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    OALib Journal期刊

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    Application of the Organizational Framework of a General Reference Hospital: Cases of Six Lubumbashi General Referral Hospitals  [PDF]
    Kabamba Wa Kabamba Christian, Ilunga Kandolo Simon, Kabyla Ilunga Benjamin, Mashini Ngongo Ghislain, Luboya Numbi Oscar
    Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105857
    Abstract:
    Introduction: The hospital is a key part of the health system. The referral gen-eral hospital is the local health system’s appeal structure and therefore its or-ganization determines the quality of the supply that a community needs to meet its health needs. Méthodology: We carried out a transversal descriptive study on the level of application of the organizational framework in the general hospitals of reference of the city of Lubumbashi. Our goal was generally to determine the organizational frameworks of Lubumbashi hospitals. We used a questionnaire administered to one of the members of the hospital’s management committee, whether it was the Medical Director, the managing director, the Chief Medical Officer or even the Director of Nursing. A structured interview was used to collect data. Our sampling is comprehensive and its size is six general referral hospitals. Results: Our results show that the majority (75%) of interviewees are male with a sex ratio of two men for one woman. The median age of those surveyed is 42 years old. Regarding the strategic project, one hospital out of three declared to us to have an annual plan, this only hospital having the annual plan showed it to us. Regarding the organizational structure, five (83%) out of six hospitals showed their organizational charts while all reported having an organizational chart. Two out of six hospitals (33%) reported having job descriptions and showed them to us. No hospital has established an education. In all hospitals, the Medical Director was cited as the only person authorized to make a decision while the other members of the Steering Committee were cited in five (83%) while the other officials were not mentioned in any hospital. Conclusion: It is important that the political actors as well as the providers get involved in the proper organization of health services in general and the general referral hospital in particular in order to promote access to quality care in the perceptive of the universal health carecoverage. Concerning the quality management, all these opinions and considerations do not fit in any way with quality assurance and management.
    Determinants of Motivation among Health Care Providers, Case of Four General Referral Hospitals in Lubumbashi  [PDF]
    Banza Mwana Bute, Malulu Kabwe Djaile, Kabamba Wa Kabamba Christian, Ilunga Kandolo Simon, Kabyla Ilunga Benjamin
    Open Access Library Journal (OALib Journal) , 2020, DOI: 10.4236/oalib.1106039
    Abstract:
    Introduction: The objectives of our study were to determine providers by structure, to determine the providers by age, to make recommendations improve the motivation of the human resources and finally to determine the factors that influence the motivation of the personnel in the HGR of the city of Lubumbashi. Methodology: This is a cross-sectional analytical descriptive study of 152 care providers from four reference hospitals in Lubumbashi, sur-veyed prospectively, and based on a pre-established questionnaire. Data were analysed using SPSS 23. The statistical associations were evaluated by deter-mining the p-value whose threshold was fixed at 0.05, using the chi-square test. Results: In the majority, 27.63% of respondents were between 39 and 45 years old. The average age was 37.58 ± 10.64 years, the extremes with 21 and 69 years. There is no statistical relationship between on-the-job training and pro-vider motivation (p-value greater than 0.05). Chi2 = 3.9; p = 0.06. We noticed that 71.05% of respondents were in medical services with the majority being 15.79% in the Internal Medicine department. Conclusion: Improving working conditions is of paramount importance to improve the performance of healthcare providers and, consequently, the quality of care in our environment; thus, we believe that this should be done through the mechanization of health care providers, their provision of the risk premium and the encouragement of those who work overtime.
    High Blood Pressure and Stroke in the City of Lubumbashi: Determinants and Socio-Demographic Characteristics, Case of the Rail Ways 竞彩网app下载安装 Hospital  [PDF]
    Luhanga mulumbati Onesiphore, Ilunga Kandolo Simon, Kabamba wa Kabamba Christian, Sumba Chenge Louis, Kabyla Ilunga Benjamin, Kashindi Numbi Clément
    Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105985
    Abstract:
    Introduction: We conducted a cross-sectional study to describe the epide-miological and sociodemographic situation of stroke and high blood pres-sure at the Lubumbashi rail ways company hospital. Methodology: Our cross-sectional analytical study is spread over a period of one year, from January 1st to December 31st, 2018. The study population is the one having suffered from high blood pressure and stroke at the Lubumbashi railways company hospital during our period. Our sampling is exhaustive and its size is 487 patients among 372 high blood pressure patients. The data were collected on Excel and analyzed on SPSS version 23. Results: The prevalence of high blood pressure is 76.4%. The average age of hypertensives is 62.6 ± 9.4 years. The extreme ages are respectively 17 and 91 years. Women are the majority with 52.9%. There is no statistically significant link between sexes, living in urban or rural areas, diabetes, or renal failure with the occurrence of high blood pressure at the Lubumbashi railways company hospital during our study period (P-value > 0.05). No statistically significant association was observed between vital records and arterial hypertension at the Lubumbashi railways company hospital during our study period (P-value > 0.05 and Chi-square < 3.84). The age of the patients was by no means associated with the occurrence of cerebrovascular accidents (Chi-square < 3.84 and P-value > 0.05). Living in an urban area (Chi-square: 5.02, P-value: 0.025) and kidney failure (Chi-square: 4.1, P-value: 0.04) predispose to accidents cerebrovascular disorders, whereas being diabetic does not predispose to stroke (Chi-square, 0.1, P-value: 0.7). Conclusion: High blood pressure remains a reality in our environment. Special attention must be paid to this pathology that spares no one. The consequences inherent to this pathology (stroke, death and even disability) remain formidable.
    Epidemiological Aspects of Malaria in Pregnant Women: Prevalence and Risk Factors in Mwene Ditu, DR Congo  [PDF]
    Musasa Kasongo Jean-Claude, Mwarabu Much'apa Bienfait, Ilunga Kandolo Simon, Kakoma Sakatolo Zambeze Jean-Baptiste
    Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104676
    Abstract:
    Introduction: Malaria in pregnancy induces significant risks for the mother and the foetus. The objective of this study was to determine the prevalence of malaria and the risk factors among pregnant women in the Health District of Mwene Ditu in DR Congo. Methods: A cross-sectional descriptive study based on household survey was carried out in June 2016 in the Health District of Mwene Ditu. The calculated sample size was 461 pregnant women selected through a stratified random sampling. A structured interview using a pre-established questionnaire was administered to and peripheral blood samples were collected for laboratory tests in all pregnant women presenting malaria symptoms or fever history. The following statistics were used: Chi square test and Odds ratio with a confidence interval at 95%. Results: The prevalence of malaria in pregnant women was 14.97%. The following parameters proved to be risk factors for malaria illness in pregnant women in Mwene Ditu: low socio-economic level of the couple [AOR = 6.48 (1.51; 27.78)], agrarian activities [AOR = 5,56 (2.47; 12.50)], facts of not sleeping under ITBN each night [AOR = 17.39 (8.38; 36.10)] as well as of not getting SP for intermittent preventive treatment (IPT) in pregnancy [AOR = 4.08 (1.32; 12.59)] and financially supporting all interventions for fighting against malaria [AOR = 3.43 (1.42; 8.29)]. Conclusion: Malaria is frequent among the pregnant women of Mwene Ditu. The ANC frequentation and an appropriate organization prove to be paramount interest.
    Availability and Quality of Family Planning 竞彩网app下载安装 in the City of Lubumbashi, Democratic Republic of Congo  [PDF]
    Matungulu Matungulu Charles, Ntambue Mukengeshayi Abel, Ilunga Kandolo Simon, Mundongo Shamba Henry, Kakoma Sakatolo Zambeze Jean Baptiste, Malonga Kaj Francoise
    Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105208
    Abstract:
    The coverage of FP services and their availability in the city of Lubumbashi were low. The quality of family planning services was good in most health facilities offering FP services. Improving coverage and availability of family planning services in Lubumbashi, as well as the innovation of the most appropriate supply strategies, is essential to increase contraceptive prevalence.
    Evaluation of Female Condom Use among Students at the University of Lubumbashi: Knowledge, Attitude and Practice on University Cities  [PDF]
    Mujanayi Mujanayi Jean Bernard, Ilunga Kandolo Simon, Matungulu Matungulu Charles, Kaya Mulumbati Charles, Mashini Ngongo Ghislain, Mwembotambwe Ankoy Albert, Kabyla Ilunga Benjamin, Kalengamwenze Kayamba Prosper
    Open Access Library Journal (OALib Journal) , 2017, DOI: 10.4236/oalib.1104129
    Abstract:
    Introduction: The use of the female condom is still very low on university campuses. This study was conducted to assess the knowledge, attitudes and practices of female condom use in Lubumbashi. Method: We conducted a cross-sectional study on the use of the female condom on university campuses. Our sample consisted of 300 individuals, including 169 women and 131 men. A questionnaire was established to collect the data. SPPS version 23 helped us analyze the data, which was encoded in Excel. Results: Female condom use was reported in 137 women, or 81.1% of women had previously used the female condom (chi-square = 25.237). Single women were more likely than brides to use female condoms. Women who did not use female condoms were luckier than those who used it because they did not receive the information. Conclusion: Information on the existence of the female condom and the marital status of the survey influences the use of the female condom. Popularization about the existence of the female condom and its availability on university campuses are important steps to take for its use. Appropriate health education would be the key to popularize and promote the female condom.
    The Recurrence of Cholera in the City of Lubumbashi: Investigation of Risk Factors for an Effective Response and Health Education Perspective  [PDF]
    Kabyla Ilunga Benjamin, Ilunga Kandolo Simon, Nora Luvungu, Basema Marie France, Kavira Lughuma Gladys, Mulang Irung Raphael, Mukonkole Justin, Kimba Mukanya Pascal, Matungulu Matungulu Charles, Mashini Ngongo Ghislain
    Open Access Library Journal (OALib Journal) , 2018, DOI: 10.4236/oalib.1104554
    Abstract:
    Introduction: Cholera is one of the so-called dirty hand diseases. Its effective response saves lives. The city of Lubumbashi has recorded at least one cholera epidemic for almost ten years, each of which generates significant socio-economic costs. Method: We conducted a case-control study on cholera in the city of Lubumbashi in the Democratic Republic of Congo in 330 individuals, including 110 cases matched to 220 controls. The linear list of the cholera treatment center was used to identify the cases. Results: Half of the respondents were 50, 30% did not treat water before drinking, and the remaining 49.70% used the treatment of drinking water. The risk factors for the cholera outbreak that were found to be statistically significant include: poor food preservation (AOR = 3.32, 95% CI [1.85 - 5.96], and p value = 0.0001), contact with a cholera patient (AOR = 2.88, 95% CI [1.65 - 5.01], and p value = 0.0002) and stay outside Lubumbashi (AOR = 4.18, its 95% CI [1.83 - 9.55]). Conclusion: An urgent need for information on risk factors for cholera and a rapid organization of the response is the key to cope with this recurrent epidemic in the city of Lubumbashi.
    Doctors Perception of Nursing Care in Lubumbashi City Public Hospitals  [PDF]
    Ndayi Kabamba Julie, Ilunga Musaya Pierrot, Nyembo Shimba André, Kabange Umba Irène, Mwinkeu Kasongo Narcisse, Ilunga Kandolo Simon, Omanyondo Ohambe Marie Claire, Malonga Kaj Francoise
    Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105579
    Abstract:
    Introduction: Teamwork is an issue that hospitals must encourage. But the fact is that many hospitals do not promote mutual knowledge of different professions for complementarity in order to meet the needs of patients or the population. Our study pursued a three-fold objective: to explore physicians’ perceptions of nursing care, to describe physicians’ perceptions of the role of nurses, and to identify some characteristics of physician-nurse collaboration. Method: We conducted a cross-sectional descriptive study with 14 doctors at Lubumbashi General Reference Hospitals (Sendwe, South Gecamines and University teaching hospital). Data collection took three months, from May 1 to July 31, 2018. Of the exhaustive sample of a population of 25 physicians, only 14 physicians freely consented and participated in the study and constituted the final size of our study sample. The data has been processed with Excel 2013 and Epi-info 7 software version 7.2.1.0. Results: At the end of our study, we found that no doctor has been able to define either the term nurse or nursing. In addition, 21.5% of the doctors thought that the role of the nurse is to execute the decisions of the doctor. Although 78.6% and 64.3% respectively strongly agreed on the nurse’s consideration as a collaborator and staff needing to clarify a medical prescription; 71.4% reported that the nurse did not have an independent role, 100% had no knowledge of the nursing approach, and 100% found that respect for the role of physicians is one of the elements of their collaboration. In the end, all these results showed the ignorance of the term nurse, nursing care and the nursing approach by the doctors of the public hospitals of the city of Lubumbashi. Conclusion: At the end of our research, we found a negative perception of the nurse and nursing care by the physicians participating in our survey. Awareness within the multidisciplinary team about recognizing the role and limitations of the nurse’s skills becomes a necessity. The quality of the doctor and nurse relationship will certainly improve the quality of patient care.
    Epidemiological Profile of Road Traffic Accidents in a Sub-Saharan Rural Area: Case of Manono in the Democratic Republic of the Congo  [PDF]
    Mizelo Wa Nkumwimba Jean, Kayembe Mashika Anselme, Kiluba Makiki Synphorien, Kampetenga Tshitenga Serge, Ilunga Kandolo Simon, Mwarabu Much’apa Bienfait, Maungulu Matungulu Charles, Kabyla Ilunga Benjamin
    Open Access Library Journal (OALib Journal) , 2019, DOI: 10.4236/oalib.1105851
    Abstract:
    Introduction: Road accidents constitute a major public health problem with regard to the costs generated by this phenomenon. Methodology: We con-ducted a cross-sectional descriptive study of Road traffic accidents in the city of Manono, an urban-rural area, with the aim of understanding this phenome-non in a highly suburbanized environment, characterized by artisanal exploita-tion of among others lithium, coltan with an increasing flow of urban popula-tion as well as the automobile car. Results: We found that most road accidents occurred on the day 51.0%, Sunday and Monday 19.2%. In 78.8%, drivers were ≥18 years old. Conclusion: It is important that an emphasis be placed on the rules of road safety because road accidents do not spare any environment, be it urban or rural.
    Road Crashes: An Anthropic Pandemic, Case of the City of Lubumbashi  [PDF]
    Simon Ilunga Kandolo, Timothy Craig Hardcastle, Charles Matungulu Matungulu, Ghislain Mashini Ngongo, Balthazar Ngoy Fiama Bitambile, Jean Baptiste Kakoma Sakatolo Zambeze, Benjamin Kabyla Ilunga
    Open Access Library Journal (OALib Journal) , 2020, DOI: 10.4236/oalib.1106038
    Abstract:
    Introduction: Road traffic crashes are a significant public health challenge in view of the high morbidity and mortality for which they are responsible. Objective: This study aims to describe the frequency and profile of road traffic crashes in the city of Lubumbashi. Methods: A retrospective descrip-tive study was conducted between January 1, 2015 and December 31, 2017. Included are all cases of vehicles registered with the road safety police, involved in a traffic crash. The data were processed using SPSS version 23 software (SPSS, Armonk, NY). Results: The study focused on 3495 cases of road traffic crashes registered with the road traffic police service from January 1, 2015 to December 31, 2017. These crashes were caused mainly by male drivers (98.6%). January had a large number of road crashes (9.2%) followed by that of October (9.1%); with 17.9% of the cases, crashes were on a Sunday. In 10% of road crashes there were fatalities recorded. Night driving; driving downtown; the use of public transport vehicles as well as the fact of driving on a long straight road predisposed to fatal road crashes in Lubumbashi (P < 0.05). Conclusions: Roads are designed to allow human movement; however there is major risk of injury and death particularly in holiday months and at night. Awareness campaigns can be used as a tool to reduce the pandemic of life-threatening traffic accidents. Some health education channels like schools, churches, political parties, socio-cultural associations, trade unions can be useful for this purpose (road prevention).
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