IJO - International Journal of Health Sciences and Nursing ( ISSN: 2814-2098 )

SYNDROME D’EPUISEMENT PROFESSIONNEL CHEZ LES PERSONNELS SOIGNANTS EN ONCOLOGIE A MADAGASCAR : PREVALENCE ET FACTEURS DE RISQUES

2026-01-28T08:26:15+00:00

Introduction : Les personnels soignants en oncologie sont souvent confrontés à des situations stressantes pouvant notamment mener au burnout. L’objectif de cette étude a été de mesurer la prévalence du syndrome d’épuisement professionnel chez les personnels soignants en service d’oncologie, ainsi que les facteurs associés.

Matériels et méthode : Il s’agit d’une étude transversale, descriptive et multicentrique menée auprès des médecins et infirmiers exerçant au sein du service d’oncologie dans les six provinces de Madagascar

Résultats : Le taux de participation des praticiens a été de 78,2% ; 69,2% ont été du genre féminin avec une sex-ratio de 0,44 ; l’âge moyen a été de 35,8ans. La Prévalence du burnout a été de 51,9 %, et 1,9 % ont présenté un score de burnout élevé. Parmi eux, 11,5% ont présenté un niveau élevé d’EE (épuisement émotionnel), et 21,2% de DP (dépersonnalisation) et 40,4% pour la baisse de l’AP (accomplissement personnel.) Les facteurs associés à l’EE ont été : le statut professionnel, le déséquilibre entre l’effort et la récompense, la mauvaise relation avec la hiérarchie et le statut matrimonial. L’AP corrélé avec le genre masculin, le jeune âge, et l’insuffisance de connaissance théorique et pratique.

Conclusion : Le burnout est une réalité. Ce trouble pourrait avoir un impact négatif sur la santé des soignants ainsi que sur la qualité de prise en charge des patients. Une mise en place des mesures appropriées est indispensable afin de limiter l’évolution de ce trouble.

Epidemiological characteristics of breast cancer patients at Antanambao University Hospital in Toliara, Madagascar

2026-01-28T08:26:16+00:00

Introduction: Breast cancer is the most common cancer among women worldwide and a leading cause of morbidity and mortality. In Madagascar, organized screening is limited, leading to late diagnosis. This study aimed to describe the epidemiological, clinical, histological, and the rapeutic characteristics of breast cancer cases diagnosed at Antanambao University Hospital in Toliara.

Methods: This retrospective, descriptive study included all women with histologically confirmed breast cancer seen at the oncology service over a 42-month period (October 1, 2016 – March 30, 2020). Data collected included socio-demographics, clinical presentation, stage at diagnosis, histology, imaging studies for staging, and treatment modalities. Data were managed using Word and Excel 2019.

Results: Among 165 his to logically confirmed cancer cases, 31 were breast cancers (18.78%), second only to cervical cancer (35.75%). The mean age was 50.48 years, with the majority aged 35–55 years. Most patients were self-employed, of the Vezoethnic group, and resided in the urban commune of Toliara I. The main presenting symptom was a palpable breast mass (87%). At diagnosis, 45% were locally advanced and 29% metastatic. Invasive ductalcarcinoma accounted for 87% of cases. Staging mainlyrelied on chest X-ray and abdominopelvicultra sound (48%). Chemotherapy followed by surgerywas the most frequently used treatment (52%), with 61% managed with curative intent.

Conclusion: Breast cancer in Toliara is predominantly diagnosed at an advanced stage. Early detection strategies, including organized screening programs and promotion of breast self-examination, are critical to improveprognosis and patient outcomes.

Alcohol consumption in the Haute Matsiatra region of Madagascar: profile, knowledge, attitudes, and practices of high school students

2026-01-29T07:22:34+00:00

Introduction
Alcohol consumption among adolescents is a major public health issue worldwide due to its
physical, psychological, and social impacts. In Madagascar, specific data on this phenomenon
remain limited. This study aims to describe the sociodemographic profile and knowledge,
attitudes, and practices (KAP) related to alcohol consumption among high school students in
the Haute Matsiatra Region.
Materials and Methods
A descriptive cross-sectional study was conducted during the 2023–2024 school year among
high school students in the Haute Matsiatra region, selected through a two-stage sampling
process. Data were collected using the World Health Organization (WHO) standardized Global
School-based Student Health Survey (GSHS, 2021) questionnaire and analyzed using Statistical
Package for the Social Sciences (SPSS) software version 20.0.
Results
A total of 2,946 high school students were included. The average age of participants was
16.8±1.3 years. The prevalence of alcohol consumption was 32.8%, with more than 85% of
students reporting their first consumption before the age of 14. In terms of knowledge, 73.9%
of students reported having had family discussions about the dangers of alcohol. In terms of
attitudes, 23.2% expressed an intention to accept a drink offered by a friend. In terms of
practices, wine was the most commonly consumed beverage (42.9%).
Conclusion
Alcohol consumption among high school students in the Haute Matsiatra region is highly
prevalent, with varying levels of knowledge and sometimes permissive attitudes. Strengthening
educational interventions in schools and communities appears essential in order to prevent early
initiation and limit the associated consequences.