乌干达中部儿童残疾检测,管理和康复卫生服务的覆盖范围
Edith Akankwasa1, Willy Kamya1, Moses Sendijja1
1Mildmay Institute of Health Sciences.
The East African health research journal
|September 19, 2024
概括
在乌干达,改善残疾儿童服务的干预措施取得了有限的成功. 在16个指标中,只有3个达到了80%覆盖率的目标,这凸显了需要改善社区和设施层面的支持.
科学领域:
- 公共卫生 公共卫生
- 关于残疾人的研究.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 儿童残疾影响着每20个儿童中就有1个儿童,这给公共卫生带来了重大挑战.
- 残疾儿童 (CwDs) 面临权利剥夺,社会偏见和服务获取障碍.
- 结构性障碍加剧了CwD面临的挑战,影响了他们的福祉和获得护理的机会.
研究的目的:
- 评估儿童残疾预防,管理和康复服务的覆盖范围.
- 评估乌干达中部四个地区两年干预措施的影响.
- 确定CwD及其护理人员在服务提供方面的差距.
主要方法:
- 医疗机构快速评估. 雇员批量质量保证抽样 (LQAS) 卫生设施快速评估.
- 评估了16个与服务提供,设施准备,社区联系和权利保护有关的指标.
- 设定一个80%的覆盖率目标,以成为地区级决策规则.
主要成果:
- 尽管进行了干预,但对于CwD和护理人员来说,所期望的服务效益并未实现.
- 在CwD的16个医疗保健服务覆盖率指标中,只有3个达到80%的目标.
- 在提供全面的残疾人服务方面仍然存在重大差距.
结论:
- 需要从社区和设施层面的卫生规划者和实施者那里加强关注.
- 改善CwD的预防,管理和康复服务需要进一步关注.
- 对于CwD的照顾者来说,心理社会支持服务需要特别考虑,以获得更好的结果.
相关概念视频
Specialized Care Centers and Settings-I
935
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
935
Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
Specialized Care Centers and Settings-II
717
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
717
Preventive Healthcare Services
973
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
973
Principles of Disease Surveillance
74
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
74
Community Based Intervention
36
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
36


