Community health workers to reduce unmet surgical needs in an urban slum in India: an implementation study.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

International Health Pub Date : 2024-09-05 DOI:10.1093/inthealth/ihad072

Kranti Vora, Falguni Salvi, Shahin Saiyed, Chinmayi Desai, Rajendra Joshi, Keyur Buch, Dileep Mavalankar, Rahul M Jindal

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引用次数: 0

Abstract

Background: The Surgical Accredited & Trained Healthcare Initiative (SATHI) project demonstrates how community healthcare workers (CHWs) with merely 8 y of formal schooling and training for a short period can reduce unmet surgical needs.

Methods: A pilot study was carried out in the slums of a metropolitan city in India to know the effectiveness of a SATHI in reducing the burden of unmet surgical needs. In total, 12 730 people from 3000 households were included in the study for a duration of 6 months.

Results: We found 10% surgical needs (n=293) out of which 57% had unmet surgical needs. Out of total surgical needs, about half of the needs were cataract and abdominal, followed by extremities and chest conditions. SATHIs were able to convert 99 patients (60%) from unmet to met needs, who underwent surgery/treatment. The conversion from unmet to met among all surgery needs was highest for abdominal conditions (29%) followed by cataracts (17%).

Conclusions: SATHIs with short training can reduce the burden of unmet surgical needs. SATHIs were able to convert a significant proportion of unmet to met needs by trust building, facilitating access to healthcare and ensuring post-operative adherence. Scaling up could help in the achievement of equitable healthcare across India.

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社区保健员在印度城市贫民窟减少未满足的手术需求：一项实施研究。

背景：手术认证与培训医疗保健倡议（SATHI）项目展示了仅接受过 8 年正规学校教育和短期培训的社区医疗保健工作者（CHWs）如何减少未满足的手术需求：在印度一个大都市的贫民窟开展了一项试点研究，以了解 SATHI 在减少未满足的手术需求方面的效果。共有来自 3000 个家庭的 12 730 人参与了为期 6 个月的研究：结果：我们发现 10%的人有手术需求（n=293），其中 57% 的人的手术需求未得到满足。在所有手术需求中，约有一半是白内障和腹部手术，其次是四肢和胸部手术。SATHI 能够使 99 名患者（60%）从未获满足的需求转为已获满足的需求，他们都接受了手术/治疗。在所有手术需求中，腹部疾病（29%）的未满足需求转化率最高，其次是白内障（17%）：结论：经过短期培训的 SATHIs 可以减轻未满足手术需求的负担。SATHIs 能够通过建立信任、促进获得医疗服务和确保术后依从性，将很大一部分未满足的需求转化为已满足的需求。扩大培训规模有助于在印度全国实现公平的医疗保健。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： International Health is an official journal of the Royal Society of Tropical Medicine and Hygiene. It publishes original, peer-reviewed articles and reviews on all aspects of global health including the social and economic aspects of communicable and non-communicable diseases, health systems research, policy and implementation, and the evaluation of disease control programmes and healthcare delivery solutions. It aims to stimulate scientific and policy debate and provide a forum for analysis and opinion sharing for individuals and organisations engaged in all areas of global health.