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      Acceptabilité du test de dépistage de la COVID-19 chez la population de Brazzaville Translated title: Acceptability of the screening test for COVID-19 in the Brazzaville population

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          Abstract

          L´épidémie de COVID-19 touche toutes les populations sans distinction. Le dépistage de cette épidémie à grande échelle par test RT-PCR est proposé aux populations pour favoriser le diagnostic et la prise en charge précoce. L´absence des publications relatives au test de COVID-19 au Congo a justifié la présence étude. L´objectif de l´étude était d´identifier les facteurs associés à l´acceptabilité du dépistage de la COVID-19. Il s´agit d´une étude transversale analytique réalisée à Brazzaville du 18 au 24 août 2020 chez les sujets de plus de 18 ans. Les données ont été collectées à l´aide d´un questionnaire autoadministré. Les variables considérées sont: les caractéristiques sociodémographiques, les sources d´informations, la connaissance et la perception de la maladie, l´acceptation ou le refus du dépistage volontaire de la COVID-19. Au total, 328 (62,5%) enquêtés avaient accepté le dépistage volontaire de la COVID-19, l´âge moyen était de 35,9 ans. Les hommes prédominaient dans les deux groupes. Les personnes qui acceptaient plus le dépistage volontaire de la COVID-19 étaient celles de la tranche d´âge 30-50 ans; celles ayant le niveau supérieur et celles de religion musulmane. L´insuffisance de perception de la gravité de la maladie était associée au refus du dépistage volontaire. Le niveau de connaissance des symptômes, la source d´information sur la COVID-19 n´avait pas de lien avec l´acceptation ou le refus du dépistage volontaire. La principale source d´information sur la COVID-19 était la radio-TV. La peur des résultats était le motif principal de refus du dépistage volontaire. L´acceptation du dépistage volontaire de la COVID-19 était liée aux facteurs individuels, la connaissance des symptômes et la source d´information. Il y a lieu de renforcer la sensibilisation sur la COVID-19.

          Translated abstract

          The COVID-19 pandemic affects populations worldwide without distinction. Large-scale RT-PCR testing was proposed to the populations to promote early diagnosis and management. The absence of publications related to COVID-19/Congo testing justified this study. The purpose of this study was to identify factors associated with the acceptability of the screening test for COVID-19. We conducted an analytical cross-sectional study in subjects over 18 years of age living in Brazzaville from August 18 th to 24 th, 2020. Data were collected using a self-administered questionnaire. The variables considered included: socio-demographic characteristics, sources of information, knowledge and perception of the disease, acceptance or refusal of voluntary testing for COVID-19. In total, 328 (62.5%) respondents accepted voluntary screening for COVID-19, the average age was 35.9 years. Men predominated in both groups. Subjects who were more accepting of voluntary screening for COVID-19 were those aged 30-50 years; those with a higher level of education and followers of Muslim religion. Lack of perception of disease severity was associated with the refusal of voluntary screening. The level of knowledge of symptoms, the source of information about COVID-19 were not related to the acceptance or refusal of voluntary screening. The main source of information about COVID-19 was the Radio-TV. Fear for test results was the main reason for refusing voluntary screening. Acceptability of the voluntary screening for COVID-19 was related to individual factors, knowledge of symptoms and source of information. Awareness of COVID-19 should be improved.

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          Most cited references17

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          Peer-support to increase uptake of screening for diabetic retinopathy: process evaluation of the DURE cluster randomized trial

          Background There is limited evidence on how implementation of peer support interventions influences effectiveness, particularly for individuals with diabetes. We conducted a cluster randomized controlled trial to compare the effectiveness of a peer-led health education package versus usual care to increase uptake of screening for diabetic retinopathy (DR). Methods Our process evaluation used a mixed-method design to investigate the recruitment and retention, reach, dose, fidelity, acceptability, and context of implementation, and was guided by the Consolidated Framework for Implementation Research (CFIR). We reviewed trial documents, conducted semi-structured interviews with key informants (n = 10) and conducted four focus group discussions with participants in both arms of the trial. Three analysts undertook CFIR theory-driven content analysis of the qualitative data. Quantitative data was analyzed to provide descriptive statistics relevant to the objectives of the process evaluation. Results The trial had positive implementation outcomes, 100% retention of clusters and 96% retention for participants, 83% adherence to delivery of content of group talks (fidelity), and 78% attendance (reach) to at least 50% (3/6) of the group talks (dose). The data revealed that intervention characteristics, outer setting, inner setting, individual characteristics, and process (all the constructs of CFIR) influenced the implementation. There were more facilitators than barriers to the implementation. Facilitators included the relative advantage of the intervention compared with current practice (intervention characteristics); awareness of the growing prioritization of diabetes in the national health policy framework (outer setting); tension for change due to the realization of the vulnerability to vision loss from DR (inner setting); a strong collective sense of accountability of peer supporters to implement the intervention (individual characteristics); and regular feedback on the progress with implementation (process). Potential barriers included the need to queue at the eye clinic (intervention characteristic), travel inconveniences (inner setting), and socio-political disruption (outer setting). Conclusions The intervention was implemented with high retention, reach, fidelity, and dose. The CFIR provided a valuable framework for evaluating contextual factors that influenced implementation and helped to understand what adaptations may be needed during scale up. Trial registration Pan African Clinical Trials Registry: PACTR201707002430195 registered 15 July 2017
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            COVID-19 vaccination attitudes and intention among Quebecers during the first and second waves of the pandemic: findings from repeated cross-sectional surveys

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              Riposte africaine à la pandémie du COVID-19: une urgence sanitaire pour les villes

                Author and article information

                Contributors
                https://orcid.org/0000-0003-4594-8930
                https://orcid.org/0000-0002-5164-6296
                https://orcid.org/0000-0001-8558-7338
                https://orcid.org/0000-0002-1403-8451
                https://orcid.org/0000-0002-8367-9092
                Journal
                Pan Afr Med J
                Pan Afr Med J
                PAMJ
                The Pan African Medical Journal
                The African Field Epidemiology Network
                1937-8688
                12 April 2022
                2022
                : 41
                : 297
                Affiliations
                [1 ]Faculté des Sciences de la Santé, Université Marien Ngouabi, Brazzaville, République du Congo,
                [2 ]Université de Kinshasa, Faculté de Médecine, Kinshasa, République Démocratique du Congo,
                [3 ]Walter Sisulu University, Mthatha, South Africa,
                [4 ]Lomo University of Research, Kinshasa, Democratic Republic of the Congo,
                [5 ]Bureau Diocésain des Œuvres Médicales, Kinshasa, République Démocratique du Congo,
                [6 ]Direction Départementale de la Santé de Brazzaville, Brazzaville, République du Congo,
                [7 ]Centre Médical Cite des Aveugles, Mont Ngafula, République Démocratique du Congo,
                [8 ]Institut National de la Statistique, Brazzaville, République du Congo
                Author notes
                &Corresponding author: Longo-Mbenza Benjamin, Université de Kinshasa, Faculté de Médecine, Kinshasa, République Démocratique du Congo. longombenza@ 123456gmail.com
                Article
                PAMJ-41-297
                10.11604/pamj.2022.41.297.32641
                9250676
                35846868
                a019c27d-82cc-458d-b872-56f8333cdedb
                Copyright: Voumbo Matoumona Mavoungou Yolande et al.

                The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 30 November 2021
                : 08 March 2022
                Categories
                Case Series

                Medicine
                acceptabilité,dépistage volontaire,covid-19,adulte,brazzaville,acceptability,voluntary screening,adult

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