低收入国家医院的耳鼻喉科手术和药物供应情况：赞比亚令人担忧的问题。
Availability of ENT Surgical Procedures and Medication in Low-Income Nation Hospitals: Cause for Concern in Zambia.
机构信息
University of KwaZulu-Natal, College of Health Sciences, Nelson R. Mandela School of Clinical Medicine, Discipline of Otorhinolaryngology, Durban 4001, South Africa.
University Teaching Hospitals, Private Bag RW1X, Ridgeway, Lusaka, Zambia.
出版信息
Biomed Res Int. 2020 Mar 20;2020:1980123. doi: 10.1155/2020/1980123. eCollection 2020.
BACKGROUND
Ear, nose, and throat (ENT) diseases are an oft overlooked global health concern. Despite their high prevalence and associated morbidity and mortality, ENT diseases have remained neglected in health care delivery. In Zambia and many other low-income countries, ENT services are characterized by poor funding, unavailable surgical procedures, and erratic supply of essential drugs.
OBJECTIVE
To investigate ENT service provision in Zambia with regard to availability of surgical procedures and supply of essential drugs.
METHODS
A descriptive cross-sectional survey was conducted using a piloted structured questionnaire between 17 January 2017 and 2 January 2018. Included in the study were the 109 hospitals registered with the Ministry of Health (MoH) across the 10 provinces of Zambia.
RESULTS
Of the participating hospitals, only 5.9% ( = 1) and 40% ( = 1) and 40% ( = 1) and 40% ( = 1) and 40% ( = 1) and 40% ( = 1) and 40% ( = 1) and 40% ( = 1) and 40% ( = 1) and 40% ( = 1) and 40% ( = 1) and 40% ( = 1) and 40% (.
CONCLUSION
ENT service delivery in Zambia is limited with regard to performed surgical procedures and availability of essential drugs, necessitating urgent intervention. The findings from this study may be used to direct national policy on the improvement of provision of ENT services in Zambia.
背景
耳鼻喉（ENT）疾病是全球卫生关注的一个被忽视的问题。尽管这些疾病的发病率很高，且与之相关的发病率和死亡率也很高，但在医疗服务中，耳鼻喉疾病仍然被忽视。在赞比亚和许多其他低收入国家，耳鼻喉科服务的特点是资金不足、缺乏手术程序以及基本药物供应不稳定。
目的
调查赞比亚耳鼻喉科服务的提供情况，包括手术程序的可及性和基本药物的供应情况。
方法
采用试点式结构化问卷，于 2017 年 1 月 17 日至 2018 年 1 月 2 日进行了一项描述性的横断面调查。该研究包括赞比亚卫生部（MoH）登记的 10 个省的 109 家医院。
结果
在参与研究的医院中，只有 5.9%（=1）和 40%（=1）的医院开展了鼓膜切开术，只有 5.9%（=1）和 40%（=1）的医院开展了扁桃体切除术，只有 5.9%（=1）和 40%（=1）的医院开展了鼻中隔成形术，只有 5.9%（=1）和 40%（=1）的医院开展了鼻甲切除术，只有 5.9%（=1）和 40%（=1）的医院开展了鼻息肉切除术，只有 40%（=1）的医院开展了鼻整形术，只有 40%（=1）的医院开展了鼻窦手术，只有 40%（=1）的医院开展了喉切除术，只有 40%（=1）的医院开展了气管切开术。只有 5.9%（=1）和 40%（=1）的医院提供抗生素，只有 5.9%（=1）和 40%（=1）的医院提供局麻药，只有 5.9%（=1）和 40%（=1）的医院提供皮质类固醇。
结论
赞比亚的耳鼻喉科服务在手术程序的开展和基本药物的供应方面都受到限制，需要紧急干预。本研究的结果可用于指导赞比亚改善耳鼻喉科服务提供的国家政策。
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