Onakpoya O H, Adeoye A O, Adegbehingbe B O, Akinsola F B
Ophthalmology Unit, Department of Surgery, Obafemi Awolowo University, Ile Ife, Nigeria.
West Indian Med J. 2009 Nov;58(5):472-5.
Integration of primary eye-care (PEC) into the existing primary healthcare (PHC) system is efficient in reaching rural communities. Baseline assessment of human and material resources for primary eye-care delivery in a rural local government area of southwestern Nigeria with projected population of 126,625 was conducted. Data on number and cadre of all PHC facilities and health-workers were collected. All facilities were visited and materials required for basic PEC inspected. Forty-one (42.3%) community health extension workers, 42 (43.3%) health assistants, 3 (3.1%) community officers of health and 11 (11.2%) registered nurses administered PHC in 27 health facilities. No worker had training in PEC and none of the centres had all the materials for basic PEC delivery. Although procurement of materials and training of health-workers in basic PEC delivery is required, the healthcare facilities and workers currently available are adequate to commence integration of PEC into the PHC system.
将初级眼保健(PEC)纳入现有的初级卫生保健(PHC)系统,对于覆盖农村社区而言是高效的。在尼日利亚西南部一个预计人口为126,625的农村地方政府辖区,对提供初级眼保健的人力和物力资源进行了基线评估。收集了所有初级卫生保健设施和卫生工作者的数量及类别数据。走访了所有设施,并检查了基本初级眼保健所需的物资。41名(42.3%)社区卫生推广工作者、42名(43.3%)卫生助理、3名(3.1%)社区卫生官员和11名(11.2%)注册护士在27个卫生设施中提供初级卫生保健服务。没有工作人员接受过初级眼保健培训,而且没有一个中心具备开展基本初级眼保健所需的全部物资。尽管需要采购物资并对卫生工作者进行基本初级眼保健服务培训,但目前现有的医疗保健设施和工作人员足以开始将初级眼保健纳入初级卫生保健系统。