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R Josse

Publications and source records attributed to R Josse.

78 records · Page 5Linked to original sources
PubMedDate not supplied

[Sampling surveys: an objective method of evaluating the prevalence of leprosy in an endemic zone].

The authors submit a simplified sample survey methodology designed to evaluate prevalence rates of leprosy. The system proposed uses a cluster sampling technique. A cluster is a randomly selected group of households. In each household visited by the epidemiological teams all the inhabitants of the target-group are interviewed and examined. Various samples sizes are used (from 6500 to 12,000 peoples) according to the expected prevalence rate of the studied area. All the new cases detected through these surveys are notified to the National Departments in charge of leprosy programmes. Two surveys are already achieved (Equatorial Guinea, Cameroon), a third one in on the way.

Africa, Central↗
PubMedDate not supplied

[The expanded vaccination program in Cameroon: status of the intermediate objectives and future prospects].

The authors report the results of nine sample surveys for the evaluation of the immunization coverage program carried out in urban and rural areas in Cameroon. The halfway target of 30% is reached in urban areas and approached in rural areas. The achievement of the target (85%) will need the solution of more and more intricate problems and the participation of the whole national community.

Cameroon↗
PubMedDate not supplied

[The Bamako initiative: hope or illusion? Observations on the Benin experience].

In various countries in Africa, community financing has become the main source of finance for health services. In Benin, the "Bamako Initiative" experiment started in 1988 for many health structures and has subsequently been greatly expanded. After three years experience, the authors try to answer some important questions about community financing: To what extent does payment of fees have an influence on the use of health services? How are the funds collected and used and is embezzlement a serious problem? The question of equity is also considered as well as cost recovery, allowing an economics-based assessment of the Bamako Initiative which suggests that it has a promising future in Benin.

Benin↗
PubMedDate not supplied

[Cholera in Benin (epidemic of 1991)].

Authors report on epidemiologic, bacteriology and therapeutic data related to 1991 cholera outbreak in Benin in the general context of the 7th world pandemic. 7474 cases were notified from all over the country. Vibrio cholerae 01, El Tor biotype, was identified in many patients stools and in the surroundings. Control measures implemented in this situation are described: early parenteral and mainly oral rehydration, antibiotic treatments for patients and contacts, systematic home control around cases, wells disinfection and general hygiene promotion, mobilization of the Civil Service Authorities and population education. Authors conclude that strict epidemiologic monitoring is necessary in epidemic circumstances as well as during endemo-sporadic period.

Adolescent↗