Chikowe Ibrahim, Mwapasa Victor, Kengne Andre Pascal
Biomedical Sciences and Pharmacy Departments, College of Medicine, University of Malawi, Blantyre, Malawi.
Department of Public Health, College of Medicine, University of Malawi, Blantyre, Malawi.
BMC Res Notes. 2018 May 2;11(1):267. doi: 10.1186/s13104-018-3369-7.
There is limited data on the quality of primary care management for diabetes mellitus across Africa. The study was aimed at assessing the availability of basic supplies for the rapid diagnosis, treatment and management of diabetes in Malawian rural health facilities. This cross-sectional study was conducted in 55 public and private health centers from 19 districts using a structured questionnaire and checklist to interview the pharmacy personnel or officer in-charge of the health centers. We focused on availability of information, diagnosis and treatment materials for diabetes.
Of the 55 health facilities surveyed, 21, 23 and 11 were located in the central, southern and northern regions of Malawi, respectively. Overall, 38% (21/55) of the health centres had glucometers, while 24% (13/55) had urine glucose dipsticks. Only 4% (2/55) of the health centres had recommended first-line medicines for treatment of type 1 and type 2 diabetes. No health centre had diabetes patient records and information, education and communication materials. Most rural health centers in Malawi lack basic health commodities for the screening, diagnosis and treatment of diabetes and this impedes on their effective management of growing diabetes burden. Therefore, health care systems need to adequately equip primary care facilities.
关于非洲糖尿病初级保健管理质量的数据有限。本研究旨在评估马拉维农村卫生设施中用于糖尿病快速诊断、治疗和管理的基本物资的可获得性。这项横断面研究在来自19个区的55家公立和私立卫生中心开展，使用结构化问卷和清单对卫生中心的药房人员或负责人进行访谈。我们重点关注糖尿病的信息、诊断和治疗材料的可获得性。
在接受调查的55家卫生设施中，分别有21家、23家和11家位于马拉维的中部、南部和北部地区。总体而言，38%（21/55）的卫生中心有血糖仪，而24%（13/55）有尿糖试纸。只有4%（2/55）的卫生中心有用于治疗1型和2型糖尿病的推荐一线药物。没有卫生中心有糖尿病患者记录以及信息、教育和宣传材料。马拉维的大多数农村卫生中心缺乏用于糖尿病筛查、诊断和治疗的基本卫生用品，这阻碍了它们对日益加重的糖尿病负担进行有效管理。因此，卫生保健系统需要为初级保健设施提供充足的装备。
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