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30 results on '"Mwene-Batu, Pacifique"'

8. The effect of mentorship as a means of strengthening leadership in the health system at the operational level: a case study of the Walungu rural health zone in the eastern Democratic Republic of Congo

Author

Bigirinama, Rosine Nshobole, primary, Bisimwa, Ghislain, additional, Makali, Samuel, additional, Cikomola, Aimé, additional, Barhobagayana, Janvier, additional, Lembebu, Jean-Corneille, additional, Chiribagula, Christian, additional, Mwene-Batu, Pacifique, additional, Mukalay, Abdon, additional, Porignon, Denis, additional, and Tambwe, Albert, additional

Published
2024
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9. Trends, epidemiology and causes of maternal deaths over a decade (2013-2022) in a context of crisis among 8 health zones in Eastern Democratic Republic of Congo

Author

Mwene-Batu, Pacifique, primary, Ndokabilya, Eustache, additional, Lembebu, Jean Corneille, additional, Ngaboyeka, Gaylord, additional, Mary, Meighan, additional, tapis, Hannah, additional, Dramaix, Michelle, additional, chimanuka, Christine, additional, Chiribagula, Christian, additional, Bigirinama, Rosine, additional, hermans, Michel P, additional, and Bisimwa, Ghislain, additional

Published
2024
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10. Prioritization of maternal and newborn health policies and their implementation in the eastern conflict affected areas of the Democratic Republic of Congo: a political economy analysis.

Author

Bigirinama, Rosine Nshobole, primary, Mothupi, Mamothena Carol, additional, Mwene-Batu, Pacifique Lyabayungu, additional, Kozuki, Naoko, additional, Chiribagula, Christian Zalinga, additional, Chimanuka, Christine Murhim'Alika, additional, Ngaboyeka, Gaylord Amani, additional, and Bisimwa, Ghislain Balaluka, additional

Published
2024
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11. Edema melting length and therapeutic failure during hospitalization as factors associated with long-term mortality after basic treatment of severe acute malnutrition: Lwiro cohort follow-up in the Eastern Democratic Republic of the Congo

Author

Lembebu, Jean Corneille, primary, Gaylord, Amani Ngaboyeka, additional, Bisimwa, Ghislain, additional, Neven, Anouk, additional, Makali, Samuel Lwamushi, additional, Chimanuka, Christine, additional, Chiribagula, Christian Zalinga, additional, Bugugu, Bony Bonane, additional, Bigirinama, Rosine, additional, Donnen, Philippe, additional, and Mwene-Batu, Pacifique, additional

Published
2024
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15. Hyperglycemia and elevated C‐reactive protein are independent predictors of hospital mortality in hospitalized COVID‐19 patients in South‐Kivu, eastern Democratic Republic of the Congo: A cross‐sectional study.

Author

Tshongo, Christian, Baguma, Marius, Mateso, Guy‐Quesney, Makali, Samuel Lwamushi, Bedha, Aline, Mwene‐Batu, Pacifique, Mihigo, Martine, Nzabara, Fabrice, Balola, Cordule, Kabuya, Pierre, Bapolisi, Achille, Masimango, Mannix I., Bahizire, Esto, Maheshe‐Balemba, Ghislain, Shindano, Tony A., and Cirhuza, Cikomola

Subjects
COVID-19, HOSPITAL mortality, C-reactive protein, HOSPITAL patients, HYPERGLYCEMIA, CROSS-sectional method
Abstract

Background and Aim: 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 a poor outcome in COVID‐19 hospitalized patients in South‐Kivu, an eastern province of the Democratic Republic of the Congo (DRC). Methods: This observational study retrospectively evaluated medical records of patients consecutively admitted for probable or confirmed COVID‐19 between May 01 and July 31, 2020 at the Hôpital Provincial Général de Référence de Bukavu (HPGRB), a tertiary hospital located in South‐Kivu. A binary logistic regression model was performed to determine the predictors of mortality. Results: A total of 157 hospitalized COVID‐19 patients aged 57.7 (13.2) years were included in this study. Male gender (69.4%), older age (52.9%), medical history of diabetes (38.2%), and arterial hypertension (35.1%) were the most frequent risk factors. Most patients presented with fever (73.3%), cough (72.6%), and dyspnea (66.2%). Overall, 45.1% of patients died. Intrahospital mortality was significantly associated with advanced age [odds ratio, OR (95% confidence interval, CI) = 2.34 (1.06–5.38)], hypoxemia [OR (95% CI) = 4.67 (2.02–10.77)], hyperglycemia [OR (95% CI) = 2.14 (1.06–4.31)], kidney failure [OR (95% CI) = 2.82 (1.4–5.68)], hyperleukocytosis [OR (95% CI) = 3.33 (1.67–6.66)], and higher C‐reactive protein (CRP) levels [OR (95% CI) = 3.93 (1.93–8.01)]. After adjustment for various covariates, only higher CRP levels [OR (95% CI) = 3.23 (1.23–8.5)] and hyperglycemia [OR (95% CI) = 2.5 (1.02–6.11)] at admission were independently associated with mortality. Conclusion: Hyperglycemia and marked inflammatory syndrome were the major predictors of poor outcomes in patients hospitalized for COVID‐19 in South‐Kivu. These two factors should be quantified at hospital admission to establish the patient's prognosis. [ABSTRACT FROM AUTHOR]

Published
2024
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16. Arm circumference for age, Arm circumference and weight-for-height Z-score for the evaluation of severe acute malnutrition: a retrospective cohort study in eastern Democratic Republic of Congo

Author

Ngaboyeka, Gaylord, primary, Bisimwa, Ghislain, additional, Neven, Anouk, additional, Mwene-Batu, Pacifique, additional, Kamable, Richard, additional, Ongezi, Emmanuel, additional, Chimanuka, Christine, additional, Ntagerwa, Joseph, additional, Balolebwami, Serge, additional, Mulume, Francis, additional, Battisti, Oreste, additional, Dramaix, Michèle, additional, and Donnen, Philippe, additional

Published
2023
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17. Ensuring leadership at the operational level of a health system in protracted crisis context. A cross-sectional qualitative study covering 8 health districts in Eastern Democratic Republic of Congo

Author

Bigirinama, Rosine Nshobole, primary, Makali, Samuel Lwamushi, additional, Mothupi, Mamothena Carol, additional, Chiribagula, Christian Zalinga, additional, Louis, Patricia St, additional, Mwene-Batu, Pacifique Lyabayungu, additional, Bisimwa, Ghislain Balaluka, additional, Mwembo, Albert Tambwe, additional, and Porignon, Denis Georges, additional

Published
2023
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18. Association between diagnostic criteria for severe acute malnutrition and hospital mortality in children aged 6–59 months in the eastern Democratic Republic of Congo: the Lwiro cohort study

Author

Ngaboyeka, Gaylord, primary, Bisimwa, Ghislain, additional, Neven, Anouk, additional, Mwene-Batu, Pacifique, additional, Kambale, Richard, additional, Kingwayi, Petit Passy, additional, Chiribagula, Christian, additional, Battisti, Oreste, additional, Dramaix, Michèle, additional, and Donnen, Philippe, additional

Published
2023
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19. Violence against health care workers in a crisis context: A Mixed Cross-Sectional Study in Eastern Democratic Republic of Congo

Author

Makali, Samuel Lwamushi, primary, Lembebu, Jean Corneille, additional, Boroto, Raïssa, additional, Zalinga, Christian Chiribagula, additional, Bugugu, Daniella, additional, Lurhangire, Emmanuel, additional, Rosine, Bigirinama, additional, Chimanuka, Christine, additional, Mwene-Batu, Pacifique, additional, Molima, Christian, additional, Mendoza, Jessica Ramirez, additional, Ferrari, Giovanfrancesco, additional, Merten, Sonja, additional, and Bisimwa, Ghislain, additional

Published
2023
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20. Association between severe acute malnutrition in childhood and hematological disorders in adulthood: the Lwiro follow-up study in the Eastern Democratic Republic of the Congo

Author

Bedha, Aline, primary, Shindano, Tony, additional, Hermans, Michel P., additional, Havelange, Violaine, additional, Makali, Samuel, additional, Minani, Jimmy, additional, Ngaboyeka, Gaylord, additional, Kunaba, Edwige, additional, Donnen, Philippe, additional, Dramaix, Michelle, additional, Bisimwa, Ghislain, additional, and Mwene-Batu, Pacifique, additional

Published
2023
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22. Body composition of adults with a history of severe acute malnutrition during childhood using the deuterium dilution method in eastern DR Congo: the Lwiro Cohort Study

Author

Mwene-Batu, Pacifique, primary, Wells, Jonathan, additional, Maheshe, Ghislain, additional, Hermans, Michel P, additional, Kalumuna, Esther, additional, Ngaboyeka, Gaylord, additional, Chimanuka, Christine, additional, Owino, Victor O, additional, Macq, Jean, additional, Lukula, Melissa, additional, Dramaix, Michelle, additional, Donnen, Philippe, additional, and Bisimwa, Ghislain, additional

Published
2021
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25. Long-term effects of severe acute malnutrition during childhood on adult cognitive, academic and behavioural development in African fragile countries: The Lwiro cohort study in Democratic Republic of the Congo

Author

Mwene-Batu, Pacifique, Bisimwa, Ghislain, Baguma, Marius, Chabwine, Joelle, Bapolisi, Achille, Chimanuka, Christine, Molima, Christian, Dramaix, Michèle, Kashama, Nicolas, Macq, Jean, Donnen, Philippe, Denis, Frédéric, and UCL - SSS/IRSS - Institut de recherche santé et société

Subjects
Gerontology, Male, Activities of daily living, 030309 nutrition & dietetics, Social Sciences, Academic Skills, Pediatrics, Disability Evaluation, Families, 0302 clinical medicine, Child Development, Cognition, Medical Conditions, Sociology, Activities of Daily Living, Medicine and Health Sciences, Psychology, Public and Occupational Health, 030212 general & internal medicine, Survivors, Young adult, Children, 0303 health sciences, Multidisciplinary, medicine.diagnostic_test, Child Health, General Medicine, Mental Status and Dementia Tests, Cognitive test, Social Networks, Child, Preschool, Democratic Republic of the Congo, Medicine, Educational Status, Female, General Agricultural and Biological Sciences, Network Analysis, Cohort study, Research Article, Adult, Computer and Information Sciences, Adolescent, Science, Disabilities, Severe Acute Malnutrition, Genetics and Molecular Biology, 03 medical and health sciences, Young Adult, medicine, Humans, Nutrition, Mini–Mental State Examination, business.industry, Malnutrition, Cognitive Psychology, Infant, Biology and Life Sciences, medicine.disease, Self Concept, Health Care, Age Groups, Case-Control Studies, General Biochemistry, People and Places, Quality of Life, Cognitive Science, Population Groupings, business, Follow-Up Studies, Neuroscience
Abstract

Introduction Little is known about the outcomes of subjects with a history of severe acute malnutrition (SAM). We therefore sought to explore the long-term effects of SAM during childhood on human capital in adulthood in terms of education, cognition, self-esteem and health-related disabilities in daily living. Methodology We traced 524 adults (median age of 22) in the eastern Democratic Republic of the Congo, who were treated for SAM during childhood at Lwiro hospital between 1988 and 2007 (median age 41 months). We compared them with 407 community controls of comparable age and sex. Our outcomes of interest were education, cognitive function [assessed using the Mini Mental State Examination (MMSE) for literate participants, or its modified version created by Ertan et al. (MMSE-I) for uneducated participants], self-esteem (measured using the Rosenberg Self-Esteem Scale) and health-related social and functional disabilities measured using the World Health Organization Disability Assessment Schedule (WHODAS). For comparison, we used the Chi-squared test along with the Student’s t-test for the proportions and means respectively. Results Compared with the community controls, malnutrition survivors had a lower probability of attaining a high level of education (p < 0.001), of reporting a high academic performance (p = 0.014) or of having high self-esteem (p = 0.003). In addition, malnutrition survivors had an overall mean score in the cognitive test that was lower compared with the community controls [25.6 compared with 27.8, p = 0.001 (MMSE) and 22.8 compared with 26.3, p < 0.001(MMSE-I)] and a lower proportion of subjects with a normal result in this test (78.0% compared with 90.1%, p < 0.001). Lastly, in terms of health-related disabilities, unlike the community controls, malnutrition survivors had less social disability (p = 0.034), but no difference was observed as regards activities of daily living (p = 0.322). Conclusion SAM during childhood exposes survivors to low human capital as regards education, cognition and behaviour in adulthood. Policy-deciders seeking to promote economic growth and to address various psychological and medico-social disorders must take into consideration the fact that appropriate investment in child health as regards SAM is an essential means to achieve this.

Published
2020

26. Association between Severe Acute Malnutrition during Childhood and Variability in Blood Pressure during Adulthood in Low- and Middle-income Countries: The Lwiro Cohort Study in the Democratic Republic of the Congo

Author

Mwene-Batu, Pacifique, primary, Lemogoum, Daniel, additional, Hoye, Laurène de le, additional, Bisimwa, Ghislain, additional, Hermans, Michel, additional, Minani, Jimmy, additional, Amani, Gaylord, additional, Mateso, Guy-Quesney, additional, Cikomola, Justin, additional, Dramaix, Michelle, additional, and Donnen, Phillipe, additional

Published
2020
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27. Atypical Respiratory Distress Suspect of COVID-19 in Eastern Democratic Republic of the Congo prior to the Pandemic. A Case Report

Author

Mateso, Guy-Quesney, primary, BAGUMA, Marius, additional, Mwene-Batu, Pacifique, additional, Balemba, Ghislain Maheshe, additional, Nzabara, Fabrice, additional, Makali, Samuel, additional, Bedha, Aline, additional, Furaha, Bonheur, additional, Minani, Jimmy, additional, Muhindo, Christian Tshongo, additional, Malembaka, Espoir Bwenge, additional, Masimango, Mannix Imani, additional, Shindano, Tony Akilimali, additional, Cikomola, Justin Cirhuza, additional, and Mubagwa, Kanigula, additional

Published
2020
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28. On two cases of atypical respiratory distress in eastern Democratic Republic of the Congo months before the COVID-19 pandemic was declared: Could SARS-Cov-2 have been already spreading? Case report

Author

MATESO, Guy-Quesney, primary, BAGUMA, Marius, additional, MWENE-BATU, Pacifique, additional, BALEMBA, Ghislain MAHESHE, additional, NZABARA, Fabrice, additional, MAKALI, Samuel, additional, BEDHA, Aline, additional, FURAHA, Bonheur, additional, MINANI, Jimmy, additional, MUHINDO, Christian TSHONGO, additional, MALEMBAKA, Espoir BWENGE, additional, MASIMANGO, Mannix Imani, additional, SHINDANO, Tony Akilimali, additional, CIKOMOLA, Justin Cirhuza, additional, and MUBAGWA, Kanigula, additional

Published
2020
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30. Adaptive Mechanisms of Health Zones to Chronic Traumatic Events in Eastern DRC: A Multiple Case Study.

Author

Lwamushi SM, Karemere H, Banywesize R, Eboma CM, Mwene-Batu P, Lembebu C, Ferrari G, Paul E, Balaluka GB, and Donnen P

Subjects
Humans, Democratic Republic of the Congo, Coping Skills, Data Accuracy, Armed Conflicts, Disasters
Abstract

Background: The Eastern part of the Democratic Republic of Congo (DRC) has been affected by armed conflict for several years. Despite the growing interest in the impact of these conflicts on health service utilisation, few studies have addressed the coping mechanisms of the health system. The purpose of this study is to describe the traumatic events and coping mechanisms used by the health zones (HZs) in conflict settings to maintain good performance., Methods: This multiple case study took place from July to October 2022 in four HZs in the South Kivu Province of DRC. HZs were classified into "cases" according to their conflict profile: accessible and stable (Case 1), accessible but remote (Case 2), unstable (Case 3), and intermediate (Case 4). Eight performance indicators and the amount of funding provided to the HZs by non-governmental organizations (NGOs) were recorded. A graph was created to compare their evolution from 2013 to 2018. A thematic analysis of qualitative data from individual interviews with selected health workers was conducted., Results: Both battle-related events (war and its effects) and non-battle-related events (epidemics, disasters, strikes) were recorded according to the case conflict-profile. Although the cases (3 and 4) most affected by armed conflicts occasionally performed better than the stable ones (1 and 2), their operational action plan was poorly carried out. The coping mechanisms developed in cases 3 and 4 were the deployment of military nurses in preventive and supervisory activities, the solicitations of subsidies from NGOs, the relocation of health care facilities and the implementation of negotiation strategies with the belligerents., Conclusion: Armed conflict results in traumatic events that disrupt the execution of the operational action plan of HZs. The HZs' management team expertise, its strong leadership, and substantial financial support would enable this system to develop reliable and sustainable adaptive mechanisms., (© 2023 The Author(s); Published by Kerman University of Medical Sciences This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.)

Published
2023
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