{"id":3139,"date":"2023-02-21T00:49:09","date_gmt":"2023-02-21T00:49:09","guid":{"rendered":"http:\/\/rufso.org\/Journal\/rjsse\/?p=3139"},"modified":"2023-06-15T03:11:34","modified_gmt":"2023-06-15T03:11:34","slug":"analyse-de-la-reponse-a-lepidemie-de-cholera-dans-six-06-zones-de-sante-du-nord-et-sud-kivu-en-republique-democratique-du-congo","status":"publish","type":"post","link":"https:\/\/rufso.ac.cd\/journal\/rjsse\/2023\/02\/21\/analyse-de-la-reponse-a-lepidemie-de-cholera-dans-six-06-zones-de-sante-du-nord-et-sud-kivu-en-republique-democratique-du-congo\/","title":{"rendered":"Analyse de la r\u00e9ponse \u00e0 l\u2019\u00e9pid\u00e9mie de chol\u00e9ra dans six (06) zones de sante du Nord et Sud Kivu, en R\u00e9publique D\u00e9mocratique du Congo"},"content":{"rendered":"
Abstract<\/strong>La pr\u00e9sente \u00e9tude porte sur l\u2019analyse de la r\u00e9ponse \u00e0 l\u2019\u00e9pid\u00e9mie de chol\u00e9ra dans six(6) zones de sant\u00e9 des provinces du Nord et Sud Kivu de 2012 \u00e0 2016. Elle visait \u00e0 analyser la r\u00e9ponse apport\u00e9e depuis 5 ans, \u00e9valuer les connaissances attitudes et pratiques, et caract\u00e9riser les facteurs \u00e0 l\u2019origine de la persistance du chol\u00e9ra en R\u00e9publique D\u00e9mocratique du Congo. Le travail s\u2019est d\u00e9roul\u00e9 de Janvier \u00e0 Mai 2017, et s\u2019est appuy\u00e9 aussi bien sur la base de donn\u00e9es collect\u00e9es durant le projet que sur l\u2019exploitation de donn\u00e9es primaires qualitatives et quantitatives. A l\u2019issue de ce travail quelques points saillants sont ressortis : La situation du chol\u00e9ra dans les 6 ZS a \u00e9volu\u00e9 positivement avec un tr\u00e8s bon suivi \u00e9pid\u00e9miologique (SE) au niveau des Bureaux Centraux de Zones (BCZ), devenus autonomes et prompts dans les notifications de cas et les ripostes. Cependant, au niveau des aires de sant\u00e9 le SE est moins r\u00e9ussi. Les donn\u00e9es \u00e9pid\u00e9miologiques montrent une baisse globale des cas depuis le d\u00e9but du projet. De m\u00eame la l\u00e9talit\u00e9 est rest\u00e9e maitris\u00e9e en de\u00e7\u00e0 de 1% depuis 5 ans. Malgr\u00e9 cette baisse, on note tout de m\u00eame une persistance de cas dans les zones de sant\u00e9 dites \u00ab sources \u00bb et dans les aires de sant\u00e9 dites \u00ab sanctuaires \u00bb. Des activit\u00e9s de pr\u00e9vention ont \u00e9t\u00e9 accentu\u00e9es autour de ces zones. Apr\u00e8s cinq ann\u00e9es, les r\u00e9sultats sont probants mais les foyers ne s\u2019\u00e9teignent pas. Une analyse de la cartographie a montr\u00e9 aussi des limites infrastructurels beaucoup plus prononc\u00e9es dans ces m\u00eames aires de sant\u00e9 tant au niveau des m\u00e9nages qu\u2019au niveau communautaire. De m\u00eame, l\u2019enqu\u00eate CAP a r\u00e9v\u00e9l\u00e9 une persistance des probl\u00e8mes d\u2019eau Hygi\u00e8ne et assainissement (EHA), avec de faibles indicateurs. Le changement de comportement reste un probl\u00e8me majeur \u00e0 la r\u00e9ussite de ce combat au niveau personnel, familial et communautaire. A l\u2019issu de ce travail il ressort de bons r\u00e9sultats globalement sur la situation du chol\u00e9ra dans la zone d\u2019intervention. De m\u00eame la strat\u00e9gie de reprise communautaire entam\u00e9e r\u00e9cemment et qui consiste \u00e0 renforcer les capacit\u00e9s des BCZ et leaders locaux, devrait \u00eatre renforc\u00e9e pour une sortie plus sereine du projet. Au-del\u00e0 des avanc\u00e9es connues durant ce projet, il y a toutefois lieu dans les \u00e9ch\u00e9ances \u00e0 venir de d\u00e9velopper des strat\u00e9gies plus entrainantes au changement de comportement d\u2019une part, et d\u2019accentuer le plaidoyer institutionnel en faveur des infrastructures et de la synergie d\u2019action gouvernementale d\u2019autre part ; car la multisectorialit\u00e9 devrait \u00eatre une r\u00e9alit\u00e9 dans la lutte contre le chol\u00e9ra.<\/p>\n

Mots cl\u00e9s<\/strong> : Chol\u00e9ra, R\u00e9ponse, Epid\u00e9mie, L\u00e9talit\u00e9, suivi \u00e9pid\u00e9miologique, Reprise communautaire.\u00a0<\/strong><\/p>\n

\n

English
\nAbstract <\/em><\/strong><\/p>\n

This study analyzes the response to the cholera epidemic in six (6) health zones (HZ) in the provinces of North and South Kivu. This is an opportunity to evaluate de response, characterize the knowledge, attitudes and practices and understand the underlying factors and drivers of the persistent cholera epidemics in the Democratic Republic of Congo (DRC). The work was carried out from January to May 2017 and was based on both the data collected during the project and the exploitation of qualitative and quantitative primary data and quantitative data. At the end of this study, some key points emerged. It was found that the situation of cholera in the six HZ has evolved positively with a very good epidemiological follow-up at the level of the BCZ, which became autonomous and prompt in the notifications of cases and the response. However, at the level of the health areas the epidemiological surveillance is less successful. Similarly, the lethality rate has remained under 1% for 5 years. Despite this decline, there is still a persistence of cases in some health zones and health areas. Prevention activities have been re-enforced around these areas. After five years, the results are convincing but the recurrent outbreaks are not over yet. An analysis of the mapping also showed much more pronounced limitations in the same health areas both at the household level and at the community level. Similarly, the KAP survey revealed a persistence of WASH problems, with very low indicators. Behavioral change remains a major issue in the success of this fight at the personal, family and community levels. As outcome of this study, good results on the overall situation of cholera in the area of intervention have been achieved. In the same way, revamping strategy of the Community Capacity Recovery structures and local leaders by BCZ recently should be strengthened for a smooth exit from the project. Beyond the progress made during this project, in the coming months there is a need to develop strategies more conducive to behavior change on the one hand, and to increase institutional advocacy for infrastructure and synergy of government action on the other, because an integrated approach should be the best way to fight against cholera. <\/em><\/p>\n

Key words<\/em><\/strong> : Cholera, Response, Epidemic, lethality, Epidemiological follow \u2013up, community capacity recovery<\/em><\/p>\n<\/header>\n

\n
\n

Title:<\/b> Analyse de la r\u00e9ponse \u00e0 l\u2019\u00e9pid\u00e9mie de chol\u00e9ra dans six (06) zones de sante du Nord et Sud Kivu, en R\u00e9publique D\u00e9mocratique du Congo
\nAuteurs<\/strong>: Marie-Louise Fleur ATANGANA NGALARA, Radjabu BIGIRIMANA
\nPubli\u00e9 dans<\/strong>\u00a0Journal of Social Sciences and Engineering<\/a>,\u00a0Volume 35<\/a>\u00a0,\u00a0<\/em>num\u00e9ro 2<\/a>
\n<\/em>Journal doi<\/strong>:10.55272\/rufso.rjsse<\/a><\/p>\n

T\u00e9l\u00e9charger en PDF<\/span><\/a><\/strong><\/h3>\n

Copyright\u00a9 tous droits r\u00e9serv\u00e9s a l\u2019auteur.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

AbstractLa pr\u00e9sente \u00e9tude porte sur l\u2019analyse de la r\u00e9ponse \u00e0 l\u2019\u00e9pid\u00e9mie de chol\u00e9ra dans six(6) zones de sant\u00e9 des provinces du Nord et Sud Kivu de 2012 \u00e0 2016. Elle visait \u00e0 analyser la r\u00e9ponse apport\u00e9e depuis 5 ans, \u00e9valuer les connaissances attitudes et pratiques, et caract\u00e9riser les facteurs \u00e0 l\u2019origine de la persistance du…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_kad_post_transparent":"default","_kad_post_title":"default","_kad_post_layout":"default","_kad_post_sidebar_id":"","_kad_post_content_style":"default","_kad_post_vertical_padding":"default","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[38,177,178,184,36],"tags":[187,78],"class_list":["post-3139","post","type-post","status-publish","format-standard","hentry","category-health-and-biomedical-sciences","category-jsse","category-volume35","category-vol35-issue2","category-management-sciences","tag-marie-louise-fleur-atangana-ngalara","tag-radjab-bigirimana"],"_links":{"self":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3139","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/comments?post=3139"}],"version-history":[{"count":2,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3139\/revisions"}],"predecessor-version":[{"id":3275,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/posts\/3139\/revisions\/3275"}],"wp:attachment":[{"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/media?parent=3139"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/categories?post=3139"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rufso.ac.cd\/journal\/rjsse\/wp-json\/wp\/v2\/tags?post=3139"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}