对几内亚易流行疾病管理系统绩效的评估

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-07-07 DOI:10.1016/j.cegh.2025.102120

Dimaï Ouo Kpamy , Alexandre Delamou , Fodé Amara Traore , Seydou Doumbia , John Winch Peter , Abdoulaye Toure , Alioun Camara , Sidikiba Sidibe , Sory Conde , Fatoumata Cherif , Fatoumata Keita , Moumié Barry

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引用次数: 0

摘要

目的本研究旨在评估几内亚流行易发疾病（EPDs）应对系统的绩效，并确定其优势和不足，以指导未来的改进。研究设计：通过参与应对的行为者样本，对易流行疾病（EPD）管理系统进行横断面评估。方法：这项描述性横断面评价研究涉及几内亚8个行政区域的356名反应行为者。数据通过结构化问卷收集，问卷围绕三个主要组成部分：结构、过程和结果。分析了子成分得分，并将主要成分分为三个欣赏水平：良好，平均或差。并对其优缺点进行了分析。结果受访的356名演员中，女性占76.40%，年龄在40 ~ 60岁之间的占51%。89.9%的人接受过大学教育。结构部分获得了61%的总分，反映了平均升值。这些子组成部分包括人力资源（69%）、物流和卫生产品（81%）以及卫生筹资（32%）。流程部分得分为60%，具有强大的领导和协调（81%），但在护理提供（48%）和物流（35%）方面存在弱点。结果部分得分为88%，被认为是良好的，在护理（89%）、监测（96%）、诊断效率（78%）和管理满意度（96%）方面有显著改善。结论几内亚对易流行疾病的反应系统表现一般，结果令人鼓舞。然而，结构和程序上的差距仍然存在。加强人力资源、及时诊断、对重症病例的持续护理以及可持续融资对于改善未来的流行病管理至关重要。

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Evaluation of the performance of epidemic-prone disease management systems in Guinea

Objectives

This study aimed to evaluate the performance of response systems for epidemic-prone diseases (EPDs) in Guinea and identify their strengths and weaknesses to guide future improvements.

Study design

A cross-sectional evaluation of epidemic-prone disease (EPD) management systems was performed through a sample of actors involved in the response.

Method

ology: This descriptive cross-sectional evaluative study involved 356 response actors from Guinea's eight administrative regions. Data were collected via structured questionnaires organized around three main components: structure, process, and results. Subcomponent scores were analyzed, and the main components were classified into three levels of appreciation: good, average, or poor. An analysis of strengths and weaknesses was also conducted.

Results

Among the 356 actors interviewed, 76.40 % were female, and the majority (51 %) were aged between 40 and 60 years. A total of 89.9 % had a university-level education. The structure component achieved an overall score of 61 %, reflecting average appreciation. The subcomponents included human resources (69 %), logistics and health products (81 %), and health financing (32 %). The process component scored 60 %, with strong leadership and coordination (81 %) but weaknesses in care delivery (48 %) and logistics (35 %). The results component scored 88 %, which was considered good, with significant improvements in care (89 %), surveillance (96 %), diagnostic efficiency (78 %), and satisfaction with management (96 %).

Conclusion

Guinea's response systems for epidemic-prone diseases show average performance with encouraging outcomes. However, structural and procedural gaps persist. Strengthening human resources, timely diagnostics, continuity of care for severe cases, and sustainable financing are essential to improve future epidemic management.

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.