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Stroke is the second leading cause of death worldwide and the leading cause of physical disability in the elderly. The objective of the study was to evaluate the psychosocial and economic aspects of its management. We conducted a cross-sectional, descriptive and evaluative study at the neuroscience clinic of FANN National University Hospital from May 8 to August 8, 2019. It involved 60 people aged 60 years and over received in consultation as well as 59 family caregivers who gave their consent. The caregivers' suffering was evaluated using the MINI ZARIT grid consisting of 5 items for a total score ranging from 0 to 7. The psychological impact of the disease was evaluated by the Geriatric Depression Scale in its short version (GDS); composed of 15 items scored from 0 to 1. The direct and indirect financial cost was evaluated on two items: The estimated financial loss associated with the work stoppage estimated by the daily earnings of the primary caregiver. Travel costs related to transportation from home to the neurovascular consultation unit. The mean age of our patients was 71.46 years (standard deviation 7.79 years). Females predominated with a sex ratio of 0.71. Most of our patients were polygamous (38.30%), followed by widowers (35%). Most of the patients had attended Koranic school (38.30%) and 31.70% were illiterate. They were unemployed for 55%. Caregiver burden was absent to mild in 32.20%, mild to moderate in 45.80% and moderate to severe in 22%. Signs of depression were present in 10% of patients, the 30% had a high probability of depression while 60% of patients had no depression. The average length of time the main caregiver was off work was 23.86 days (standard deviation 64.53 days). The average cost of financial losses related to this work stoppage was 200.38 USD (standard deviation 564.72 USD). The average cost of travel was $139.24 (SD $321.03). The average total cost was $339.62 (SD $650.97). The indirect cost of stroke remains quite high and represents a heavy burden for a population where the majority is unemployed, so it is important to propose a psychological support program more adapted to the Senegalese population. The establishment of low-cost home help services and a training program in neuropsychology for clinicians will be useful.

The use of Long Lasting Impregnated Nets (LLIN) is still a problem in Senegal despite the efforts made by the National Malaria Control Program (NMCP) and the partners to ensure its availability. The main objective was to study the factors linked to the use of LLIN in the ‘dahras’ at the health district of Darou Mousty. A cross sectional, descriptive and analytical study on the talibes and the marabouts, was carried out at the health district of Darou Mousty from December 31, 2015 to January 4, 2016. Data were collected at the dahra level using a questionnaire for each target. The questionnaires were administered by individual interview after informed consent. The data covered socio-demographic and environmental characteristics, knowledge of malaria and the LLIN, as well as the usefulness of the latter and the use of other means of protection. The data were entered and analyzed with EPI INFO software version 3.5.3 with a 95% confidence interval. In total, 400 talibes and 40 marabouts were enlisted. The mean age of the talibes was 10.7 ± 2.6 years; the sex ratio M / F of 15.7. LLIN availability was 36.8%, LLIN utilization rate was 33.9%. The use of LLINs was statistically linked to the seniority of the talibes in the dahra (p = 0.03), the female sex (OR = 10; CI = [1.4- 25]), the place of sleeping (p = 0.0029), the information received on the LLIN by the talibe and the marabout with respectively (OR = 4.2; IC = [1.3 - 17.9]; OR = 3.6; IC = [2.1 - 6.3]), the ‘Ndiguel’ received from the marabout (OR = 1.8; CI = [1.1 - 3.3]), the talibes' knowledge of the usefulness of LLIN as a means of elimination of malaria (OR = 2.7; CI = [1.5 - 4.6]), knowledge of the talibes of the mode of transmission of malaria (OR = 1.8; CI = [1.0 - 3, 3]), the use of spirals and insecticides. The use of LLIN in the dahras requires strengthening the knowledge of the talibes and marabouts on malaria and LLIN, its mass and routine distribution and the support of all partners.

Financing health care continues to be a major challenge in low-income countries where universal health coverage is still far from being achieved. The objective of our study is to assess the level of adherence of populations to mutual health insurance and to study the determining factors. We conducted a cross-sectional, descriptive and analytical study among a sample of household heads selected through a two-stage cluster survey from 21 to 31 December 2015 in the district of Guediawaye. A questionnaire validated after a pre-test was administered during an individual interview. Socio-economic and household characteristics, factors related to the provision of care and those related to mutual health insurance were collected. These data were entered and analyzed on Epi Info 2000 version 3.5.3. The significance value was p