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《埃塞俄比亚阿姆哈拉地区贡德尔大学综合专科医院五岁以下儿童可获得和使用世界卫生组织推荐的救命药的情况》。

Availability and Utilization of the WHO-Recommended Lifesaving Medicines for Under-Five Children at University of Gondar Comprehensive Specialized Hospital, Amhara Region, Ethiopia.

机构信息

Department of Pharmaceutics and Social Pharmacy, School of Pharmacy, 362057University of Gondar- College of Medicine and Health Sciences, Gondar, Ethiopia.

Department of Pharmacology, School of Pharmacy, 362057University of Gondar- College of Medicine and Health Sciences, Gondar, Ethiopia.

出版信息

Inquiry. 2021 Jan-Dec;58:469580211060179. doi: 10.1177/00469580211060179.

Abstract

According to the World Health Organization report, 5.4 million under-five children died, which is similar to under-five mortality rate of 39 deaths per 1000 live births. This rate is higher in sub-Saharan Africa with 76 deaths per 1000 live births. More than 1 out of every 2 deaths is because of diseases that can be managed with drug of low-cost and high quality. Institutional-based cross-sectional survey was conducted from January to February 2021, at the University of Gondar Comprehensive Specialized Hospital. Statistical Package for the Social Sciences software version 24 was used for data analysis. The results were presented using Figures, tables, and texts according to the nature of the data. The overall average availability of priority medicines was 75% on the day of visit and the average stock-out duration in the last 6 months was 23.85 days. Availability and utilization of priority medicines for the management of antiretroviral infections, Vitamin A deficiency, malaria, and diarrheal cases were high, whereas availability and utilization of suggested medication for neonatal sepsis were very low. A significant proportion of priority diseases was managed by non-priority medications. Medicines supply sources of the country, ministry of health, policymakers as well as facility managers should work in collaboration toward ensuring sustainable and consistent availability of priority medicines through the country. Continues in-service training of healthcare professionals is also mandatory to update themselves with newly developed guidelines, standards, and recommendations.

摘要

根据世界卫生组织的报告,有 540 万五岁以下儿童死亡,五岁以下儿童死亡率与每 1000 例活产死亡 39 例相近。撒哈拉以南非洲地区这一比率更高,每 1000 例活产死亡 76 例。每 2 例死亡中就有超过 1 例是可以用低成本、高质量药物治疗的疾病导致的。2021 年 1 月至 2 月,在贡德尔大学综合专科医院进行了基于机构的横断面调查。采用社会科学统计软件包第 24 版进行数据分析。根据数据的性质,使用数字、表格和文本呈现结果。在就诊当天,优先药物的总体平均可得性为 75%,在过去 6 个月的平均缺货持续时间为 23.85 天。抗逆转录病毒感染、维生素 A 缺乏症、疟疾和腹泻病例管理中优先药物的可得性和利用率较高,而新生儿败血症建议用药的可得性和利用率非常低。相当一部分优先疾病是用非优先药物治疗的。国家、卫生部的药品供应来源、决策者以及医疗机构管理者应该共同努力,确保通过国家可持续和一致地提供优先药物。医疗保健专业人员的持续在职培训也是必要的,以更新他们对新制定的指南、标准和建议的了解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b56/8673866/80b0c7ce58f8/10.1177_00469580211060179-fig1.jpg

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