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对印度恰尔肯德邦流动医疗单位运作情况的评估。

An assessment of functioning of mobile medical units in Jharkhand.

机构信息

Community Medicine, MGM Medical College, Jamshedpur.

出版信息

Indian J Public Health. 2009 Jul-Sep;53(3):157-60.

PMID:20108880
Abstract

BACKGROUND & OBJECTIVE: A scheme of Mobile Medical Units (MMUs) has been initiated under NRHM in Jharkhand state from the year 2008 in an effort to take healthcare to doorstep of the public in rural areas, especially in underserved areas. The objective of the study was to assess the functioning of Medical Mobile Units in Jharkhand through rapid assessment mode.

METHODS

A cross sectional descriptive study was conducted in three selected districts of Jharkhand state during September-December 2008. Data was collected through in-depth interview using semistructured schedules with State Programme Managers, Chief Medical Officers, District programme managers, staff of MMU and beneficiaries.

RESULTS

The scheme provided curative and diagnostic facilities like X-ray, ultra sound, and blood test to the poor and under-served areas. More than 90% of clients reported availability of medicines in MMUs. However, more than 90% of them had no prior information about the day and time of visits by the MMUs. Some of the operational difficulties being faced by the scheme were reported to be vibrations of generator disturbing the lab investigations, poor condition of the road, unwillingness of doctors to go in far-off areas and heavy workload.

CONCLUSION

The scheme of MMUs has been successful in providing health services to the poor and under-served areas.

摘要

背景与目的

自 2008 年以来,印度国家农村健康使命(NRHM)在贾坎德邦启动了流动医疗单位(MMU)计划,旨在将医疗保健服务送到农村地区,特别是服务不足地区的公众家门口。本研究的目的是通过快速评估模式评估贾坎德邦医疗移动单位的运作情况。

方法

2008 年 9 月至 12 月期间,在贾坎德邦的三个选定地区进行了一项横断面描述性研究。通过使用半结构化时间表与州项目管理人员、首席医疗官、地区项目管理人员、MMU 工作人员和受益人进行深入访谈收集数据。

结果

该计划为贫困和服务不足地区提供了治疗和诊断设施,如 X 光、超声和血液检查。超过 90%的患者报告说 MMU 提供了药品。然而,他们中的大多数人没有事先了解 MMU 访问的日期和时间。据报道,该计划面临一些运营困难,包括发电机的振动干扰实验室检查、道路状况不佳、医生不愿意去偏远地区以及工作量大。

结论

MMU 计划成功地为贫困和服务不足地区提供了卫生服务。

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