Communicable and Non-communicable Diseases Diagnosis and Treatment Service Availability at Primary Health Care Units During COVID-19 Outbreak in Ethiopia.

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Ethiopian Journal of Health Sciences Pub Date : 2023-10-01 DOI:10.4314/ejhs.v33i2.3S
Tajebew Zayede Gonete, Netsanet Abera Asseffa, Kassahun Dessie Gashu, Binyam Tilahun, Dessies Abebaw Angaw, Meskerem Jisso, Alemu Tamiso, Akalewold Alemayehu, Rekiku Fikre, Biru Abdisa, Habtamu Sime, Elias Ali Yesuf, Abdurezak Umer, Mesfin Kebede, Hussen Mohammed, Bekele Yazie, Kassu Ketema Gurmu, Berhanu Fikadie Endehabtu
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Abstract

Background: Non-communicable diseases (NCDs) pose a substantial global health challenge, resulting in an annual death toll of over 15 million individuals aged 30 to 69. Ethiopia, categorized as COVID-19 vulnerable, grapples with NCD treatment challenges. This study aims to assess disease service availability at primary health units in Ethiopia during the pandemic.

Methods: A facility-based cross-sectional study was conducted from October to December 2021 across regions, encompassing 452 facilities: 92 health centers, 16 primary hospitals, 344 health posts, and 43 districts. Facility selection, based on consultation with regional health bureaus, included high, medium, and low performing establishments. The study employed the WHO tool for COVID-19 capacity assessment and evaluated services for various diseases using descriptive analysis.

Results: Results reveal service disruptions in the past year: hospitals (55.6%), health centers (21.7%), districts (30.2%), and health posts (17.4%). Main reasons were equipment shortages (42%), lack of skilled personnel (24%), and insufficient infection prevention supplies (18.8%). While tuberculosis treatment was fully available in 23% of health posts and malaria services in 65.7%, some health centers lacked HIV/AIDS, cardiovascular, mental health, and cervical cancer services. Most communicable and non-communicable disease diagnoses and treatments were fully accessible at primary hospitals, except for cervical cancer (56.3%) and mental health (62.5%) services.

Conclusion: Significant gaps exist in expected services at primary health units. Improving disease care accessibility necessitates strengthening the supply chain, resource management, capacity building, and monitoring systems.

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埃塞俄比亚 COVID-19 爆发期间基层医疗机构提供的传染病和非传染病诊断与治疗服务。
背景:非传染性疾病 (NCD) 对全球健康构成了巨大挑战,每年导致超过 1500 万 30 至 69 岁的人死亡。被列为 COVID-19 脆弱国家的埃塞俄比亚正努力应对非传染性疾病治疗方面的挑战。本研究旨在评估大流行期间埃塞俄比亚初级医疗单位的疾病服务可用性:方法:2021 年 10 月至 12 月期间,在各地区开展了一项以医疗机构为基础的横断面研究,涵盖 452 家医疗机构:92 个保健中心、16 个初级医院、344 个保健站和 43 个地区。在与地区卫生局协商的基础上,选择了高、中、低绩效的机构。研究采用了世界卫生组织的 COVID-19 能力评估工具,并通过描述性分析对各种疾病的服务进行了评估:结果显示,在过去一年中,医院(55.6%)、保健中心(21.7%)、地区(30.2%)和保健站(17.4%)的服务中断。主要原因是设备短缺(42%)、缺乏熟练人员(24%)和预防感染用品不足(18.8%)。虽然 23% 的保健站可以提供结核病治疗,65.7% 的保健站可以提供疟疾服务,但一些保健中心缺乏艾滋病毒/艾滋病、心血管疾病、精神健康和宫颈癌服务。除了宫颈癌(56.3%)和精神健康(62.5%)服务外,大多数传染病和非传染病的诊断和治疗在基层医院都能完全提供:结论:基层医疗机构在预期服务方面存在巨大差距。要提高疾病治疗的可及性,就必须加强供应链、资源管理、能力建设和监测系统。
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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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