Authors:
Salomon OTOWANGE MANDEFU Y
, Fabrice OTOLITO TOMILALO
, Elysée Hortence AKUKU
KIANGAINO
, Stanis BOTIMA NGAIMOKO
, Freddy LISASI MBULA
, Antoine BAOKONDA
BOSOLESOLE
, Fortune OTOWANGE MANDEFU3 & Paulin AKWALA MALOMALO |
Abstract:
Regular assessment of surveillance performance of acute Flaccid paralysis is one of the approaches to the
global polio eradication initiative. This is in order to soak up bottlenecks and to act quickly to make amends.
That's why we carried out this study in the Provincial Health Division of Tshopo in the Democratic Republic
of Congo from 2015 to 2019. We conducted a descriptive cross-sectional study in which analyses examined
660 cases of Paralysis Flasque Aigue reported from January 2015 to December 2019.
The non-probabilistic method tailored to the quota sample (Lokutu and Kisanagni Antennes) was chosen to
base our study. Data were collected at the level of Health Zones (23) which reported cases of Paralysia
Flasque Aigue. The demographic weight between the two Antennes Lokutu and Kisangani is 23% and 72%
We have seen a marked increase in notification of Acute Flasque Paralysis from 2015 to 2018 and a decline
in 2019 that has not affected the overall result of the Province. From 2015 to 2019: the average annualized
rate of acute non-polio Flaccid Paralysis equal to 8.5 and 8.2 cases per 100,000 inhabitants under the age of
15 at the level of two Antennes (Lokutu and Kisangani), the proportion of acute Flaccid Paralysis samples
pre-arranged between 24 and 48 hours was mostly greater than 80%, only in 2019 when the two Antennes
(Lokutu and Kisangani) show a relaxation in the maintenance of adequate stool samples (80%). The delay
between the second levy and its arrival at The Lokutu Antenne was more encroached on in 2015 (79%) and
in 2018 (74%) Lokutu Antenna has not met the target (80%). The two Antennes (Lokutu and Kisanagni)
performed poorly in terms of the proportion of PFA with known vaccine status from 2015 to 2019 - 95%,
both Antennes (Lokutu and Kisanagni) obtained surveillance indices of Acute Flaccid Paralysis above 2.5.
The indicators chosen to assess epidemiological surveillance of cases of Acute Flaccid Paralysis attest that it
is sensitive despite some adjustment on the vaccination status of reported Acute Flaccid Paralysis cases and
the long delay between the 2nd sample and its arrival at the Antennes (Lokutu and Kisangani).
To remedy this situation, health structures must rely on the implementation of the effective community
dynamics put in place. Therefore, a small dose of political and community support to change the image of
road infrastructure is essential for outstanding indicators to turn into the right one in DR Congo. |
