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Algorithm for asthma diagnosis and management at Chitungwiza Central Hospital, Zimbabwe
Pisirai Ndarukwa1, Moses John Chimbari1, Elopy Nimele Sibanda2
1University of KwaZulu Natal, College of Health Sciences, School of Nursing and Public Health, Durban, South Africa.
The Pan African Medical Journal
|November 27, 2020
Summary
This study developed an asthma diagnosis and management algorithm for Zimbabwe, addressing challenges like equipment shortages. The algorithm aims to improve respiratory care and reduce asthma-related deaths.
Area of Science:
- Respiratory Medicine
- Public Health
- Health Systems Strengthening
Background:
- Asthma is a chronic respiratory condition with significant global health implications.
- Zimbabwe faces challenges in asthma diagnosis and management compared to other nations.
- Lack of basic diagnostic equipment and essential medicines hinders effective asthma care.
Purpose of the Study:
- To develop a tailored algorithm for asthma diagnosis and management in Zimbabwe.
- To address the specific healthcare delivery system limitations in Zimbabwe.
- To improve clinical decision-making for asthma patients.
Main Methods:
- A two-stage Delphi model was employed, starting with baseline interviews of 44 doctors.
- Data collection utilized the KoBo Collect Toolbox on Android mobile phones.
- A consensus-building workshop with 15 doctors and 30 nurses refined the algorithm.
Main Results:
- Doctors reported challenges due to a lack of spirometers, Peak Expiratory Flow Meters, and specific diagnostic tests.
- Current asthma diagnosis and management relied heavily on clinicians' existing knowledge.
- A draft asthma diagnostic algorithm was developed and refined through expert collaboration.
Conclusions:
- Constant refresher courses are crucial for healthcare professionals to enhance asthma diagnostic skills.
- The developed asthma diagnostic algorithm is recommended for adoption by Zimbabwe's Ministry of Health and Child Care.
- Implementation of the algorithm can potentially improve asthma care outcomes in Zimbabwe.