Introduction Little is known about the outcomes of subjects with a history severe acute malnutrition (SAM). We therefore sought to explore long-term effects SAM during childhood on human capital in adulthood terms education, cognition, self-esteem and health-related disabilities daily living. Methodology traced 524 adults (median age 22) eastern Democratic Republic Congo, who were treated for at Lwiro hospital between 1988 2007 41 months). compared them 407 community controls comparable sex....

Abstract Background Health Care Workers (HCWs) in conflict zones face high levels of violence while also playing a crucial role assisting the population distress. For more than two decades, eastern provinces Democratic Republic Congo (DRC), have been wracked by conflict. This study aims to describe state against HCWs and potential prevention mechanisms DRC. Methods In North South Kivu, between February 5 21, 2021, we conducted mixed cross-sectional convergent health facilities (health...

<title>Abstract</title> Background In the Democratic Republic of Congo (DRC), population's standard living has deteriorated over years as a result country's worsening socio-economic, security and political context. The aim this study was to assess changes in socio-economic level accessibility healthcare health zones South Kivu province between 2011 2023. Methods A literature review carried out on households access from search PubMed Google Scholar databases non-governmental organizations...

In crisis-affected health systems, the performance of zones (also known as districts) is challenged by recurrent armed conflicts and state fragility. The profiles zone managers contextual factors can significantly influence zones' ability to effectively respond population needs. This study explores these interactions identify key associated with performances in three provinces Eastern Democratic Republic Congo (DRC), a region that has endured over decades conflict. mixed-methods was...

Background While most studies of adults with a history severe acute malnutrition (SAM) focused on survival and long-term non-communicable diseases, few have examined community health. The aim this study was to compare the overall health status its predictors between SAM healthy controls in context Eastern Democratic Republic Congo using WHO Disability Assessment Schedule (WHODAS). Methods We evaluated 257 who were treated for during childhood 1988 2007. They compared 187 age-matched...

Background It is well documented that treatment for severe acute malnutrition (SAM) effective. However, little known about the long-term outcomes children treated SAM. We sought to trace former SAM patients 11 30 years after their discharge from hospital, and describe longer-term survival growth adulthood. Methods A total of 1,981 records subjects admitted between 1988 2007 were taken archives Lwiro in South Kivu, DRC. The median age on admission was 41 months. Between December 2017 June...

Little is known about the long-term outcome of children treated for severe acute malnutrition (SAM) after nutritional rehabilitation. To explore association between SAM in childhood, noncommunicable diseases (NCDs), and low human capital adulthood. We identified 524 adults (median age: 22 y) who were during childhood Eastern Democratic Republic Congo 1988 2007. They compared with 407 community unexposed age- sex-matched subjects no history SAM. The variables interest cardiometabolic risk...

Few studies have assessed the relationship between weight-for-height (WHZ) and mid-upper arm circumference (MUAC) with hospital mortality considering confounders. The particularity of MUAC for age (MUACZ) is less documented.This study aims to investigate this in a region endemic severe acute malnutrition (SAM).This retrospective cohort based on database children admitted from 1987 2008 South Kivu, eastern DRC. Our outcome was mortality. To estimate strength association nutritional indices,...

Abstract Background Little is known about the use of mid-upper arm circumference for age (MUACZ) diagnosing severe acute malnutrition (SAM) and its correlation with WHZ (weight-for-height Z-score) in an area endemic a high prevalence kwashiorkor. Our study aims to analyze concordance between diagnostic criteria SAM region presenting these characteristics. Methods We analyzed database children admitted from 1987 2008 management Eastern Democratic Republic Congo. Anthropometric indicators...

The coronavirus disease 2019 (COVID-19) pandemic was a priority public health problem because of its high mortality rate. This study mainly aimed to determine factors associated with poor outcome in COVID-19 hospitalized patients South-Kivu, an eastern province the Democratic Republic Congo (DRC).

Abstract Introduction Little is known about the long-term outcomes of Severe Acute Malnutrition (SAM) during childhood. As such, this study aims to explore association between childhood SAM and blood pressure (BP) in adulthood a context without nutrition transition. Methodology We identified 524 adults (Median age: 22 years) who were treated for Eastern DRC 1988 2007. They compared with 407 age-and-sex matched subjects no history community. The variables examined systolic (SBP), diastolic...

Abstract Background Malnutrition is a public health problem, as wasting affects 7.5% of children worldwide. The harmful effects severe acute malnutrition (SAM) can last lifetime, but how SAM in childhood later breastfeeding ability not clear. In the present study, we assessed human milk output and body composition among mothers with history SAM. Methods This retrospective cohort study was carried out Miti-Murhesa Health Zone (Democratic Republic Congo) from January 15 to March 17, 2020. We...

Background: In the Democratic Republic of Congo (DRC), healthcare services are still focused on disease control and mortality reduction in specific groups. The need to broaden scope from biomedical criteria bio-psychosocial (BPS) dimensions has been increasingly recognized. Aim: objective this study was identify barriers facilitators providing at health centre (HC) level enable BPS care. Settings: This qualitative conducted six HCs (two urban four rural) South-Kivu (eastern DRC) which were...

Malnutrition is a public health problem, but outside the theoretical framework, little known about concrete intergenerational effects of malnutrition.The objective this study to compare nutritional status and indicators school children born mothers who were treated for severe acute malnutrition (SAM).The took place in Miti-Murhesa zone Democratic Republic Congo. This cohort assessing had been SAM, based on WHZ or edema, Lwiro hospital between 1988-2002 compared not exposed SAM. Stunting...

Background: Long-term impact of different forms severe acute malnutrition (SAM) in childhood on the emergence noncommunicable diseases (NCDs) is poorly known. Aim: To explore association between subtypes SAM during childhood, NCDs, and cardiovascular risk factors (CVRFs) young adults 11 to 30 years after post-SAM nutritional rehabilitation. Methods: In this follow-up study, we investigated 524 (mean age 22 years) treated for eastern Democratic Republic Congo (DRC) 1988 2007. Among them, 142...

Few studies have evaluated the body composition (BC) of adults who suffered from severe acute malnutrition (SAM) during childhood, a population at risk long-term noncommunicable diseases. We performed an observational cohort study to evaluate BC in group young aged 11-30 y after nutritional rehabilitation for SAM, Democratic Republic Congo (DRC). 151 eastern DRC were treated SAM childhood between 1988 and 2007. They compared with 120 aged- sex-matched control living same community had not...

Non-traumatic coma (NTC) is a common medical condition often associated with poor outcomes. Identifying underlying causes crucial for effective management and prognostication, particularly in resource-poor settings. This study aimed to identify the most prognostic factors of NTC tertiary hospital Bukavu, eastern Democratic Republic Congo (DRC), using Glasgow Coma Scale (GCS) as well other simple affordable clinical paraclinical tools. retrospective observational included 219 consecutive...

Background: The Eastern part of the Democratic Republic Congo (DRC) has been affected by armed conflict for several years. Despite growing interest in impact these conflicts on health service utilisation, few studies have addressed coping mechanisms system. purpose this study is to describe traumatic events and used zones (HZs) settings maintain good performance. Methods: This multiple case took place from July October 2022 four HZs South Kivu Province DRC. were classified into "cases"...

Abstract Purpose The aim of this study was to identify the factors associated with long-term mortality in subjects treated for SAM childhood 11 30 years after nutritional rehabilitation. Methodology Referring data collected from December 2017 November 2018 Lwiro cohort; we updated database additional data. Records admitted between 1988 and 2007 were extracted archives pediatric hospital Lwiro, South Kivu, Democratic Republic Congo (DRC). A multivariate Cox proportional hazards regression...

Abstract Background Maternal mortality (MM) remains a real scourge that hits hardest in the poorest regions of world, particularly those affected by conflict. However, despite this worrying reality, few studies have been conducted about MM Democratic Republic Congo (DRC). The study aimed to describe trends as well epidemiological profile and causes maternal deaths between 2013 2022 Eastern DRC. Methods A cross-sectional was March 2023 August eight Health Zones (HZ), five South Kivu Province...

Abstract Context In the rural Health Zone (HZ) of Walungu, eastern Democratic Republic Congo, major constraints impede health outcomes. From 2015 to 2019, “RIPSEC” program transformed Walungu into a Learning and Research (LRZ) under mentorship local university enhance leadership capabilities HZ managers, focusing on managing challenges including proliferation Informal Healthcare Facilities (IHFs). Objective This study evaluates impact RIPSEC development performance LRZ, particularly...

<title>Abstract</title> Background Tuberculous peritonitis often presents with nonspecific symptoms that can lead to diagnostic challenges, particularly when manifesting as peritoneal pseudocysts. This study highlights the clinical complexity and approach of tuberculous presented a pseudocyst in an immunocompetent adult, atypical scenario is rarely documented. Case presentation: We report detailed case 41-year-old man presenting abdominal distension, pain, significant weight loss over four...

<title>Abstract</title> Background The studies on the use and performance of Mid-Upper Arm Circumference for age (MUACZ) diagnosis severe acute malnutrition (SAM) are still rare. Our study aimed to analyze MUACZ SAM in South Kivu, eastern DR Congo. Methods We analyzed a database children admitted from 1987 2008 management east DRC. Anthropometric indicators (z-score) were calculated classified according standards World Health Organization (WHO). To evaluate using combination...