ABSTRACT
Objective: The aim of this article is to analyze the factors behind the resignation of Community Distributors. Methodology: The qualitative method was used to collect data through individual interviews and focus groups in the health districts of Kouoptamo, Foumbot and Massangam in the West region of Cameroon. Between 2020 and 2022, these interviews were conducted with Beneficiaries, Community Distributors, managers of district health services and health facilities, and also town hall managers. The data collected was analyzed using the content analysis technique and interpreted using Michel Crozier's Systemic Analysis. Results: The methodological procedures used led to a number of results, including the low or non-existent coverage of CDs, the choice of CDs, the lack of community ownership, the discrepancy between actual and official data, and the diversion and sale of medicines, the main consequence of which is the misuse of Mectizan. Furthermore, faced with a lack of support, community distributors are showing a lack of interest in distributing this product and are resigning. To alleviate this problem, health professionals are trying to replace them with health auxiliaries, nurses and trainees, who unfortunately have no knowledge of their area of activity. Conclusion: As the Community Distributor is the key to Ivermectin Treatment under the Community Directive, it is important to review its status on the scale of actors and to consider strategies for its funding in order to revitalize the CDTI strategy for the elimination of onchocerciasis.

ABSTRACT
Introduction: The relationship between umbilical cord dimensions and placental and birth weight has been a subject of scientific inquiry. Studies suggest that the weight and length of the umbilical cord may serve as indicators for fetal well-being and are often correlated with placental weight and overall birth weight. Aim of the study: The aim of this study was to assess the correlation of umbilical cord weight and length with placental and birth weight using Pearson co-efficient. Methods: This cross-sectional study was conducted in Department of Gynaecology, Bangladesh Medical College Hospital and Dhaka medical College Hospital, Dhaka, Bangladesh, during the period from June 2017 to June 2018. Total 150 umbilical cords were collected from women giving birth in our hospital for this study. Result: The maternal age predominantly ranged between 30-34 years, accounting for 35.3% of the sample. The mean gestational age was 38.8 weeks, with most births occurring at 38 weeks (49.3%). The gender distribution of newborns was balanced, with 52% males and 48% females. The study also revealed a gradual increase in both neonatal and placental weights from 37 to 42 weeks of gestation. Pearson correlation coefficients indicated moderate but significant relationships between umbilical cord weight and placental weight (r=0.2708, P=0.013), and umbilical cord weight and birth weight (r=0.3183, P=0.008). The strongest correlation was observed between placental weight and birth weight (r=0.5156, P<0.0001). Conclusion: This study found moderate but statistically significant correlations between umbilical cord weight and both placental and birth weights. The strongest correlation was observed between placental weight and birth weight, underscoring the importance of placental health in neonatal outcomes.

ABSTRACT
Introduction: Cardiac catheterization for diagnostic and therapeutic purposes is now routinely done at the Save a Life Port Harcourt, since last two years. Also included are cardiac devices which include pacemakers, Implantable Cardiac Defibrillators and Cardiac Resynchronization Therapy. In this retrospective study, we review our initial two years’ experience of Cardiac Catheterization at the Save a Life Mission Hospital, Port Harcourt. Methods: This is a retrospective study over a period of two years, form 1st February, 2021 to 31st March, 2023. A total of 216 consecutive diagnostic and therapeutic cardiac catheterization including cardiac devices performed in Save a life Mission Hospital between 1st February 2021 to 31st March 2023 were evaluated. Among them 88; (40.7%) were coronary angiogram, 41 (18.98%) percutaneous transluminal coronary angioplasty (PTCA) and stenting, 59(27.3%) permanent pacemaker insertion, 29 (13.4%) Implantable cardioverter defibrillators, 14 (6.5%) cardiac resynchronization therapy and 26 (12.1%) with peripheral angiography. Six patients were referred for coronary artery bypass surgery. Vascular complications [groin hematoma] occurred in two patients (0.9%). Conclusion: Both diagnostic and therapeutic cardiac catheterization procedures are safe with very low risk of complications even in its initial experience. The optimate goal of these procedures is to ensure the safety of the patients.