{"id":2036,"date":"2023-06-02T12:58:29","date_gmt":"2023-06-02T10:58:29","guid":{"rendered":"http:\/\/masante-cam.org\/masante\/?page_id=2036"},"modified":"2023-06-02T13:02:38","modified_gmt":"2023-06-02T11:02:38","slug":"evaluation-des-besoins-en-intervention-pour-lamelioration-de-la-securite-des-medicaments-chez-la-femme-enceinte-et-lenfant-dans-le-district-de-sante-de-biyem-assi","status":"publish","type":"page","link":"https:\/\/masante-cam.org\/masante\/evaluation-des-besoins-en-intervention-pour-lamelioration-de-la-securite-des-medicaments-chez-la-femme-enceinte-et-lenfant-dans-le-district-de-sante-de-biyem-assi\/","title":{"rendered":"Evaluation des besoins en intervention pour l\u2019am\u00e9lioration de la s\u00e9curit\u00e9 des m\u00e9dicaments chez la femme enceinte et l\u2019enfant dans le district de sant\u00e9 de Biyem-Assi."},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2036\" class=\"elementor elementor-2036\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-040ecc6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"040ecc6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-aaff700\" data-id=\"aaff700\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-36c829f elementor-widget elementor-widget-heading\" data-id=\"36c829f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">Evaluation des besoins en intervention pour l\u2019am\u00e9lioration de la s\u00e9curit\u00e9 des m\u00e9dicaments chez la femme enceinte et l\u2019enfant dans le district de sant\u00e9 de Biyem-Assi.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d15ab38 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d15ab38\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d3c8309\" data-id=\"d3c8309\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b45766e elementor-widget elementor-widget-text-editor\" data-id=\"b45766e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Th\u00e8se pr\u00e9sent\u00e9e et d\u00e9fendue publiquement en vue de l\u2019obtention du Master Professionnel en Epid\u00e9miologie et Sant\u00e9 Publique, D\u00e9partement des Sciences Biom\u00e9dicales, Facult\u00e9 des Sciences, Universit\u00e9 de Dschang.<\/p><p><strong>Ann\u00e9e acad\u00e9mique 2013-2014<\/strong><\/p><p><strong>Etudiant :\u00a0<\/strong>TSAFACK Marcellin<sup>\u00a01<\/sup><\/p><p><a href=\"mailto:m_tsafack@yahoo.fr\">m_tsafack@yahoo.fr<\/a><\/p><p><strong>Directeur :\u00a0<\/strong>Dr ATEUDJIEU J\u00e9r\u00f4me, MD, MPH, Ph.D\u00a0<sup>123<\/sup><\/p><p><a href=\"mailto:jateudj@yahoo.fr\">jateudj@yahoo.fr<\/a>\u00a0;\u00a0<a href=\"mailto:Jerome.ateudjieu@masante-cm.org\">Jerome.ateudjieu@masante-cm.org<\/a><\/p><p><strong>Superviseur :\u00a0<\/strong>Pr NGUELEFACK T\u00e9lesphore, Ph.D\u00a0<sup>1<\/sup><\/p><p><strong>Financ\u00e9 par:\u00a0<\/strong><strong><a href=\"https:\/\/www.stopcholera.org\/\">DOVE PROJECT<\/a>\u00a0 ;\u00a0<a href=\"http:\/\/masante-cam.org\/\">M.A. SANTE<\/a><\/strong><\/p><p><strong>Abstract<\/strong><\/p><p><strong>Justification :\u00a0<\/strong>La s\u00e9curit\u00e9 des m\u00e9dicaments mis sur le march\u00e9 camerounais n\u2019est pas garantie. La prescription m\u00e9dicamenteuse et la vaccination posent un risque de toxicit\u00e9 chez les femmes enceintes et les enfants. Un syst\u00e8me de pharmacovigilance a \u00e9t\u00e9 mis en place pour la pr\u00e9vention des effets ind\u00e9sirables des m\u00e9dicaments (EIM). Le personnel de sant\u00e9 (PS) devrait en savoir un minimum \u00e0 ce sujet. L\u2019objectif de cette \u00e9tude est d\u2019\u00e9valuer les besoins en intervention pour l\u2019am\u00e9lioration de la s\u00e9curit\u00e9 des m\u00e9dicaments chez la femme enceinte et l\u2019enfant dans le District de sant\u00e9 de Biyem-Assi.<\/p><p><strong>M\u00e9thodes :<\/strong>\u00a0Il s\u2019agissait d\u2019une \u00e9tude \u00e0 deux volets, dont l\u2019un transversal, \u00e9valuant le besoin en formation du PS sur la s\u00e9curit\u00e9 m\u00e9dicamenteuse chez la femme enceinte, et l\u2019autre interventionnel \u00e9valuant l\u2019apport du \u00ab bip \u00bb t\u00e9l\u00e9phonique sur le taux de d\u00e9tection des manifestations adverses post immunisation (MAPI) \u00e0 base communautaire. Toutes les formations sanitaires (FOSA) du district de sant\u00e9 de Biyem-Assi et les parents venant pour la vaccination avec leurs enfants au cours de la p\u00e9riode du 23\/12\/2013 au 28\/02\/2014 \u00e9taient sollicit\u00e9s pour participer \u00e0 l\u2019\u00e9tude. Le besoin en formation du PS \u00e9tait d\u00e9termin\u00e9 en \u00e9valuant les connaissances du PS par un questionnaire administr\u00e9 en face \u00e0 face. Tous les parents ont \u00e9t\u00e9 assign\u00e9s au hasard \u00e0 faire un \u00ab bip \u00bb t\u00e9l\u00e9phonique ou pas et l\u2019effet sur le taux de notification a \u00e9t\u00e9 \u00e9valu\u00e9 en comparant le taux de d\u00e9tection des deux groupes.<\/p><p><strong>R\u00e9sultats :<\/strong>\u00a0Cent (100) PS, et 471 parents ont \u00e9t\u00e9 recrut\u00e9s. Les connaissances du PS sur la s\u00e9curit\u00e9 m\u00e9dicamenteuse variaient d\u2019un indicateur \u00e0 l\u2019autre. Environ 69% du PS \u00e9taient capables de donner une bonne d\u00e9finition de cas d\u2019un EIM sur grossesse. Seulement 6% savaient comment, quand, qui doit notifier un EIM. Quatre-vingt huit pour cent (88%) ont d\u00e9clar\u00e9 v\u00e9rifier l\u2019am\u00e9norrh\u00e9e avant de prescrire. Le PS ignore les contre-indications de certains m\u00e9dicaments au cours de la grossesse. Le taux de d\u00e9tection dans le groupe interventionnel (8,1%\/mois) \u00e9tait significativement sup\u00e9rieur au taux dans le groupe contr\u00f4le (0 ,4%\/mois) RR= 18,9, IC95 (2,5 ; 140) (p=0,0004). Le niveau de connaissances du PS sur la s\u00e9curit\u00e9 m\u00e9dicamenteuse est limit\u00e9 et a besoin d\u2019\u00eatre am\u00e9lior\u00e9 .Un programme de formation \u00e0 ce sujet devra \u00eatre impl\u00e9ment\u00e9 pour am\u00e9liorer la pr\u00e9vention des EIM chez la femme enceinte.\u00a0<strong>Conclusion :\u00a0<\/strong>L\u2019utilisation du \u00ab bip \u00bb t\u00e9l\u00e9phonique am\u00e9liore significativement le taux de d\u00e9tection des MAPI.<\/p><p><strong>Mots cl\u00e9s :\u00a0<\/strong>Surveillance, S\u00e9curit\u00e9 des vaccins, t\u00e9l\u00e9phone, Bib<\/p><ol><li>D\u00e9partement des Sciences Biom\u00e9dicales, Facult\u00e9s des Sciences, Universit\u00e9 de Dschang<\/li><li>Division de la Recherche Op\u00e9rationnelle en Sant\u00e9, Minist\u00e8re de la Sant\u00e9 Publique, Cameroun<\/li><li>A. SANTE (Meilleur Acc\u00e8s aux Soins de Sant\u00e9\/ Better Access to Health Care)<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Evaluation des besoins en intervention pour l\u2019am\u00e9lioration de la s\u00e9curit\u00e9 des m\u00e9dicaments chez la femme enceinte et l\u2019enfant dans le district de sant\u00e9 de Biyem-Assi. Th\u00e8se pr\u00e9sent\u00e9e et d\u00e9fendue publiquement en vue de l\u2019obtention du Master Professionnel en Epid\u00e9miologie et Sant\u00e9 Publique, D\u00e9partement des Sciences Biom\u00e9dicales, Facult\u00e9 des Sciences, Universit\u00e9 de Dschang. Ann\u00e9e acad\u00e9mique 2013-2014 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","om_disable_all_campaigns":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-2036","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/pages\/2036","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/comments?post=2036"}],"version-history":[{"count":10,"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/pages\/2036\/revisions"}],"predecessor-version":[{"id":2049,"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/pages\/2036\/revisions\/2049"}],"wp:attachment":[{"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/media?parent=2036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}