F Debnath, T Bhatnagar, L Sundaramoorthy, M Ponnaiah
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引用次数: 1
摘要
背景:外围卫生工作者在发现和管理常见综合征方面的能力至关重要，因为他们是大多数印度人口的第一接触点。方法:我们测量了辅助护士助产士(ANMs)的能力，以及与能力不足相关的因素，在检测和管理常见疾病(腹泻、急性呼吸道感染、发烧、疟疾)方面，通过一项横断面研究，使用特定疾病的验证临床小插曲和结构化问卷。结果:在选定的272名护士中，68% (95% CI 62-74%)胜任。与胜任力不足独立相关的因素是前一个月基本药物供应不足[调整优势比(AOR) = 1.95;(95% CI 1.1-3.5)并接受过儿童疾病综合管理方面的培训(AOR = 2.4;95% ci 1.4-4.1)。结论:超过三分之二的外围卫生工作者有足够的能力发现和管理常见疾病。确保不间断的药物供应和提高服务培训的质量可能有助于提高能力水平。
Competency of peripheral health workers in detection & management of common syndromic conditions under surveillance, North 24 Parganas, West Bengal, India, 2016: a cross-sectional study.
Background: Competency of peripheral health workers in the detection and management of common syndromic conditions is crucial as they are the first point of contact for the majority of the Indian population.
Methods: We measured the competency of auxiliary nurse midwives (ANMs), and factors associated with inadequate competency, in the detection and management of common conditions-diarrhoea, acute respiratory tract infection, fever, malaria-through a cross-sectional study using condition specific validated clinical vignettes and structured questionnaires.
Results: Out of 272 selected ANMs, 68% (95% CI 62-74%) were adequately competent. Factors independently associated with inadequate competency were unavailability of essential drugs in preceding month [adjusted odds ratio (AOR) = 1.95; 95% CI 1.1-3.5] and ever trained in integrated management of childhood illness (AOR = 2.4; 95% CI 1.4-4.1).
Conclusion: More than two third of the peripheral health workers were adequately competent to detect and manage common conditions. Ensuring uninterrupted drug availability and improved quality in service trainings might facilitate competency levels.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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