北苏丹卫生工作者遵守疟疾病例管理协议:质量研究
Sahar Khalid Mohamed1,2, Duha Khalid Mohamed3, Khansaa Ahmed3
1National Malaria Control Programme, Federal Ministry of Health, Khartoum, Sudan. saharkhalidmo@gmail.com.
Malaria journal
|May 30, 2024
概括
苏丹的卫生工作者由于资源短缺和培训缺口,不遵守疟疾诊断和治疗标准. 改善供应链和监督是提高疟疾病例管理质量的关键.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 卫生系统研究 卫生系统研究
背景情况:
- 在苏丹,不遵守国家疟疾诊断和治疗标准是一个有记录的问题.
- 进行了定性研究,以探索不遵守的临床方面,影响因素以及卫生工作者改善遵守的观点.
研究的目的:
- 调查苏丹卫生工作者不遵守疟疾病例管理协议的具体做法.
- 确定导致这些不合规行为的潜在因素.
- 收集卫生工作者的建议,以加强遵守和改善疟疾控制.
主要方法:
- 在2023年9月,苏丹北部的104名卫生工作者参加了五次焦点小组讨论 (FGD).
- 参与者代表了各种干部,包括医疗助理,医生,护士,实验室人员,药剂师和公共卫生官员.
- 对使用基于国家疟疾病例管理协议的半结构化指南收集的数据进行了定性主题分析.
主要成果:
- 观察到的不合规做法包括忽视测试结果,错误的阿尔特梅瑟-卢梅方特林 (AL) 剂量,缺乏患者咨询,以及注射不当使用.
- 关键影响因素是抗疟疾药物和快速诊断测试 (RDT) 库存不足,人员短缺,培训和监督不足以及患者压力.
- 卫生工作者建议加强供应链,增加人员,提供更好的培训和监督,并实施诊断的质量保证.
结论:
- 该研究强调了北苏丹前线卫生工作者影响疟疾管理的重大行为和系统挑战.
- 不遵守的原因是资源限制,培训缺口,监督不足和外部压力.
- 调查结果将为苏丹国家疟疾控制计划的基于证据的干预提供信息,以加强卫生系统的准备能力和疟疾病例管理质量.
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