Les maladies fébriles non paludiques à Ouagadougou : prévalence, facteurs associés et évolution du 1er janvier 2015 au 31 décembre 2016
In sub-Saharan Africa, a major public health concern is the management of fever. In 2010, the application of WHO’s recommendations for the management of malaria based on biological evidence, has revealed a significant proportion of non-malarial diseases misdiagnosed. The objectives of this research are to describe the prevalence, identify associated factors and describe the evolution of non-malarial febrile illnesses (NMFI) from 2015 to 2016. The study design is an observational one aiming for a descriptive and analytical purpose within three of the CSPS of the capital city (Pazani, Zongo et Juvénat fille). We performed descriptive analyzes and analysed relationship between the monthly cases number of NMFI and the associated factors was studied using negative binomial regression. The trend analysis was done using interrupted time series. The overall prevalence of NMFI in the sample was 35.19%. The under five age accounted for 56% and those under seven for 69.71% of the sample. The descriptive analyzes show that all variables except sex appear to be associated with the occurrence of NMFI. The results reveal a prevalence of NMFI varying according to the diagnostic method used, it is higher when the thick drop has been used (53.05%) against 47% when the clinic was used and 22.22% if malaria’s rapid diagnostic tests are used. A link was found between the number of cases of NMFI and young age, sex, dry season hot temperatures and free care policies.  More cases were observed among children under’s one and under’s seven year (s); the respective incidence risk ratio (IRRs) are (IRR = 1.36 and 95% CI = [1.01, 1.71]); (IRR = 1.29 and 95% CI = [1.07, 1.56]). The dry season and increase’s thermal periods are also associated with an increase in the number of cases of NMFI. The analysis of the trend, considering the free healthcare policy implemented from April 2016, shows an increase in the trend of NMFI. Our results reveal the need to strengthen healthcare system capacity’s, to improve the management of non-malarial febrile illnesses for the well-being of the population.
Burkina Faso Non- malarial febrile illness Prevalence Trend Tropical countries