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Géographie du Paludisme dans la région de Libreville-Owendo-Akanda, Gabon

2019; European Scientific Institute; Volume: 15; Issue: 27 Linguagem: Inglês

10.19044/esj.2019.v15n27p362

1857-7881

Alexis Mbouloungou, Aubin Armel Koumba, Jean Bernard Mombo, Nadine Ndonghan Iyangui, Jacques François Mavoungou, Jules Djeki,

Aging, Elder Care, and Social Issues

In order to determine the geography of malaria, to know the spatial distribution of health facilities and to identify malaria risk areas in Libreville-Owendo-Akanda area, a study was conducted from july 2016 to june 2017.This study consisted of collecting hospital morbidity data and characterizing public and private health structures in the study area.The malaria data were collected in the clinics using the pre-designed and tested collection forms.Moreover, the cartography of the health structures and chiefdoms of the different neighborhoods from which each patient came was made using a GPSMAP 62s (Garmin).The spatial analyzes were done in ArcGIS 10.3 software according to the Hot Spot model, to identify areas at risk of malaria.Thus, 211 private and public health structures divided into 12 types were identified.These structures are unequally distributed in the Libreville-Owendo-Akanda region.The best represented are the private medical surgeries (n = 62 ; 29.38%), the drugstores (n = 39 ; 18.48%), the structure for nursing treatment (n = 36 ; 17.06%).On the other hand, the least represented are the medical centers (n = 2 ; 0.95%) and childbirth clinics (n = 1 ; 0.47%).Finally, the spatial analyzes made it possible to show that the clinical malaria prevalence is higher (hot spots) in the districts of the commune of Libreville than in the neighborhoods of the two other neighboring communes that are Owendo and Akanda.The results obtained contribute to make known the spatial distribution of health facilities and hot spots of malaria in the area of Libreville-Owendo-Akanda.