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尼日利亚伊巴丹市基层医疗保健工作者对被忽视热带病的认知与报告。

Recognition and reporting of neglected tropical diseases by primary health care workers in Ibadan, Nigeria.

机构信息

Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.

出版信息

Pan Afr Med J. 2021 Feb 26;38:224. doi: 10.11604/pamj.2021.38.224.20576. eCollection 2021.

DOI:10.11604/pamj.2021.38.224.20576
PMID:34046129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8140673/
Abstract

INTRODUCTION

neglected tropical diseases (NTDs) are serious public health problem worldwide. Primary healthcare (PHC) workers are important in the prevention and control of these diseases. Accurate diagnosis and timely reporting are essential for effective public health response. The study assessed the knowledge of PHC workers on NTDs and identified factors influencing its recognition and reporting.

METHODS

the study was a hospital based cross-sectional survey. A multistage sampling technique was used to select 327 healthcare workers from sixty-six PHC facilities in Ibadan, Oyo State, Nigeria. A semi-structured, self-administered questionnaire was used to elicit information on respondent´s socio-demographic characteristics, knowledge, recognition and reporting of NTDs. Data analysis were done using independent sample t-test, analysis of variance and logistic regression with p-value set at 0.05.

RESULTS

one hundred and eighty seven (57.2%) respondents had good knowledge of NTDs. The NTDs most known were; Schistosomiasis (78%), Rabies (64.5%), and Onchocerciasis (57.2%). Urban healthcare workers had higher knowledge score on NTDs (p= 0.018). Young age (AOR= 3.40, CI= 1.20 -9.63), length of practice (AOR=4.65, CI= 1.20-18.09) and previous training on NTDs (AOR = 7.09, CI= 3.15 - 15.93) significantly predicted NTDs recognition, while availability of reporting forms (AOR= 3.17, CI=1.07 - 9.35), training on disease reporting (AOR= 3.41, CI= 11.17 - 9.92) and feedback on previous diseases reported (AOR= 4.12, CI= 1.32-12.80) were significant predictors of reporting NTDs.

CONCLUSION

the healthcare workers knowledge on NTDs was inadequate. Periodic training and continued education on NTDs are recommended. PHC workers also require supportive supervision.

摘要

简介

被忽视的热带病(NTDs)是全球严重的公共卫生问题。基层医疗保健(PHC)工作者在这些疾病的预防和控制中起着重要作用。准确的诊断和及时报告对于有效的公共卫生应对至关重要。本研究评估了 PHC 工作者对 NTDs 的知识,并确定了影响其识别和报告的因素。

方法

本研究是一项基于医院的横断面调查。采用多阶段抽样技术,从尼日利亚奥约州伊巴丹的 66 个 PHC 设施中选择了 327 名医护人员。使用半结构式、自我管理的问卷来获取有关受访者社会人口特征、知识、识别和报告 NTDs 的信息。数据分析采用独立样本 t 检验、方差分析和逻辑回归,p 值设为 0.05。

结果

187 名(57.2%)受访者对 NTDs 有较好的了解。最知名的 NTDs 是:血吸虫病(78%)、狂犬病(64.5%)和盘尾丝虫病(57.2%)。城市医护人员对 NTDs 的知识得分更高(p=0.018)。年轻(AOR=3.40,CI=1.20-9.63)、从业时间(AOR=4.65,CI=1.20-18.09)和之前接受过 NTD 培训(AOR=7.09,CI=3.15-15.93)显著预测 NTDs 的识别,而报告表的可用性(AOR=3.17,CI=1.07-9.35)、疾病报告培训(AOR=3.41,CI=11.17-9.92)和对之前报告疾病的反馈(AOR=4.12,CI=1.32-12.80)是报告 NTDs 的显著预测因素。

结论

医护人员对 NTDs 的知识不足。建议定期进行 NTD 培训和继续教育。还需要对 PHC 工作者进行支持性监督。