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探索印度西孟加拉邦农村不合格卫生从业者的升级策略:一种基于知识、态度和实践评估的方法。

Exploring the strategies for upgrading the rural unqualified health practitioners in West Bengal, India: A knowledge, attitude and practices assessment-based approach.

作者信息

Debsarma Dhiman

机构信息

Centre for the Study of Regional Development, School of Social Sciences, Jawaharlal Nehru University, New Delhi 110067, India.

出版信息

Health Policy Open. 2022 Nov 11;3:100083. doi: 10.1016/j.hpopen.2022.100083. eCollection 2022 Dec.

Abstract

INTRODUCTION

Rural Unqualified Health Practitioners (RUHPs) are more common in the village health system in India and other developing countries. They only provides primary care to patients with diarrhea, cough, malaria, dengue, ARI/pneumonia, skin diseases, etc. As they are unqualified so their quality of health practices is substandard and inappropriate to practices.

OBJECTIVE AND CONTRIBUTION

The intention of this work was to assess the Knowledge, Attitude, and Practices (KAP) of diseases among RUHPs and proposing a blueprint of potential intervention strategies for improving their knowledge and practice.

MATERIALS AND METHODS

The study has used a cross-sectional primary data and adopted quantitative approach. For assessment purpose, a composite KAP Score was constructed for two diseases (malaria and dengue).

RESULTS

The study observed that the KAP Score amongst the RUHPs are on average (about 50%) in most of the individual variables and composite scores for malaria and dengue in West Bengal, India. Their KAP score increased with age, level of education, working experiences, type of practitioners, using android mobile, work satisfaction, organization membership, attending RMP/Government workshop, heard WHO/IMC treatment protocol.

CONCLUSION

The study suggested multistage interventions includes targeting young practitioners, allopathic and homeopathic quack, launching ubiquitous app-based medical-learning, and government-sponsored workshop should be significant interventions to improve the level of knowledge, change positive attitudes, and adhere to standard health practice.

摘要

引言

在印度和其他发展中国家的乡村卫生系统中,农村不合格卫生从业者(RUHPs)更为常见。他们只为腹泻、咳嗽、疟疾、登革热、急性呼吸道感染/肺炎、皮肤病等患者提供初级护理。由于他们不合格,所以其卫生实践质量不达标且不符合规范。

目的与贡献

这项工作的目的是评估农村不合格卫生从业者对疾病的知识、态度和实践(KAP),并提出一份潜在干预策略蓝图,以提高他们的知识和实践水平。

材料与方法

该研究使用了横断面原始数据并采用定量方法。为了进行评估,针对两种疾病(疟疾和登革热)构建了一个综合KAP分数。

结果

该研究观察到,在印度西孟加拉邦,农村不合格卫生从业者在大多数个体变量以及疟疾和登革热的综合分数方面,平均KAP分数(约50%)。他们的KAP分数随着年龄、教育水平、工作经验、从业者类型、使用安卓手机、工作满意度、组织成员身份、参加注册医生/政府研讨会、听说过世界卫生组织/国际医学委员会治疗方案而增加。

结论

该研究表明,多阶段干预措施包括针对年轻从业者、对抗疗法和顺势疗法江湖郎中、推出无处不在的基于应用程序的医学学习,以及政府赞助的研讨会,这些应该是提高知识水平、改变积极态度和坚持标准卫生实践的重要干预措施。

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