[fr] Introduction: l´implémentation du dépistage néonatal de la drépanocytose pendant la pandémie se coronavirus (COVID-19) représente un défi majeur en République Démocratique du Congo (RDC). La présente étude vise à déterminer si des facteurs socio-économiques sont associés à l´acceptabilité du dépistage néonatal de la drépanocytose pendant la COVID-19 à Kisangani, en RDC.
Méthodes: étude observationnelle conduite dans les maternités de Kisangani du 21 mars au 30 juin 2020 chez les mères sensibilisées au dépistage néonatal de la drépanocytose de leurs nouveau-nés à l´hemotypeSCTM (HT401RUO-USA). Les données recueillies étaient la parité, le niveau d´étude, l´âge, le niveau socio-économique, la profession, la notion de sensibilisation et le motif du refus du dépistage.
Résultats: sur 55,5% (273/492) des mères sensibilisées, 107 (39,19 %) ont accepté et 166 (60,80 %) ont refusé le dépistage néonatal de la drépanocytose chez leur nouveau né. Les motifs du refus étaient l´absence d´information (67,5%;IC 95% [59,8-74,5]), le manque d´argent dû au confinement (66,3%;IC 95% [58,5-73,4]), la prise de sang pour tentative du vaccin anti-COVID-19 (63,2%; IC 95% = [55,4-70,6]). Les Facteurs associés à l´acceptabilité du dépistage étaient l´âge > 35 ans (p = 0,0009; ORa = 3,04; IC 95% = 1,57-5,87) et le bas niveau socio-économique (p = 0,0016; ORa = 2,29; IC à 95% = 1,37-3,85).
Conclusion: l´acceptabilité du dépistage néonatal de la drépanocytose pendant la COVID-19 reste faible à Kisangani. Le gouvernement devrait identifier les canaux de communication efficaces afin de promouvoir les initiatives dans le secteur de la Santé. [en] Introduction: the implementation of neonatal screening to identify infants with sickle cell disease during the COVID-19 pandemic is a major challenge in the Democratic Republic of the Congo (DRC). The purpose of this study is to determine whether socio-economic factors are associated with acceptability of newborn screening to identify infants with sickle cell disease during the COVID-19 pandemic in Kisangani, DRC. Methods: we conducted an observational study of mothers sensitized to neonatal screening to detect sickle cell disease in their newborns with hemotypeSCTM (HT401RUO-USA). The study was carried out at the maternity wards in Kisangani from March 21st to June 30th 2020. Collected data were parity, educational level, age, socio-economic level, occupation, awareness and the reason for the denial of screening. Results: out of 55,5% (273/492) of sensitized mothers, 107 (39,19%) accepted and 166 (60,80%) refused neonatal screening to detect sickle cell disease in their newborn. The reasons for refusal were lack of information (67,5%; 95% CI [59,8-74,5]), lack of money due to confinement (66,3%; 95% CI [58,5-73,4]), blood test to develop a vaccine for protection against COVID-19 (63,2%; 95% CI = [55,4-70,6]). Factors associated with the acceptability of screening were age > 35 years (p = 0.0009; ORa = 3.04; 95% CI = 1.57-5.87) and low socio-economic level (p = 0.0016; ORa = 2.29; 95% CI = 1.37-3.85). Conclusion: the acceptability of neonatal screening to detect sickle cell disease during COVID-19 is low in Kisangani. The government should identify effective communication channels to promote health care initiatives.
Disciplines :
Pediatrics
Author, co-author :
TEBANDITE KASAI, Emmanuel; Université de Kisangani > Département de Pédiatrie
ALWORONG'A OPARA, Jean-Pierre; Université de Kisangani > Département de Pédiatrie
BATINA AGASA, Salomon; Université de Kisangani > Département de Médecine Interne
GULBIS, Béatrice; Université Libre de Bruxelles - ULB
APIO UVOYA, Naura; Université de Kisangani > Département de Pédiatrie
BOSENGE NGUMA, Jean Didier; Université de Kisangani > Département de Gynécologie-Obstétrique
KASONGO MALOBA, Philippe; Université de Lubumbashi - UNILU > Département de Psychologie, Faculté de Psychologie et des Sciences de l´Education
Hubert, Philippe ; Université de Liège - ULiège > Département de pharmacie > Chimie analytique
Etienne, Anne-Marie ; Université de Liège - ULiège > Département de Psychologie > Psychologie de la santé
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