健康推广员在埃塞俄比亚西北部阿姆哈拉州西戈贾姆提供儿童疾病药物方面的知识和实践。
Knowledge and practice of health extension workers on drug provision for childhood illness in west Gojjam, Amhara, Northwest Ethiopia.
机构信息
Felege Hiwot Referral Hospital, Bahir Dar, Amhara National Regional State, Ethiopia.
Department of Health Systems and Policy, Institute of Public Health, College of Medicine and Health Science, University of Gondar, P. O. Box, 196, Gondar, Ethiopia.
出版信息
BMC Public Health. 2020 Apr 15;20(1):496. doi: 10.1186/s12889-020-08602-y.
BACKGROUND
The HEP was established decades ago to address preventive, promotive and selective curative services through Health Extension Workers (HEWs). However, knowledge and practice of HEWs on drug provision for childhood illnesses such as diarrhea, fever, and/or acute respiratory infection have not been well studied. This study aimed to assess the knowledge and practice of HEWs on drug provision for childhood illnesses.
METHODS
An institutional-based cross-sectional study was conducted among 389 rural HEWs. The districts were selected by using simple random sampling technique, and all the HEWs in the districts were included in the study. Bivariable and multivariable logistic regressions were performed to see the association between knowledge and practice of HEWs on drug provision with the response variables.
RESULTS
The study revealed that 57.5 and 66.8% of HEWs had good knowledge and practice on drug provision for childhood illnesses, respectively. Having college diploma (AOR = 5.59; 95% CI: 1.94, 16.11), 7-9 years (AOR = 2.7; 95% CI: 1.3, 5.5) and 10-12 years (AOR = 2.7; 95% CI: 1.4, 5.4) of experiences, being supervised quarterly (AOR = 0.24; 95% CI: 0.13, 0.47) and biannually (AOR = 0.11; 95% CI: 0.04, 0.30), and having national guideline (AOR = 0.22; 95% CI: 0.06, 0.90) were factors significantly associated with good knowledge. In addition, having college diploma (AOR =3.1; 95% CI: 1.1, 8.8), not receiving refreshment training (AOR = 0.31; 95% CI: 0.11, 0.91), being supervised biannually (AOR = 0.32, 95% CI: 0.13, 0.80), and not having national guideline (AOR = 0.16, 95% CI: 0.04, 0.60) were factors significantly associated with good practice.
CONCLUSION
The study indicated that a considerable number of HEWs had poor knowledge and practice on drug provision. Socio-demographic factors such as educational status, and work experience; and health systems and support related factors such as training, supervision, and availability of national guidelines, and training had a significant association with HEWs' knowledge and practice on drug provision. Therefore, designing appropriate strategy and providing refreshment training, and improving supervision and availability of national guidelines for HEWs might improve the knowledge and practice of HEWs on drug provision.
背景
HEP 几十年前成立，旨在通过卫生推广工作者（HEW）提供预防、促进和选择性治疗服务。然而，HEW 对儿童疾病（如腹泻、发热和/或急性呼吸道感染）药物供应的知识和实践尚未得到充分研究。本研究旨在评估 HEW 对儿童疾病药物供应的知识和实践情况。
方法
对 389 名农村 HEW 进行了基于机构的横断面研究。通过简单随机抽样技术选择地区，然后将该地区的所有 HEW 纳入研究。进行单变量和多变量逻辑回归，以确定 HEW 对儿童疾病药物供应的知识和实践与响应变量之间的关联。
结果
研究显示，57.5%和 66.8%的 HEW 对儿童疾病药物供应具有良好的知识和实践。具有大专学历（AOR=5.59；95%CI：1.94，16.11）、7-9 年（AOR=2.7；95%CI：1.3，5.5）和 10-12 年（AOR=2.7；95%CI：1.4，5.4）工作经验、每季度（AOR=0.24；95%CI：0.13，0.47）和每半年（AOR=0.11；95%CI：0.04，0.30）接受监督以及有国家指南（AOR=0.22；95%CI：0.06，0.90）是与良好知识显著相关的因素。此外，具有大专学历（AOR=3.1；95%CI：1.1，8.8）、未接受进修培训（AOR=0.31；95%CI：0.11，0.91）、每半年接受监督（AOR=0.32；95%CI：0.13，0.80）和没有国家指南（AOR=0.16；95%CI：0.04，0.60）是与良好实践显著相关的因素。
结论
研究表明，相当数量的 HEW 对药物供应的知识和实践水平较差。社会人口学因素（如教育程度和工作经验）以及卫生系统和支持相关因素（如培训、监督和国家指南的可用性）与 HEW 对药物供应的知识和实践水平显著相关。因此，为 HEW 制定适当的策略并提供进修培训，以及改善监督和国家指南的可及性，可能会提高 HEW 对药物供应的知识和实践水平。
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