2014年8月卫生工作者罢工对肯尼亚蒙巴萨县转诊医院卫生服务的影响
Impact of Health Workers' Strike in August 2014 on Health Services in Mombasa County Referral Hospital, Kenya.
作者信息
Njuguna John
出版信息
J Health Care Poor Underserved. 2015 Nov;26(4):1200-6. doi: 10.1353/hpu.2015.0106.
INTRODUCTION
Health workers are an essential part of the health system. Health workers in Mombasa County went on strike for two weeks in August 2014 due to nonpayment of salaries. This study analysed the impact of this strike.
METHODS
Monthly utilization of health services was accessed from the Kenya Health Information website. This was for general outpatient, special clinics, maternal and child health, inpatient services, maternity services, dental, and radiological services. For each indicator, monthly mean was calculated for January to July 2014. This was compared with the August monthly mean.
RESULTS
Outpatient attendance declined by 64.4%, special clinics attendance by 74.2%, and deliveries by 53.5%. Inpatient admissions declined by 57.8 % and inpatient deaths by 26.3%.
CONCLUSION
The August 2014 strike adversely affected health services. County governments should put in place mechanisms to avert future health workers' strike. The national government should also disburse funds to the counties on time.
引言
卫生工作者是卫生系统的重要组成部分。蒙巴萨县的卫生工作者因未支付工资于2014年8月举行了为期两周的罢工。本研究分析了此次罢工的影响。
方法
从肯尼亚卫生信息网站获取卫生服务的月度利用率。这包括普通门诊、专科门诊、妇幼保健、住院服务、产科服务、牙科和放射科服务。对于每个指标，计算了2014年1月至7月的月均值。并将其与8月的月均值进行比较。
结果
门诊就诊人数下降了64.4%，专科门诊就诊人数下降了74.2%，分娩人数下降了53.5%。住院人数下降了57.8%，住院死亡人数下降了26.3%。
结论
2014年8月的罢工对卫生服务产生了不利影响。县政府应建立机制以避免未来卫生工作者罢工。国家政府也应及时向各县拨付资金。
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