Dr Shohana Shobnam Mouly, Medical Officer, Health Nutrition and Population Programme (HNPP), Mohakhali, Dhaka, Bangladesh; Email:
Mymensingh Med J. 2024 Oct;33(4):1157-1165.
The global health system faces a substantial burden from the Covid-19 pandemic. To prevent Covid-19 transmission an effective triage system is useful in resource-limited countries like Bangladesh. The purpose of the study was to determine the status of the triage system in a dedicated Covid-19 Hospital. This cross-sectional study was conducted among conveniently selected 150 respondents including 63 doctors, 72 nurses and 15 administrative staff. Data were collected through face-to-face interviews using a pretested semi-structured questionnaire and observation checklist. The collected data were processed and analyzed with the help of SPSS (Version 26.0) and Xcel 2019. The study was conducted at Kurmitola General Hospital, Bangladesh from January 2020 to December 2020. Among study participants, 54.0% of the respondents belonged to the (31-40) age group and 74.0% were female. Half 50.7% of the respondents working duration was (0-4) years. Two-thirds 67.0% of the respondents had training on the triage system. All of the respondents mentioned the presence of a triage system in this hospital but there was no tele-triage. Regarding infrastructure facilities like triage room, sitting facilities with 1-meter distance in waiting area, one-way entrance, and exit, separated ticket counter and washroom, proper hand wash facilities, all were present in this hospital. All of the respondents mentioned the presence of available logistic support for the triage system in this dedicated Covid-19 hospital including a sufficient supply of PPE, thermometer, and pulse oximeter. All doctors and nurses wore PPE. Almost four-fifths 87.30% of the respondents mention that there was no training on donning and doffing procedure of PPE. There was a statistically significant association between training on triage with age group and occupation of the respondents (p<0.05). The ideal working time of healthcare providers was not maintained. There had no facilities of isolated accommodation and health checkups for staff. But RT-PCR for Covid-19 test was done for all staff when he/she returns to normal life after duty. Based on study findings it has been concluded that the infrastructure facilities and logistic supports are sufficient. But staff management has to be improved and the authority should pay special attention to an effective triage system.
全球卫生系统面临着 COVID-19 大流行带来的巨大负担。为了防止 COVID-19 的传播，在孟加拉国等资源有限的国家，一个有效的分诊系统是有用的。本研究的目的是确定专门的 COVID-19 医院分诊系统的现状。本横断面研究在 150 名方便选择的受访者中进行，包括 63 名医生、72 名护士和 15 名行政人员。通过使用预测试的半结构化问卷和观察检查表进行面对面访谈收集数据。在 SPSS（版本 26.0）和 Xcel 2019 的帮助下处理和分析收集的数据。该研究于 2020 年 1 月至 12 月在孟加拉国的库米托拉综合医院进行。在研究参与者中，54.0%的受访者属于（31-40）岁年龄组，74.0%是女性。一半 50.7%的受访者的工作时间为（0-4）年。三分之二 67.0%的受访者接受过分诊系统培训。所有受访者都提到这家医院有分诊系统，但没有远程分诊。关于分诊室等基础设施、等候区 1 米距离的坐席设施、单向入口和出口、分开的售票柜台和洗手间、适当的洗手设施，这家医院都有。所有受访者都提到这家专门的 COVID-19 医院有分诊系统的后勤支持，包括足够的个人防护设备、温度计和脉搏血氧仪供应。所有医生和护士都穿戴个人防护设备。将近五分之四 87.3%的受访者表示，没有接受过个人防护设备穿脱程序的培训。受访者的年龄组和职业与分诊培训之间存在统计学显著关联（p<0.05）。医护人员的理想工作时间没有得到维持。没有为员工提供隔离住宿和体检的设施。但所有员工在值班后恢复正常生活时，都要进行 COVID-19 检测的 RT-PCR。根据研究结果，结论是基础设施和后勤支持是充足的。但员工管理有待改进，当局应特别注意有效的分诊系统。
