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Abstract
RÉSUMÉ
Introduction. Les cancers de l’enfant sont en majorité guérissables au prix d’un diagnostic précoce et d’une prise en charge thérapeutique adaptée. L’objectif de ce travail était d’évaluer les connaissances des agents de santé de la ville de Bobo-Dioulasso au Burkina Faso concernant les cancers de l’enfant. Méthodes. Il s’est agi d’une enquête menée auprès des agents des structures publiques de santé de la ville de Bobo-Dioulasso du 30 décembre 2020 au 22 avril 2021 à l’aide d’un questionnaire auto-administré. L’analyse des données a été faite à l’aide des logiciels Epi Data 3.1 et Microsoft Office 2016. Résultats. Au total, 281 agents ont été inclus dans notre étude, dont 64,8% de paramédicaux. Environ 48% des participants avaient moins de cinq ans d’ancienneté. Parmi les participants, 79,7% ont déclaré disposer d’une source d’information sur les cancers pédiatriques dont la plus citée était Internet (43,4%). Seulement 42%, ont affirmé avoir déjà reçu un enseignement ou une formation sur les cancers de l’enfant, dont 1% après le cursus initial de formation. Environ 26% avaient déjà été impliqués dans le diagnostic ou le traitement d’un cancer chez l’enfant. Le niveau de connaissance des agents était insuffisant, avec globalement moins de 50% de bonnes connaissances. Conclusion. Les connaissances des agents des structures publiques de santé de la ville de Bobo-Dioulasso sur les cancers de l’enfant sont globalement insuffisantes. Une mise à jour à travers des formations continues des agents s’avére plus que nécessaire.
ABSTRACT
Background. Most childhood cancers can be cured with early diagnosis and appropriate therapeutic management. The aim of this study was to assess the knowledge of health careers in the city of Bobo-Dioulasso, in Burkina Faso regarding childhood cancer. Methods. A survey was conducted among health care workers in the city of Bobo-Dioulasso from December 30, 2020 to April 22, 2021 using a self-administered questionnaire. Data analysis was done using Epi Data 3.1 and Microsoft Office 2016 software. Results. A total of 281 officers were included in our study, 64.8% of whom were paramedics. Approximately 48% of the participants had less than five years of seniority. Of the participants, 79.7% reported having a source of information on pediatric cancers, of which the most cited was the Internet (43.4%). Only 42% said they had ever received education or training on childhood cancers, of which 1% were after the initial training course. About 26% had been involved in the diagnosis or treatment of childhood cancer. The level of knowledge of the agents was inadequate, with generally less than 50% having good knowledge. Conclusion. The knowledge of public health workers in the city of Bobo-Dioulasso about childhood cancers is generally insufficient. It is therefore necessary to update this knowledge through continuous training of agents.
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References
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- Organisation mondiale de la Santé. (2021). CureAll framework: WHO global initiative for childhood cancer: increasing access, advancing quality, saving lives. World Health Organization. https://apps.who.int/iris/handle/10665/347370.
- Patte C, Traore F, El Kababri M, Bouda C, Leverger G, Raquin M-A, et al. La guérison des lymphomes de Burkitt, de la France à l’Afrique. Archives de Pédiatrie. 2015;22(HS2):65-6.
- Mahmood A, Srivastava R. chapter 3 - Etiology of cancer. Understanding Cancer, Academic Press. 2022;37-62.
- Maréchal V, Quignon F. Virus et cancers humains : des virus modèles aux nouvelles étiologies. Revue Francophone des Laboratoires. 2013;456:37-46.
- Mawson AR, Majumdar S. Malaria, Epstein-Barr virus infection and the pathogenesis of Burkitt's lymphoma. Int J Cancer. 2017;141(9):1849-55.
- Karalexi MA, Tagkas CF, Markozannes G, Tseretopoulou X, Hernández AF, Schüz J, et al. Exposure to pesticides and childhood leukemia risk : A systematic review and meta-analysis. Environmental Pollution. 2021;285,117376. doi:10.1016/j.envpol.2021.117376
- Jin M-W, Xu S-M, An Q, Wang P. A review of risk factors for childhood leukemia. European Review for Medical and Pharmacological Sciences. 2016;20: 3760-4.
- Rodrigues KE, de Camargo B. Early diagnosis of childhood cancer : a team responsibility. Rev Assoc Med Bras. 2003;49(1):29-34.
- Mullen CJR, Barr RD, Franco EL. Timeliness of diagnosis and treatment: the challenge of childhood cancers. Br J Cancer. 2021;125(12):1612-20.
- Raab CP, Gartner JC Jr. Diagnosis of childhood cancer. Prim Care. 2009;36(4):671-84.
- Berhane A, Hailu T, Mulugeta A. Determinants of delayed diagnosis among pediatric cancer patients from Ayder Comprehensive Specialized Hospital, Mekelle, Northern Ethiopia. BMC Pediatr. 2019;19(1):478.
- Sutow WW. Drug Therapy and Curability of Childhood Cancer. Postgraduate Medicine. 1970;48(5):173-7.
- Lam CG, Howard SC, Bouffet E, Pritchard-Jones K. Science and health for all children with cancer. Science. 2019;363(6432):1182-6.
- Goubin A, Auclerc MF, Auvrignon A, Patte C, Bergeron C, Hémon D, et al. Survival in France after childhood acute leukaemia and non-Hodgkin's lymphoma (1990-2000). Eur J Cancer. 2006;42(4):534-41.
References
Harif M, Hessissen L, Patte C. Les cancers de l’enfant en Afrique, réalisations et défis : expérience du Groupe franco-africain d’oncologie pédiatrique. Archives de Pédiatrie. 2015;22(HS2):61-62.
Organisation mondiale de la Santé. (2021). CureAll framework: WHO global initiative for childhood cancer: increasing access, advancing quality, saving lives. World Health Organization. https://apps.who.int/iris/handle/10665/347370.
Patte C, Traore F, El Kababri M, Bouda C, Leverger G, Raquin M-A, et al. La guérison des lymphomes de Burkitt, de la France à l’Afrique. Archives de Pédiatrie. 2015;22(HS2):65-6.
Mahmood A, Srivastava R. chapter 3 - Etiology of cancer. Understanding Cancer, Academic Press. 2022;37-62.
Maréchal V, Quignon F. Virus et cancers humains : des virus modèles aux nouvelles étiologies. Revue Francophone des Laboratoires. 2013;456:37-46.
Mawson AR, Majumdar S. Malaria, Epstein-Barr virus infection and the pathogenesis of Burkitt's lymphoma. Int J Cancer. 2017;141(9):1849-55.
Karalexi MA, Tagkas CF, Markozannes G, Tseretopoulou X, Hernández AF, Schüz J, et al. Exposure to pesticides and childhood leukemia risk : A systematic review and meta-analysis. Environmental Pollution. 2021;285,117376. doi:10.1016/j.envpol.2021.117376
Jin M-W, Xu S-M, An Q, Wang P. A review of risk factors for childhood leukemia. European Review for Medical and Pharmacological Sciences. 2016;20: 3760-4.
Rodrigues KE, de Camargo B. Early diagnosis of childhood cancer : a team responsibility. Rev Assoc Med Bras. 2003;49(1):29-34.
Mullen CJR, Barr RD, Franco EL. Timeliness of diagnosis and treatment: the challenge of childhood cancers. Br J Cancer. 2021;125(12):1612-20.
Raab CP, Gartner JC Jr. Diagnosis of childhood cancer. Prim Care. 2009;36(4):671-84.
Berhane A, Hailu T, Mulugeta A. Determinants of delayed diagnosis among pediatric cancer patients from Ayder Comprehensive Specialized Hospital, Mekelle, Northern Ethiopia. BMC Pediatr. 2019;19(1):478.
Sutow WW. Drug Therapy and Curability of Childhood Cancer. Postgraduate Medicine. 1970;48(5):173-7.
Lam CG, Howard SC, Bouffet E, Pritchard-Jones K. Science and health for all children with cancer. Science. 2019;363(6432):1182-6.
Goubin A, Auclerc MF, Auvrignon A, Patte C, Bergeron C, Hémon D, et al. Survival in France after childhood acute leukaemia and non-Hodgkin's lymphoma (1990-2000). Eur J Cancer. 2006;42(4):534-41.