Meless David Guanga, Hounsa Annita Emeline, Sangaré Abou Dramane, Pongathié Adama Sanogo, Kouakou Julie Sackou, Samba Mamadou, Kouadio Luc
Département de Santé Publique, UFR Odontostomatologie, Université Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire.
Département de Santé Publique, Hydrologie et Toxicologie, UFR des Sciences Pharmaceutiques et Biologiques, Université Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire.
Pan Afr Med J. 2019 Sep 6;34:16. doi: 10.11604/pamj.2019.34.16.19932. eCollection 2019.
Do health facilities (HF) have basic resources needed to manage malaria? The purpose of our study was to analyze the operational capacity (OC) of first-line health facilities in Ivory Coast in the management of malaria.
SARA methodology was used to conduct a descriptive cross-sectional study from 10 to 30 July 2016. The operational capacity in the management showed an average availability of 9 identification tracers divided in 3 areas: (i) staff and guidelines; (ii) capacity of diagnosis; (iii) drugs and products. This operational capacity was assessed through the calculation of an index and then compared with the health facilities according to the management authority and the geographical area using Chi-square test with p-values α fixed at 0.05.
Out of 818 HFs, 651(79.6%) were in the public sector and 487(59.5%) were located in the rural area. The operational capacity of first line health facilities was 74.5%. This OC was higher in the public sector (81.3%) than in the private sector (48.8%) (p < 10) as well as in the rural area (82.7%) compared to the urban area (62.9%) (p < 10).
In 2016, first line health facilities in Ivory Coast had basic resources needed to manage malaria. It is necessary to focus on the need to strengthen health facility services in addition to prevention.
卫生设施是否具备管理疟疾所需的基本资源？我们研究的目的是分析科特迪瓦一线卫生设施在疟疾管理方面的运营能力。
采用SARA方法于2016年7月10日至30日进行描述性横断面研究。管理方面的运营能力显示平均有9种识别追踪指标，分为3个领域：（i）人员和指南；（ii）诊断能力；（iii）药品和产品。通过计算指数评估这种运营能力，然后使用p值固定为0.05的卡方检验，根据管理机构和地理区域将卫生设施进行比较。
在818家卫生设施中，651家（79.6%）属于公共部门，487家（59.5%）位于农村地区。一线卫生设施的运营能力为74.5%。公共部门的这种运营能力（81.3%）高于私营部门（48.8%）（p<10），农村地区（82.7%）高于城市地区（62.9%）（p<10）。
2016年，科特迪瓦的一线卫生设施具备管理疟疾所需的基本资源。除预防外，有必要关注加强卫生设施服务的需求。
