尼日利亚高血压控制计划实施能力和现场准备:全国横截面研究
Innocent Ijezie Chukwuonye1,2, Ejiroghene Martha Umuerri3,4, Abigail Baldridge5
1Department of Medicine, Faculty of Clinical Sciences, David Umahi Federal University of Health Sciences, Uburu, Nigeria.
PloS one
|March 13, 2026
概括
尼日利亚的初级医疗保健机构已经为高血压控制计划做好了准备,拥有强大的劳动力和系统. 然而,关键需求包括卫生工作者培训,治疗方案和改善药物供应链,以有效管理高血压.
科学领域:
- 公共卫生 公共卫生
- 心血管健康 心血管健康
- 医疗保健系统分析 医疗保健系统分析
背景情况:
- 评估尼日利亚初级医疗保健机构对全面高血压控制战略的准备情况.
- 评估目前在尼日利亚的初级保健水平诊断,治疗和控制高血压的能力.
研究的目的:
- 确定尼日利亚初级医疗保健机构的能力和准备,以实施高血压诊断,治疗和控制的多层次方法.
主要方法:
- 采用多阶段采样技术,从每个州选择5个州和10个初级医疗保健中心 (PHC),共计50个PHC.
- 世界卫生组织修改的服务可用性和准备性评估工具被用于评估PHC对高血压诊断和治疗的准备.
- 服务准备的指标得分是根据设施,诊断工具,指导方针和必需药物的可用性来计算的.
主要成果:
- 86%的医疗保健中心至少有两名全职员工,中位数为6名员工;然而,没有一个全职医生.
- 诊断能力 (98%用于查,94%用于诊断,84%用于确认) 和功能性血压装置 (98%) 的高可用性.
- 高血压治疗指南 (24%),治疗算法 (27%) 和基本抗高血压药物 (66%至少有一种30天疗程) 的有限可用性.
结论:
- 尼日利亚的PHC证明了系统级高血压控制计划的可行性,特别是在劳动力,设备和健康信息系统中.
- 迫切需要加强卫生工作者培训和标准化高血压治疗和控制方案.
- 加强基本抗高血压药物的供应链是提高计划有效性的必要条件.
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