Assessment of facility performance during mass treatment of chronic hepatitis C in Egypt: Enablers and obstacles
| Autor: | Wahid Doss, Arwa M. Hosny El-Shafei, Mai Mehrez, Manal H El-Sayed, Dina zeyada, Magdy Alserafy, Mohamed Said, Emam Waked, Wafaa El-Akel, Mohamed Hassany, Maysa elrazky, Gamal Esmat, Mahmoud Anis, Hend Ibrahim Shousha |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Quality Assurance Health Care 030106 microbiology Hepacivirus Patient pathway lcsh:Infectious and parasitic diseases 03 medical and health sciences 0302 clinical medicine Chronic hepatitis Surveys and Questionnaires Outcome Assessment Health Care Health care Humans Medicine Mass treatment lcsh:RC109-216 030212 general & internal medicine Response rate (survey) Hepatitis C virus business.industry lcsh:Public aspects of medicine Public Health Environmental and Occupational Health lcsh:RA1-1270 General Medicine Hepatitis C Chronic Recording system Treatment Cross-Sectional Studies Infectious Diseases Facility performance Control of viral hepatitis Family medicine Multistage sampling Egypt Health Facilities Rural area business |
| Zdroj: | Journal of Infection and Public Health, Vol 13, Iss 9, Pp 1322-1329 (2020) |
| ISSN: | 1876-0341 |
| DOI: | 10.1016/j.jiph.2020.05.008 |
| Popis: | Background The national committee for control of viral hepatitis (NCCVH) in Egypt, settled by the Ministry of health, treated over one million patients in around 60 centers with chronological changes in drug combinations. This research aims to study the health care facilities and services provided by NCCVH treatment centers in Egypt and explore hinders faced. Methods A cross-sectional operational research study. Multistage random sampling technique was applied for Egyptian governorates. From each stratum one governorate was chosen from which one center was randomly selected. Quality of recorded data for each center in the central server (Data-oriented parameter), newly designed score to assess the overall performance of the centers was retrieved from computer based recording system. A self-administered questionnaire was completed by the centers head. Results This study included 24 treatment centers from urban, rural areas, Upper and Lower Egypt. The Upper centers showed the best completeness of follow-up records and the least compliance rates. None of the centers had 100% completeness of follow-up data. Proportion of SVR is minimally less than proportion of patient with known outcome in all treatment centers. A novel indicator standardizing the comparisons of performance of different facilities was introduced: Total number of physicians/total number of SVR patients with completed records. The highest response rate: Monfiya Governorate (Lower Egypt), Aswan (Upper Egypt), Completeness of follow-up records: Kalyoubia (Lower Egypt), Sohag governorate (Upper Egypt). The average administrative score was 64%. Conclusion Challenges of NCCVH program: overcrowdings, resistant sociocultural background among rural patients, limited accessibility for internal migrants and incompleteness of data entry are system lacking points. Strengths include, clear patient pathway, well-established database online application, well-trained physicians and treatment availability. |
| Databáze: | OpenAIRE |
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