamba Didier, Lusasi Swana Willy.

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The objective of this study was to contribute to the knowledge of the pressures exerted on fishery resources in the Kasambanza group located in the territory of Bulungu in the DR Congo. Surveys carried out among the population and supplemented by experimental fishing campaigns using gill nets, dip nets and hooks in some hydrosystems in the study area showed that in total, thirty species of fish grouped in nine orders, thirteen families and twenty-four genera; two species of shrimp (Macrobranchium dux and Caridina africana) as well as a species of crab: Brachyura sp colonize the hydrosystems of the Kasambanza group. Several anthropogenic activities are the basis of the decline in fishery resources in this group. This concerns uncontrolled reforestation and bush fires in forest galleries, fishing by dam or with small mesh nets or using fish-toxic plants and the construction of dam ponds on almost all small rivers. The effective and rational management of fisheries resources in these environments requires the implementation of sustainable agricultural practices in order to contribute to the safeguarding and restoration of these hydrosystems.

No. of Downloads :

13

Author(s) :

Indani Remo Jean-Chrétien, Akondji Bainakofoka Dieudonné, Matondo Aristote, Basua Babintu Leyka Mukandu, Eloko Eya Matangelo Gerard.

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The town of Kisangani, in the Tshopo province in the Democratic Republic of Congo, is facing a major sanitation challenge due to the accumulation of plastic waste, particularly plastic bottles. Not only does this waste pollute the environment, it also poses a risk to public health and harms biodiversity. To combat this problem, a number of initiatives can be put in place. First and foremost, it's essential to raise public awareness of the dangers of plastic waste and the importance of recycling it. Educational campaigns can also be organized in schools and communities to encourage responsible behavior in terms of waste consumption and disposal. This study was carried out to determine the sources of insalubrity linked to plastic bottles in the city of Kisangani, to identify the consequences of insalubrity in the city of Kisangani and to develop methods, techniques and strategies to combat this type of insalubrity in the city of Kisangani. This is a cross-sectional qualitative descriptive study. The study population consisted of randomly selected residents of six of the city's communes. Interviews were used to collect data on the basis of a pre-established questionnaire. In addition, the data was supplemented by an analysis of documents from the roads and drainage department and the urban planning and housing department. The data collected showed that the causes of insalubrity linked to plastic bottles in the city of Kisangani are shared between the public services and the population. Insalubrity linked to plastic also presents a number of dangers for human health, the environment and biodiversity, including air and water pollution, soil defertilization, insect proliferation and certain pathogens facilitating the transmission of certain infectious diseases. Several solutions were proposed by the respondents, such as the use of SALONGO every Wednesday and Saturday, a forced sanitation program advocated by the public authorities, the installation of public garbage cans, the organization of a state-run waste collection and disposal system on every avenue; and some were founded to the public authorities, notably the valorization of plastic waste into products with energy value, the valorization of plastic waste into building materials to make the commune of Tshopo salubrious.

No. of Downloads :

19

Author(s) :

Ngandu Lendo Michel, Liyandja Dja Liyandja Tobit, Kisasa Kafutshi Robert, Punga Kumanenge Julien.

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Despite holding the most diverse assemblage of birds in the Afrotropics, ornithological surveys in the Democratic Republic of Congo’s network of reserves are notably rare. In this paper we provide the first well detailed inventory of bird species of BomboLumene and their distribution across different habitats based on mist-netting specimens collection in three different habitats conducted between February and December 2023. We documented a total of 113 species, distributed in 34 families and 5 orders, including the threatened Cossypha heinrichi. As elsewhere in the country, Passeriformes, with over 80 species and 20 families, are the most represented species in Bombo-Lumene. We found that savanna and forest habitats hold the most diverse species communities whereas human transformed habitats such as thickets hold the least diverse communities. Overall, ecology indices based on species abundance suggest that assessed habitats in Bombo-Lumene are in good ecological health. Our results confirm the status of Important Bird Area (IBA) of the Bombo-Lumene protected area in Africa. Ethnic conflicts, increasing demand for land used in agriculture and human settlement, and poaching are the primary local threats on biological diversity of BomboLumene in general and of its bird diversity in particular. Further surveys and studies in the reserve, covering all habitat types and an extended surface area of the reserve, are highly recommended to better capture its bird species composition and update strategies and policies for the conservation of these extremally diverse communities.

No. of Downloads :

31

Author(s) :

Kasau Kasau Dieu merci , Mabakutuvangilanga Ntela Simon-Decap, Tshitadi Makangu Augustin.

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This is a descriptive qualitative study carried out with 20 parents of hospitalized children, using individual semi-directed interviews. The results presented a single central theme: the quality of care provided at Kalembelembe paediatric hospital. This theme was then subdivided into the following three sub-themes: parents' perceptions of the quality of care; parents' experiences of the care process; and parents' expectations. Data collected revealed that the majority of parents perceived a poor reception, inaccessibility to care for all, lack of comprehensive care and disinterest on the part of caregivers. They have experienced a lack of continuity of care, poor communication from nursing staff and poor living conditions. They expect nursing care to be humanized, the political and administrative authorities to be strongly involved in facilitating access to care for all, which is one of the objectives of universal health coverage, and infrastructures and the environment to be improved. Our results will enable healthcare stakeholders to implement effective strategies to improve the quality of care provided in paediatric wards.

No. of Downloads :

17