Prevalence and associated factors of hypertension in primary school children in mbankomo subdivision in the mefou and akono division, centre region

REPUBLIQUE DU CAMEROUN

Paix - Travail - Patrie

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UNIVERSITE DE YAOUNDE I

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FACULTE DE MEDECINE ET DES

SCIENCES BIOMEDICALES

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Prevalence and associated factorsofhypertension in primary school children in Mbankomo subdivision in the Mefou and Akono division, Centre Region

Thesis presented in partial fulfilment of requirements for the Award of the Medicinae Doctorae (MD) degree

By:

CHIABI Edmond NGONG

Matricule: 11M211

SupervisorCo-Supervisors

Pr OBAMA Marie Thérèse Pr CHELO David

Professor of Pediatrics Associate Professor of Pediatrics-Cardiology

Pr MAH Evelyn MUNGYEH

Associate Professor of Pediatrics

TABLE OF CONTENT

PREFACE ii

DEDICATION iii

ACKNOWLEDGEMENT iv

LIST OF ADMINISTRATIVE AND ACADEMIC STAFF OF FACULTY OF MEDICINE AND BIOMEDICAL SCIENCES (FMBS) YAOUNDE FOR THE 2017/2018 ACADEMIC YEAR v

THE PHYSICIAN'S OATH xvi

LIST OF TABLES xvii

LIST OF FIGURES xviii

LIST OF ABBREVIATIONS/ACRONYMS/SYMBOLS xix

ABSTRACT xx

RESUME xxii

CHAPTER I: INTRODUCTION 1

CHAPTER II: JUSTIFICATION OF STUDY 4

CHAPTER III: RESEARCH QUESTION 6

CHAPTER IV: RESEARCH HYPOTHESIS 8

CHAPTER V: OBJECTIVES 10

CHAPTER VI: LITERATURE REVIEW 2

CHAPTER VII: MATERIALS AND METHODS 40

CHAPTER VIII: RESULTS 57

CHAPTER IX: DISCUSSION 77

CHAPTER X: CONCLUSION AND RECOMMENDATIONS 84

CHAPTER XI: REFERENCES 87

CHAPTER XII: APPENDIX xxiv

PREFACE

DEDICATION

I dedicate this work to,

My father CHIABI Andreas TEHJIand

My mother CHIABIEmma Rilindis nee NCHAM

ACKNOWLEDGEMENT

I am immensely grateful to the ALMIGHTY GOD for his gift of life, wisdom, strength, good health and continuous blessings throughout my medical studies.

My sincere thanks to;

· My Supervisor Prof OBAMAMarie Theresefor her insightful comments, encouragement, continuous guidance, patience, motivation and immense knowledge in the supervision of this work.

· My Co-supervisor Prof CHELO David for his tremendous efforts, comments and encouragement in the co-supervision of this work.

· My Co-supervisor Prof MAH Evelyn MUNGYEH for her insightful comments, patience and guidance throughout this research period. I am very grateful, thank you so much for your guidance throughout these years.

· All the participants and legal tutors in my survey, who willingly shared their precious time throughout the study.

· All the lecturers of the Faculty of Medicine and Biomedical Sciences (FMBS) for grooming me throughout the seven years of medical school.

· My parents for all the sacrifices that they have made on my behalf. Your prayer for me was what sustained me this far.

· My brothers: CHIABI Roland, CHIABI Valery and CHIABI Leslie; and the rest of my family for the support and the love.

· All my friends, most especially MOUGOUE MANIGOUE Ange Merici, BANE Jodie, NGO NKOUM Marie Ange, DANG ODI Lionel, BALOMOG Audrey, TCHEBEGNA Partick Yvanand YOMKIL BAYE Jean Jacquefor the love, the friendship, and the support we have shared throughout these years.

· The Inspector of Basic Education, and the director of the district hospital of Mbankomo as well as the Delegate of Basic Education of Ngoumou for your support and encouragement.

· MrTCHUISSEU Fréderic for the statistical analysis.

· All those who contributed in the elaboration of this work.