Browsing by Author "et al."

Now showing 1 - 4 of 4
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    Assessing Health Information System Data Quality Management in LifeNet-Supported Facilities in South Kivu, Democratic Republic of Congo
    (Asian Journal of Medicine and Health, Volume 23, Issue 12, Page 1-10, 2025-11) Bwanondo, Kachelewa Sylvain,; et al.
    Aims: To evaluate the quality of HIS data in LifeNet-supported facilities in South Kivu and correlate data completeness, accuracy, and timeliness with staff competency, training, and governance factors to validate current data management practices. This study is significant as it enhances understanding of data quality in LifeNet-supported health facilities, guiding improvements in information management and health service delivery in South Kivu. Study Design: A retrospective quantitative cross-sectional analytical research design. Place and Duration of Study: Study conducted in LifeNet International-supported health facilities across ten health districts in South Kivu Province, Democratic Republic of Congo, including Idjwi, Ibanda, Kabare, Kadutu, Miti-Murhesa, Nundu, Nyangezi, Nyatende, Uvira, and Walungu, between October 2023 and March 2024. Methodology: This study included 155 healthcare workers from 74 LifeNet International-supported health facilities across ten districts in South Kivu Province, DRC. Data were collected through a retrospective review of Maternal and Child Health (MCH) records and a structured HIS Assessment Questionnaire administered to healthcare workers. Data completeness, accuracy, and timeliness were evaluated using the Verification Factor (VF). Descriptive and inferential statistical analyses were performed using SPSS version 28 to assess relationships between HIS data quality and influencing factors. Results: MCH data quality was high: accuracy 89%, consistency 87%, completeness 93.3%, and timeliness 86.7%. Health worker competency showed high neutrality—data aggregation 62.6%, in-service training 65.2%, electronic skills 72.3%, HMIS usability 61.9%, pre-service training 75.5%—indicating limited confidence in HIS skills. Challenges in data collection were notable, with 46.5% neutral on cross-checking, 71.6% unsure about functional databases, and 62.6% unclear on monitoring roles. Regression analysis indicated systemic challenges strongly predicted health information use (β = 0.850, p < 0.001), while individual competency was not significant, highlighting the need for improved operational support. Conclusion: Systemic challenges, more than individual competency, significantly affect health information use, highlighting the need for stronger operational support, clear roles, and targeted HIS capacity-building in facilities.
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    Evaluation of a health systems strengthening intervention to improve Ebola Virus Disease infection prevention and control in the Democratic Republic of the Congo
    (Journal of Global Health Reports Vol. 6, 2022, 2022-06) Ousman, Kevin; Thumath M, McKay G,; et al.
    The Democratic Republic of Congo declared their tenth outbreak of Ebola in North Kivu in 2018, which was the second-largest in the world and took place in an active conflict zone. Transmission of Ebola occurs by direct contact with infected bodily fluids and can occur within facilities when infection prevention and control (IPC) precautions are not strictly practised.
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    Hypertension Management Among Hospitalised Patients at Kamenge University Hospital in Bujumbura
    (East African Health Research Journal | Volume 8, 2024) Ndirahisha, Eugene; Nyandwi, Ramadhan; Nyandwi, Joseph; et al.
    Background: According to the World Health Organization in 2015, 40 million out of the 56 million deaths recorded worldwide (70%) were due to non communicable diseases. These were mainly cardiovascular diseases, cancers, chronic respiratory diseases and diabetes. Methods: A prospective descriptive study was conducted from October 2018 to March 2019. Availability of the files in the department’s archives store for medical records and availability of trained physicians to perform diagnosis and treatment of HBP were the criteria used to select departments to be included in the study. Results: Patients data were recorded from internal medicine department (59.8%), emergency department (18.1%) gynaecology and obstetrics department (13.3%) and surgery department (8.6%). The mean age of the patients who were hospitalised in the study period was 54 years (SD±10.2) with extremes of 18 and 104 years. The modal class was the age group of 50 to 60 with 24.4% of cases. Among patients who were hospitalised, 3.6% (127) had essential hypertension, of which 57.4% (73) were women. Conclusion: Notable percentage of patients hospitalized at the University Hospital of Kamenge had essential hypertension. However, patients’ knowledge of their hypertensive status had no positive contribution to its management.
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    Incidence du carcinome hépatocellulaire lors de l’infection chronique par le virus de l’hépatite B
    (Pan African Medical Journal, 2015) Ntagirabiri, Rénovat; Munezero, Bélyse; Kaze, Hippolyte; et al.
    Introduction: le virus de l'hépatite B (VHB) est incriminé comme cause de cancer primitif du foie. Le stade de fibrose et d'autres facteurs environnementaux et génétiques seraient intriqués. Le but de notre travail était de déterminer l'incidence du carcinome hépatocellulaire (CHC) lors d'une infection chronique par le VHB et estimer le risque relatif (RR) de CHC lié au stade de la fibrose hépatique. Méthodes: étude prospective de suivi d'une cohorte de patients porteurs chroniques du VHB sur une période de 5 ans (2009 à 2014). Etaient inclus les patients consécutifs qui ont subi un dosage de la charge virale B, une évaluation de la fibrose hépatique et un suivi régulier de tous les 6 à 12 mois par une échographie hépatique. Résultats: au total 194 patients ont été retenus. L'âge moyen était de 39,1 ans. Parmi eux 112 étaient des hommes. L'incidence cumulée de CHC a été de 8,8% dans la population d'étude soit une incidence annuelle de 1,8%. Selon le stade de fibrose, 31 patients avaient une fibrose sévère ou une cirrhose (score Fibrotest >0,73). Parmi eux, l'incidence cumulée de CHC était de 35,5% soit une incidence annuelle estimée à 7,10%. Parmi 163 patients ayant une fibrose mineure, l'incidence cumulée de CHC était de 3,7% soit une incidence annuelle de 0,7%. Le RR lié à la cirrhose était de 9,7; IC 95%: (3,8-24,1%). Conclusion: le VHB expose au CHC jusqu'à 10 fois. La fibrose sévère et la cirrhose constituent des facteurs prédictifs de CHC chez le porteur chronique du VHB. Evaluer systématiquement la fibrose pour traiter précocement les malades pourra prévenir l'évolution vers la cirrhose et par là réduire la survenue du CHC.