Abstract
Introduction
As part of the implementation of its mission “to integrate hygiene activities into healthcare”, the general directorate of health conducted in 2018 with its technical ...structures, an evaluation of the implementation of Infection Prevention and Control (IPC) using the WHO IPCAF tool in 30 health-care facilities in the autonomous district of Abidjan.
Materials and methods
This were a cross-sectional survey with a conceptualized component considering the issue of injection safety and sanitary waste management, which was conducted in the named health-care facilities from March 20 to 28, 2018. The scores of the essential components of the IPC made it possible to assess the IPC level of each health-care facility evaluated and the overall IPCAF score of all facilities.
Results
The overall median IPCAF score of the health-care facilities was 242.5/800 and corresponded to an inadequate level overall. No facility reached the “advanced” level of performance, 5 facilities (17%) reached the “intermediate” level, 10 (33%) fell into the “basic” level, and 15 (50%) were at the “inadequate” level. Baseline institutions had much higher scores than first contact institutions.
Conclusion
IPC component activities were inadequate and fragmented in the under-resourced health facilities at the time of the assessment. It would be appropriate to provide adequate resources and develop expertise in IPC through strong political will and leadership. This will contribute to the achievement of universal health insurance objectives with safe health services for patients.
We prove the existence of weak solutions for an anisotropic homoclinic discrete nonlinear system. Suitable Hilbert spaces and norms are constructed. The proof of the main result is based on a ...minimization method. We also extend the problem by using generalized penality and source functions.
Abstract We prove the existence of weak solutions for discrete nonlinear system of Kirchhoff type. We build some Hilbert spaces with suitable norms. We define the notion of weak solution ...corresponding to the problem (1.1). The proof of the main result is based ona minimization method of an energy functional J.
An entomological survey of Aedes mosquitoes was initiated at the container terminal of the Autonomous Port of Abidjan in 2009 following the occurrence of two outbreaks of yellow fever in less than ...10 years and dengue cases reported in 2008 among expatriates returning from Côte d’Ivoire (Ivory Coast). It was based on regular monitoring of ovitraps from July 2009 to June 2010. A total of 4,739 adult mosquitoes represented by four species of Aedes (97% of total) and one unexpected species of Culex (3%) were obtained. Aedes aegypti was dominant with 98% of total Aedes (n = 4,594). Its density variation was closely related to the amount of rainfall. The other species of Aedes were collected in the second half of the major rainy season including Ae. albopictus (1.17% of Aedes) and Ae. angustus (0.13%) whose presence was discovered for the first time in Côte d’Ivoire.
Une enquête entomologique portant sur les moustiques du genre Aedes a été initiée au terminal à conteneurs du Port Autonome d’Abidjan en 2009 suite à la survenue de deux épidémies de fièvre jaune en moins de 10 ans et des nombreux cas de dengue rapportés en 2008 chez des expatriés de retour d’un séjour en Côte d’Ivoire. Elle a été basée sur le suivi régulier des pondoirs pièges de juillet 2009 à juin 2010. Un total de 4,739 moustiques adultes répartis entre 4 espèces d’Aedes (97 % du total) et une espèce de Culex (3 %) inattendue a été obtenu. Aedes aegypti était prédominant avec 98 % du total des Aedes (n = 4,594). La variation de sa densité est étroitement liée à la quantité de pluie. Les autres espèces d’Aedes ont été récoltées dans la seconde moitié de la grande saison des pluies, dont Ae. albopictus (1.17 % des Aedes) et Ae. angustus (0.13 %) récoltés pour la première fois en Côte d’Ivoire.
In this paper, an existence and uniqueness result of entropy solution for nonlinear anisotropic elliptic equation, with Fourier boundary condition, is established. The authors start by proving the ...existence and uniqueness of a weak solution when the data are bounded and they deduce the main result of existence and uniqueness of entropy solution.
"We prove the existence of at least one weak nontrivial solutions for a discrete nonlinear two-point boundary-value problems of Kirchhoff type. The main existence results are obtained by using the ...technique of geometric mountain pass and the Ekelands variational principle."
Introduction As part of the implementation of its mission "to integrate hygiene activities into healthcare", the general directorate of health conducted in 2018 with its technical structures, an ...evaluation of the implementation of Infection Prevention and Control (IPC) using the WHO IPCAF tool in 30 health-care facilities in the autonomous district of Abidjan. Materials and methods This were a cross-sectional survey with a conceptualized component considering the issue of injection safety and sanitary waste management, which was conducted in the named health-care facilities from March 20 to 28, 2018. The scores of the essential components of the IPC made it possible to assess the IPC level of each health-care facility evaluated and the overall IPCAF score of all facilities. Results The overall median IPCAF score of the health-care facilities was 242.5/800 and corresponded to an inadequate level overall. No facility reached the "advanced" level of performance, 5 facilities (17%) reached the "intermediate" level, 10 (33%) fell into the "basic" level, and 15 (50%) were at the "inadequate" level. Baseline institutions had much higher scores than first contact institutions. Conclusion IPC component activities were inadequate and fragmented in the under-resourced health facilities at the time of the assessment. It would be appropriate to provide adequate resources and develop expertise in IPC through strong political will and leadership. This will contribute to the achievement of universal health insurance objectives with safe health services for patients. Keywords: Infection Prevention and Control, Survey, Evaluation, Hand Hygiene, Healthcare associated infections, Patient safety, Health-care facilities, Cote d'Ivoire
In this article, we prove the existence of weak solutions to a family of discrete boundary-value problems whose right-hand side belongs to a discrete Hilbert space. As an extension, we prove the ...existence of weak solutions for problems whose right-hand side depends on the solution.