Heal-Africa, Goma, Democratic Republic of Congo.
Africa Center of Excellence for Communicable Diseases Prevention and Control (CEA-PCMT), University Gamal Abdel Nasser, Conakry, Guinea.
Front Public Health. 2022 Jun 9;10:902107. doi: 10.3389/fpubh.2022.902107. eCollection 2022.
This study aimed to document the experience of integration and the contribution of the (CT) to female genital fistula (FGF) management and data quality in sites supported by the + Project in the Democratic Republic of Congo (DRC), from 2017 to 2019. It was a parallel mixed methods study using routine quantitative data and qualitative data from in-depth interviews with the project staff. Quantitative findings indicated that CT forms were present in the medical records of 63% of patients; of these, 38% were completely filled out, and 29% were correctly filled out. Qualitative findings suggested that the level of use of CT in the management of FGF was associated with staff familiarity with the CT, staff understanding of concepts in the CT forms, and the CT-related additional workload. The CT has mainly contributed to improving data quality and reporting, quality of care, follow-up of fistula patients, and self-supervision of management activities. A possible simplification of the CT and/or harmonization of its content with existing routine forms, coupled with adequate continuous training of staff on record-keeping, would further contribute to maximizing CT effectiveness and sustainability.
本研究旨在记录整合经验以及 (CT) 在刚果民主共和国（DRC）+项目支持的地点中对女性生殖器瘘（FGF）管理和数据质量的贡献，研究时间为 2017 年至 2019 年。这是一项使用常规定量数据和项目工作人员深入访谈的定性数据的平行混合方法研究。定量发现表明，63%的患者病历中都有 CT 表格；其中 38%填写完整，29%填写正确。定性结果表明，CT 在 FGF 管理中的使用程度与工作人员对 CT 的熟悉程度、工作人员对 CT 表格中概念的理解以及 CT 相关的额外工作量有关。CT 主要有助于提高数据质量和报告、护理质量、瘘管患者的随访以及管理活动的自我监督。CT 表格的简化和/或内容与现有常规表格的统一，以及对工作人员记录保存的充分持续培训，将进一步有助于最大限度地提高 CT 的效果和可持续性。
