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坦桑尼亚七个行政区域的医疗保健利用情况经验。

Experience on healthcare utilization in seven administrative regions of Tanzania.

机构信息

Institute of Traditional Medicine, Muhimbili University of Health and Allied Sciences, Dar-es-Salaam, Tanzania.

出版信息

J Ethnobiol Ethnomed. 2012 Jan 27;8:5. doi: 10.1186/1746-4269-8-5.

Abstract

Health care utilization in many developing countries, Tanzania included, is mainly through the use of traditional medicine (TRM) and its practitioners despite the presence of the conventional medicine. This article presents findings on the study that aimed to get an experience of health care utilization from both urban and rural areas of seven administrative regions in Tanzania. A total of 33 health facility managers were interviewed on health care provision and availability of supplies including drugs, in their respective areas. The findings revealed that the health facilities were overburden with higher population to serve than it was planned. Consequently essential drugs and other health supplies were available only in the first two weeks of the month. Conventional health practitioners considered traditional health practitioners to be more competent in mental health management, and overall, they were considered to handle more HIV/AIDS cases knowingly or unknowingly due to shear need of healthcare by this group. In general conventional health practitioners were positive towards traditional medicine utilization; and some of them admitted using traditional medicines. Traditional medicines like other medical health systems worldwide have side effects and some contentious ethical issues that need serious consideration and policy direction. Since many people will continue using traditional/alternative medicine, there is an urgent need to collaborate with traditional/alternative health practitioners through the institutionalization of basic training including hygiene in order to improved healthcare in the community and attain the Millennium Development Goals by 2015.

摘要

许多发展中国家(包括坦桑尼亚)的医疗保健主要依赖传统医学(TRM)及其从业者,尽管传统医学已经存在。本文介绍了一项研究的结果,该研究旨在了解坦桑尼亚七个行政区的城市和农村地区的医疗保健利用情况。共有 33 名卫生机构管理人员接受了采访,内容涉及他们所在地区的医疗服务提供情况和供应品(包括药品)的可用性。调查结果显示,卫生机构的服务人群远远超过了最初的规划,因此,基本药物和其他卫生用品仅在月初的前两周供应。传统卫生从业者认为传统卫生从业者在心理健康管理方面更有能力,而且总的来说,由于这个群体对医疗保健的迫切需求,他们在处理更多的艾滋病毒/艾滋病病例时,无论是否知情,都被认为更有能力。一般来说,传统卫生从业者对传统医学的利用持积极态度;其中一些人承认使用了传统药物。与世界各地的其他医疗保健系统一样,传统药物也有副作用和一些有争议的伦理问题,需要认真考虑和制定政策方向。由于许多人将继续使用传统/替代医学,因此迫切需要通过制度化的基本培训(包括卫生方面)与传统/替代卫生从业者合作,以改善社区的医疗保健,并在 2015 年之前实现千年发展目标。

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