肯尼亚的糖尿病医疗保健特定服务的准备和可用性:对全民健康覆盖的影响
Stephen N Onteri1, James Kariuki1, David Mathu1
1Centre for Public Health Research, Kenya Medical Research Institute Kenya, Nairobi, Kenya.
PLOS global public health
|September 27, 2023
概括
肯尼亚的糖尿病服务显示出重大差距,特别是在初级保健中. 人力资源稀缺,尽管设备准备程度适度. 随着医疗保健水平的提高,能力也会增加.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病是全球疾病和死亡的主要原因,并有可预防的并发症.
- 未经治疗的糖尿病会对个人的社会经济地位和国家经济繁荣产生重大影响.
- 有关肯尼亚卫生系统中糖尿病服务准备和可用性的数据严重缺乏.
研究的目的:
- 调查肯尼亚公共卫生设施中糖尿病服务的具体可用性和准备情况.
- 为了确定在初级和中等水平的设施之间以及在不同县区之间提供糖尿病护理的差异.
主要方法:
- 使用肯尼亚服务可用性和准备状态映射 (SAR) 工具进行的横截面描述性研究.
- 数据收集来自598个随机选择的公共卫生设施在12个故意选择的县.
- 统计分析包括分别对连续变量和分类变量的探索性数据分析和描述性统计数据.
主要成果:
- 糖尿病护理的人力资源的可用性很低 (46%),专家和营养学家的可用性最低.
- 基本设备 (73%) 和诊断能力 (64%) 显示中等到高准备.
- 与二级医疗机构相比,初级医疗机构的糖尿病专用服务可用性和准备能力较低.
结论:
- 在肯尼亚,糖尿病服务的可用性和准备性存在重大差距,特别是在人力资源方面.
- 管理糖尿病的医疗保健能力随着护理水平的上升而改善,从初级到二级设施.
- 需要有针对性的干预措施来加强人力资源,特别是营养和实验室专业人员,以加强全国范围内的糖尿病护理.
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