Assessment of the participation of primary care services in national tuberculosis control program in Gharbia Governorate
| Autor: | Nashwa M. Shawky Ahmad, Osama I. Mohammad, Mohammad H. Kamel, Sherif Ahmed Essa |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
lcsh:RC705-779
0301 basic medicine medicine.medical_specialty Community education Referral business.industry 030106 microbiology lcsh:Diseases of the respiratory system Primary care 03 medical and health sciences 0302 clinical medicine Basic knowledge 030228 respiratory system Nursing Family medicine Health care Medicine Sputum medicine.symptom Rural area Tuberculosis control business |
| Zdroj: | Egyptian Journal of Chest Disease and Tuberculosis, Vol 66, Iss 2, Pp 321-325 (2017) |
| ISSN: | 0422-7638 |
| DOI: | 10.1016/j.ejcdt.2017.03.005 |
| Popis: | The aim of this work was to evaluate the Primary Health Care service performance in National Tuberculosis Control Program in Gharbia Governorate. Methods The studied area (Gharbia Governorate) includes 8 health territories (each contains 5 primary care units/centers). A questionnaire based on 6 parameters was used to evaluate the PHC system performance: I – Physicians basic knowledge about TB (causative agent, methods of spread, clinical picture, essential steps in investigations: X-ray and sputum smear), II – Facilities for primary investigation (sputum examination and chest X-ray), III – Communication with the central health authorities or a TB specialist, IV – Proper recording systems needed for proper patient management and follow up, V – Follow up schedules available for the detected patients, VI – a role in community education about the disease. The data obtained were tabulated and statistically analyzed. Results Studied area included 8 health territories and 40 primary care units (35% were urban and 65% rural) with one physician in each unit. The mean percent of the correct answers of the basic knowledge score was 49.6% (range = 18%–91%), it was higher in urban units physicians than rural units physicians, with lack of proper laboratory (for sputum analysis) or X-ray apparatus. Communication with central health authorities in urban areas was higher than rural areas (71.4% versus 61.5%). Case recording was lower in urban than rural areas (28.6% versus 73.1%). Patient follow up after referral to central health units was higher in rural than urban areas (11.5% versus 7.1%). Participation of community education was 78.6% in urban units and 69.2% in rural units. Conclusion In Gharbia Governorate, PHC physicians lack proper knowledge about TB and their units lack proper equipments (Lab and CXR). The PHC system needs to be empowered by the health care authorities through training and equipments for better performance in NTP. |
| Databáze: | OpenAIRE |
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