Factores relacionados a la alta rotación de personal sanitario en zonas endémicas de malaria de la provincia Satipo

Abstract

Malaria is produced by parasites of the genus Plasmodium and transmitted by Anopheles. Considered a public health problem, with high morbidity and mortality rates. In the Americas, important malaria outbreaks were recently registered in six countries, Peru was one of them, for which the Plan for the Elimination of Malaria in Peru (PEMP) was created, however, limitations have been identified for achieve the objectives, among them, the excessive turnover of personnel in endemic areas, an influential factor in the quality of the processes. With the intention of identifying the factors associated with rotation, in three areas characterized as low, medium or high risk of Plasmodium transmission, in the province of Satipo, a descriptive investigation was carried out. The sample consisted of 117 workers. A dichotomous survey was applied to determine social perception, job satisfaction and risk vulnerability to malaria. Among the results, the socioenvironmental conditions of the study area that favor malaria transmission are confirmed. According to the rotation impact index (IIR), the most significant factors were the change of residence, dissatisfaction of basic needs, the risk of becoming ill or dying from malaria and insufficient supplies for diagnosis. In conclusion, the main factors of high turnover are associated with social insecurity and vulnerability to Plasmodium infection, these are effects of internal phenomena of the institution, it is recommended to manage labor improvements through training programs and incentives.