University of Kamina

Budaya lokal memiliki peran penting dalam membentuk perilaku kesehatan masyarakat, termasuk dalam praktik perawatan kehamilan dan persalinan. Penelitian ini bertujuan untuk menganalisis hubungan antara nilai, norma, dan kepercayaan budaya lokal dengan praktik perawatan ibu hamil serta proses persalinan pada masyarakat tradisional. Metode penelitian yang digunakan adalah pendekatan kualitatif dengan teknik wawancara mendalam dan observasi partisipatif terhadap ibu hamil, dukun beranak, dan tokoh adat. Hasil penelitian menunjukkan bahwa budaya lokal memiliki pengaruh signifikan terhadap pola perawatan kehamilan dan pilihan tempat persalinan. Faktor kepercayaan terhadap kekuatan spiritual, pantangan makanan, dan peran dukun beranak masih menjadi elemen dominan dalam proses tersebut. Penelitian ini menegaskan pentingnya integrasi nilai budaya lokal dalam program kesehatan ibu dan anak agar pelayanan kesehatan menjadi lebih kontekstual dan diterima oleh masyarakat.

Abstract The recovery and utilization of tailings can reduce safety risks in open-pit mines while improving resource efficiency. This study develops a stability model for tailings recovery based on current slope and ore pillar conditions, incorporating mechanical parameters of tailings and waste rock from laboratory tests. Results indicate that complete extraction of Tailings Ore Body No. 1 in Section 1 caused no landslides, whereas excavation to 35 m in Section 2 triggered large-scale sliding on the southern slope. In Sections 3–7, northern waste rock slopes experienced varying degrees of failure after full extraction. To ensure stability, Section 2 should adopt a stepped scheme: after mining 15 m at a 20° slope angle, excavate an additional 10 m, reserve a 10 m bench, and repeat to the ore body bottom. This approach prevents southern slope failure while stabilizing the system. For northern slopes, applying a 35° slope angle effectively eliminated sliding across all profiles.

BackgroundMaternal mortality remains alarmingly high in the Democratic Republic of Congo (DRC), particularly in rural areas where access to quality prenatal care is limited. Despite global efforts to improve maternal health, systemic gaps persist in the delivery of antenatal services.ObjectiveThe objective of this study is to assess the quality of first antenatal consultations in the Malemba Nkulu health zone and identify structural and procedural factors contributing to substandard care.MethodsA cross-sectional descriptive study was conducted in November 2023 across 8 health facilities selected through simple random sampling. Data were collected from 248 pregnant women attending their first prenatal visit and from 14 health care providers. Quality indicators were assessed using a structured checklist based on World Health Organization (WHO) standards. Variables included provider qualifications, availability of diagnostic tools, and completeness of clinical assessments.ResultsOnly 2% (5/248) of first antenatal consultations met the minimum quality standards. Major deficiencies included lack of physical examinations 78% (193/248), absence of essential laboratory tests 92% (228/248), and inadequate counseling 85% (212/248). Facilities lacked basic equipment such as blood pressure monitors and hemoglobin tests. Provider training was inconsistent, and community awareness of prenatal care remained low.ConclusionsThe quality of first antenatal consultations in Malemba Nkulu is critically poor, reflecting broader systemic challenges in rural maternal health care. Strengthening provider training, improving infrastructure, and enhancing community engagement are essential to reduce maternal mortality and improve outcomes in resource-limited settings.

Enteral nutrition is a therapy of providing nutrition through the digestive tract using a special tube (feeding tube). The method of administration can be through the nose-stomach (nasogastric tube) or nose-intestine (nasoduodenal tube or nasojejunal route). Enteral nutrition can also be done by bolus or infusion through an enteral infusion pump. The purpose of this study was to determine the effectiveness of enteral nutrition. The methods used were intermittent feeding and gravity drip on the volume of gastric residue in critical patients. The results showed that the provision of enteral nutrition using the intermittent feeding method was proven to be more effective so that the provision of enteral nutrition using the intermittent feeding method can be an option in providing enteral nutrition to critical patients. The conclusion is that the intermittent feeding method helps meet the nutritional needs of critical patients in the ICU.

ABSTRACT The COVID-19 booster dose is considered an important adjunct for the control of the COVID-19 pandemic due to reports of reduced immunity in fully vaccinated individuals. The aims of this study were to assess healthcare workers’ intention to receive the booster dose of COVID-19 vaccine and to identify predictive factors among healthcare workers. A cross-sectional study was conducted among healthcare workers selected in two provinces, Kasai Oriental, and Haut-Lomami. Data were collected using a questionnaire administered through structured face-to-face interviews, with respondents using a pre-tested questionnaire set up on the Open Data Kit (ODK Collect). All data were analyzed using SPSS v26.0 (IBM Corporation, Armonk, NY, USA). Vaccination coverage for COVID-19, considering declarations by health workers, is around 85.9% for the province of Kasai Oriental and 85.8% for Haut-Lomami. A total of 975 responses were collected, 71.4% of health workers at Kasai Oriental and 66.4% from Haut-Lomami declared a definite willingness to receive a COVID-19 vaccine booster. The duration of protection was the main reason for accepting a booster COVID-19 dose for 64.6% of the respondents. Logistic regression analysis showed that having chronic diseases (aOR = 2.95 [1.65–5.28]), having already received one of the COVID-19 vaccines (aOR = 2.72 [1.43–5. 19]); the belief that only high-risk individuals, such as healthcare professionals and elderly people suffering from other illnesses, needed a booster dose (aOR = 1.75 [1.10–2.81]). Considering the burden of COVID-19, a high acceptance rate for booster doses could be essential to control the pandemic. Our results are novel and could help policymakers design and implement specific COVID-19 vaccination programs to reduce reluctance to seek booster vaccination.

<em>La mise en œuvre de la mesure de la gratuité d’enseignement de base s’est traduite par une amélioration de l’accès à l’éducation des enfants en âge scolaire. L’objectif poursuivi est de déterminer si la qualité de l’enseignement de base en RDC s’améliore avec l’avènement de la gratuité de l’enseignement de base. </em><em>La force et la constance de la demande d’éducation visibles dans la commune urbano-rurale de Kipushi, en l’occurrence dans les quartiers Kamarenge, Kalubamba, Mungoti, Katchoma et Uhuru sont d’autant plus remarquables que les conditions matérielles et pédagogiques sont très dégradées et corrompues. L’efficacité de la gratuité de l’enseignement de base s’avère ainsi remise en question. </em><em>Les critères d’évaluation utilisés dans le cadre de cette étude sont ceux qui ont fait l’objet d’un large consensus au sein de la communauté internationale à savoir la pertinence, la cohérence, l’efficacité et l’efficience.</em>

Introduction: SARS-CoV-2 is a virus of the coronavidae family and of the beta coronavirus group, such as those responsible for SARS and MERS. This Covid-19 is more contagious than SARS and MERS but with a lower death rate. Covid-19 vaccine is a pharmaceutical tool to control the transmission of Covid-19 among the health personnel and the general population. The acceptance of Covid-19 vaccination remains reluctant among the health personnel. The purposes of this study are to determine the intentions and attitudes of health personnel vis-à-vis to Covid-19 vaccination and, to determine the reasons for accepting and refusing Covid-19 vaccination among health personnel in Kaziba Health Zone from 15 to 28 July 2021. Material and methods: our study was descriptive retrospective cross-sectional study. A random sampling method was carried out to collect the data through survey questionnaire with 102 health personnel. The data was analyzed with SPSS and Chi-square test was carried out. Results: the intentions and attitudes of the health personnel vis-à-vis to Covid-19 vaccination was (31.4%), and the participants who declared the mandatory Covid-19 vaccination was 31.4%. The health personnel who accepted the covid-19 vaccine were 21.6%, however, those who refused was 45.1%. Conclusion: health personnel do not have acceptable intentions and attitudes towards Covid-19 vaccination. Only nurses and midwives, physicians and healthcare assistance staff were agreeable to Covid-19 vaccination to control the pandemic. Lack of information was the main refusal reason for Covid-19 vaccination. The health personnel were not willingly too mandatory Covid-19 vaccination. Keywords: Attitudes, Covid-19, Health personnel, Intentions, Kaziba, SARS-CoV-2, Vaccination.

Objective: The overall objective of this study was to make a small contribution to improving the health of mothers and children. Method: This is a transversal descriptive study, which took place in the city of Mbuji-Mayi, exactly in the general reference hospitals of this city during the period from March 13 to June 12, 2017, on a sample of 103 cases of cesarean sections. The determinants of the quality of the cesarean section were found by the bivariate analyzes on SPSS. Results: After collecting and analyzing data, we arrived at the results according to which: The cesarean section rate is 8.9%, the fairly good, low and medium quality cesarean section represented 51.5%, 2.9% and 45.6% respectively and if the operating room was available, the probability of having a mid-quality cesarean was 90 times higher (p < 0.001), 14 times higher in the case of a mother and child alive than in the event of death of the child (p < 0.001) and 4.3 times weak or fairly good with an ineffective kit (p < 0.001). Conclusion: The cesarean section rate is 8.9% and the determinants of quality cesarean section were: the availability of the operating room, mother-child prognosis and the availability of the operating kit. These results will help decision-makers in health matters to train and retrain health personnel, particularly midwives, on the benefits of prenatal consultation and its objectives, timely referral, and on the quality of work supervision.

KAS African Law Study Library , Seite 170 - 190

BackgroundAdherence to public health instructions for the COVID-19 is important for controlling the transmission and the pandemic’s health and economic impacts. The aim of this study was to determine the associated factors of non-adherence to public health and social measures instructions.MethodsThis was a cross-sectional study conducted with 1913 participants in two provinces of DRC, Mbuji-Mayi, and Kamina. Predictors of non-adherence to COVID-19 preventive measures were identified using binary logistic regression analysis. P-value<0.05 was considered as a significant predictor.ResultsAmong 1913 participants (1057 [55.3%] male, age 34.1 [14.9] years), 36.6% were defined as non-adherents. Non-adherence was associated with never studied and primary education level [adjusted odds ratio (aOR)=1.63, CI=1.31–2.03], unemployed status [aOR=1.29, CI=1.01–1.67], living in Kamina (Haut-Lomami province) [aOR=1.63, CI=1.31–2.03], female gender of head of household [aOR=1.53, CI=1.16–2.03], no attending lectures/discussions about COVID-19 [aOR=1.61, CI=1.08–2.40], not being satisfied with the measures taken by the Ministry of Health [aOR=2.26, CI=1.78–2.81], not been regularly informed about the pandemic [aOR=2.25, CI=1.80–2.03], and bad knowledge about COVID-19 [aOR=2.36, CI=1.90–2.93].ConclusionThe rate of non-observance of preventive measures for the COVID-19 pandemic is high, and different factors contributed. The government has to counsel the permanent updating of messages taking into account the context and the progress of the pandemic by using several communication channels.