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工伤特征及受害者命运:塞内加尔达喀尔向社会保障基金报告的约133起案例

[Characteristics of work-related injuries and the fate of the victims: about 133 cases reported to the Social Security Fund in Dakar, Senegal].

作者信息

Dia Sidy Akhmed, Mohamed Azhar Salim, Gaye Fatou Sy, Ndoye El Hadj Oumar, Fall Mame Coumba Gaye, Soumah Mouhamed Nanibolio, Ndiaye Mor

机构信息

Service de Médecine Légale et de Travail, Faculté de Médecine, de Pharmacie et d'Odontologie, Université Cheikh Anta Diop de Dakar, Dakar Fann, Sénégal.

Hopital Général de Grand Yoff, Dakar, Sénégal.

出版信息

Pan Afr Med J. 2018 Jun 21;30:156. doi: 10.11604/pamj.2018.30.156.10517. eCollection 2018.

Abstract

INTRODUCTION

Work-related injuries have an impact on social security system of the country, on the victims as well as on their relatives. The objective is the aim of our study was to describe the different characteristics of work-related injuries reported to the Social Security Fund (CSS) in Dakar as well as the socioprofessional course of the victims.

METHODS

We conducted a retrospective cross-sectional study over a period of 5 years, from 2002 to 2006. Data were collected from 133 cases out of 9 308 reported to the CSS. Various parameters were studied: the socioprofessional characteristics of victims and the lesional features of the injuries. The victims were interviewed to gather informations about their socioprofessional history and their professional situation.

RESULTS

The average age of patients was 37,55 years, with a male predominance (99,22 %). BPW (22.6%) and fishing (15%) sectors were most affected. Almost two thirds of injuries happened in the workplace (77.4%). These injuries resulted in fractures in 51.7% of cases and affected the hand in 30.1% of cases. Nearly two thirds of injured subjects (60.9%) had resumed their profession. Thirty one subjects were fired and 12 were redeployed. The average period of temporary total incapacity was 236.7 days. The median annual pension was 1 640 329 CFA Francs (2 504,31 Euros).

CONCLUSION

In Senegal, work-related injuries don't have specific characteristics, as described elsewhere. The low resources allocated to the victims and the lack of supporting social-policy measures explain the different types of suffering of the victims and their families.

摘要

引言

工伤对国家社会保障体系、受害者及其亲属都会产生影响。我们研究的目的是描述向达喀尔社会保障基金(CSS)报告的工伤的不同特征以及受害者的社会职业历程。

方法

我们进行了一项为期5年(2002年至2006年)的回顾性横断面研究。数据收集自向CSS报告的9308例中的133例。研究了各种参数:受害者的社会职业特征和损伤的病变特征。对受害者进行访谈以收集有关他们社会职业历史和职业状况的信息。

结果

患者的平均年龄为37.55岁,男性占主导(99.22%)。BPW部门(22.6%)和渔业部门(15%)受影响最大。几乎三分之二的损伤发生在工作场所(77.4%)。这些损伤导致51.7%的病例出现骨折,30.1%的病例手部受伤。近三分之二的受伤者(60.9%)恢复了工作。31名受试者被解雇,12名被重新调配。临时完全丧失工作能力的平均时间为236.7天。年抚恤金中位数为1640329非洲法郎(2504.31欧元)。

结论

在塞内加尔,工伤没有如其他地方所描述的特定特征。分配给受害者的资源不足以及缺乏支持性的社会政策措施解释了受害者及其家庭遭受的不同类型的痛苦。

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