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2020年埃塞俄比亚南沃洛州卫生中心对冠状病毒(COVID-19)大流行的防范情况

Health Centers' Preparedness for Coronavirus (COVID-19) Pandemic in South Wollo Zone, Ethiopia, 2020.

作者信息

Ayele Fanos Yeshanew, Zerga Aregash Abebayehu, Tadese Fentaw

机构信息

School of Public Health, College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

出版信息

Risk Manag Healthc Policy. 2021 Mar 3;14:887-893. doi: 10.2147/RMHP.S290135. eCollection 2021.

Abstract

BACKGROUND

COVID-19 is a highly contagious respiratory disease caused by severe acute respiratory syndrome coronavirus two (SARS-CoV-2). Preparedness of health facilities to prevent the spread of COVID-19 is an immediate priority to safeguard patients and healthcare workers and to reduce the spread of the pandemic. However, the preparedness of health centers in south Wollo zone is unknown.

OBJECTIVE

To assess the preparedness of Health Centers for COVID-19 in South Wollo Zone, Ethiopia, 2020.

METHODS

Health facility-based cross-sectional study was conducted among forty-six Health Centers in South Wollo zone in August 2020. The sampled health centers were selected by lottery method. The data was collected from the manager of the health centers using a pretested interviewer-administered and observational checklist. The ReadyScore criteria was used to classify the level of preparedness, in which health centers with a score of >80%, 40-80%, and <40% were considered as better prepared, work to do, and not ready, respectively.

RESULTS

In this study, the median score of health centers preparedness for COVID-19 was 70.3 ± 21.6 interquartile ranges with a minimum score of 40.5 and the maximum score of 83.8. Only 12 (26.1%) of the health centers were prepared for the COVID-19 pandemic. The majority (73.9%) of the health centers were found within the group of "work to do". Conversely, none of the health centers were found within the "not ready" or below group.

CONCLUSION

This study concluded that the preparedness status of the majority of health centers in South Wollo Zone was within the "work to do" group. Therefore, the local government and other concerned bodies should monitor and support health centers to increase their preparedness and to build their capacity.

摘要

背景

2019冠状病毒病(COVID-19)是一种由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的高传染性呼吸道疾病。卫生机构做好预防COVID-19传播的准备工作是保护患者和医护人员以及减少疫情传播的当务之急。然而,南沃洛地区卫生中心的准备情况尚不清楚。

目的

评估2020年埃塞俄比亚南沃洛地区卫生中心对COVID-19的准备情况。

方法

2020年8月,在南沃洛地区的46个卫生中心开展了基于卫生机构的横断面研究。采用抽签法选择抽样卫生中心。通过经过预测试的访谈员管理和观察清单从卫生中心经理处收集数据。采用准备得分标准对准备水平进行分类,得分>80%、40-80%和<40%的卫生中心分别被视为准备较好、有待改进和未做好准备。

结果

在本研究中,卫生中心对COVID-19的准备情况中位数得分为70.3±21.6(四分位间距),最低分为40.5,最高分为83.8。只有12个(26.1%)卫生中心为COVID-19大流行做好了准备。大多数(73.9%)卫生中心属于“有待改进”组。相反,未发现卫生中心属于“未做好准备”或更低分组。

结论

本研究得出结论,南沃洛地区大多数卫生中心的准备状况属于“有待改进”组。因此,地方政府和其他相关机构应监测并支持卫生中心,以提高其准备水平并建设其能力。

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