公共卫生系统应对多囊卵巢综合征的准备情况:印度医疗保健提供者快速评估调查》。

IF 0.9 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Indian journal of public health Pub Date : 2024-04-01 Epub Date: 2024-06-29 DOI:10.4103/ijph.ijph_15_23
Beena Nitin Joshi, Sharmeen Akhtar Shaikh, Amlin Shukla, Mohd Ashraf Ganie, Imtiyaz Ahmad Wani, Vanita Suri, Neena Malhotra, Sarita Agarwal, Subhankar Chowdhury, Prasanta Kumar Bhattacharya, Rakesh Kumar Sahay, Roya Rozati, Puthiyaveettil Khadar Jabbar, Abilash Nair, Bharti Kulkarni, Aafia Rashid, Sunny Khajuria, Monica Rajput, Gaivee Vinam Meshram, Shouvik Chowdhury, Rahul Harish Bamon, Muhammed Shahid Pasha, Farhana Begum, Manoj Rema Aravind, Taruna Arora
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引用次数: 0

摘要

背景:多囊卵巢综合征(PCOS多囊卵巢综合征(PCOS)是最常见的内分泌疾病之一,主要影响育龄妇女:本研究旨在了解印度公共医疗系统在应对多囊卵巢综合征方面的准备情况:这项多中心快速评估横断面研究的对象是印度各种公共医疗机构的 173 名医疗服务提供者。该研究是一项大型特别工作组研究的组成部分,旨在估算印度多囊卵巢综合症的社区患病率。对多囊卵巢综合症病例的信息报告、多囊卵巢综合症的诊断知识、管理方法、诊断设施的可用性以及药物进行了探讨:结果:月经周期不规律是最常报告的多囊卵巢综合症症状。大多数医疗服务提供者(HCPs)对多囊卵巢综合征的诊断标准和诊断所需的检查缺乏正确的认识。诊断设施和药物不足。不过,一些医疗机构通过公私合作的方式获得了检查手段。社区对多囊卵巢综合症的宣传计划微不足道,多囊卵巢综合症病例也没有记录在案。对保健专业人员进行有关多囊卵巢综合症的培训、提供专家和加强诊断设施是保健专业人员提出的一些主要要求:结论:研究结果表明,有必要对初级保健人员进行培训,加强具有良好转诊联系的基础设施,并提供充足的药物,以帮助改善印度公共医疗机构对多囊卵巢综合症的管理。有必要制定国家技术和操作指南,在各级医疗机构采用多学科方法治疗多囊卵巢综合症。通过社区宣传来创造对服务的需求和倡导健康的生活方式,有助于早期诊断和预防并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Public Health System's Preparedness to Address Polycystic Ovarian Syndrome: A Rapid Assessment Survey of Health-care Providers in India.

Background: Polycystic ovarian syndrome (PCOS) is one of the most common endocrine disorders largely affecting women of reproductive age group.

Objectives: This study aimed to understand the Indian public health-care systems' preparedness in addressing PCOS.

Materials and methods: A multicentric rapid assessment cross-sectional study was undertaken among 173 health-care providers serving across various public health-care facilities in India. This study was a component of a larger task force study that aimed to estimate the community-based prevalence of PCOS in India. Information on PCOS cases reported that knowledge about PCOS diagnosis, management practices, availability of diagnostic facilities, and drugs was explored.

Results: Irregular menstrual cycle was the most commonly reported PCOS symptom. Most of the health-care providers (HCPs) lacked correct knowledge about diagnostic criteria and investigation needed for the diagnosis of PCOS. Diagnostic facilities and drugs were inadequate. However, some facilities had access to investigations through public-private partnerships. Awareness programs on PCOS in the community were negligible, and PCOS cases were not documented. Training HCPs on PCOS along with the availability of specialists and strengthening diagnostic facilities were some major demands from the HCPs.

Conclusion: Results suggest the need for training HCPs, strengthening infrastructure with good referral linkages, and adequate supply of drugs to help improve PCOS management at public health-care facilities in India. There is a need to develop national technical and operational guidelines to address PCOS using a multidisciplinary approach across all levels of care. Creating demand for services and advocating healthy lifestyles through community awareness can help early diagnosis and prevention of complications.

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来源期刊
Indian journal of public health
Indian journal of public health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.40
自引率
0.00%
发文量
92
审稿时长
21 weeks
期刊介绍: Indian Journal of Public Health is a peer-reviewed international journal published Quarterly by the Indian Public Health Association. It is indexed / abstracted by the major international indexing systems like Index Medicus/MEDLINE, SCOPUS, PUBMED, etc. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles. The Indian Journal of Public Health publishes articles of authors from India and abroad with special emphasis on original research findings that are relevant for developing country perspectives including India. The journal considers publication of articles as original article, review article, special article, brief research article, CME / Education forum, commentary, letters to editor, case series reports, etc. The journal covers population based studies, impact assessment, monitoring and evaluation, systematic review, meta-analysis, clinic-social studies etc., related to any domain and discipline of public health, specially relevant to national priorities, including ethical and social issues. Articles aligned with national health issues and policy implications are prefered.
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