Beyala Landry, Nkum Collins Buh, Nangue Charlette, Nanfak Aude, Guenou Etienne, Tchio-Nighie Ketina Hirma, Ateudjieu Jerome
Department of Health Research, M.A. SANTE (Meilleur Accès aux Soins de Santé), Yaoundé, Cameroon.
Department of Public Health, Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.
Pan Afr Med J. 2024 Aug 28;48:187. doi: 10.11604/pamj.2024.48.187.41974. eCollection 2024.
management of diarrheal diseases is presented in the Integrated Management of Childhood Illnesses (IMCI) document, but is not standardized in adults. The objective of this study is to assess the knowledge, attitudes, and practices (KAP) of healthcare personnel with regard to the management of diarrhea.
a descriptive cross-sectional study was conducted among health care givers in health facilities in four (4) health districts (HDs) of Logone and Chari Department of Far North Cameroon in 2016. Consenting participants, selected exhaustively in the health facilities, responded individually to a semi-structured questionnaire administered face to face on a smartphone Open Data Kit (ODK) format. Statistical analyses of the data allowed us to highlight frequencies and proportions of variables such as the definition of diarrhea, the causes of diarrhea, diagnostic techniques and methods, and the management of these diseases.
a total of 77 professionals participated in this study, of whom 56% were nurse assistants, 22% were nurses, and 5% were physicians; 78% of them knew the World Health Organization (WHO) definition of diarrhea. Twenty-two (29%) reported having IMCI and 82% of them practiced it. Seventy-seven (100%) reported they administered a rehydration solution according to the dehydration status of the first-line patient. Metronidazole (23%), amoxicillin (17%), and cotrimoxazole (14%) are the antimicrobials frequently prescribed in children less than 5 years of age.
health care providers in Logone and Chari Department have different opinions regarding diarrheal diseases as well as on the management of its diseases. To improve the management of diarrhea, it would therefore be important to set up a standard document for the management of its diseases while ensuring its implementation by health professionals.
《儿童疾病综合管理》（IMCI）文件中介绍了腹泻病的管理，但在成人中尚未标准化。本研究的目的是评估医护人员在腹泻管理方面的知识、态度和实践（KAP）。
2016年在喀麦隆远北省洛贡和沙里省四个（4）卫生区的卫生设施中对医护人员进行了描述性横断面研究。在卫生设施中全面挑选的同意参与的参与者，以智能手机开放式数据工具包（ODK）格式面对面回答了一份半结构化问卷。对数据的统计分析使我们能够突出变量的频率和比例，如腹泻的定义、腹泻的原因、诊断技术和方法以及这些疾病的管理。
共有77名专业人员参与了本研究，其中56%是护士助理，22%是护士，5%是医生；78%的人知道世界卫生组织（WHO）对腹泻的定义。22人（29%）报告接受过IMCI培训，其中82%的人实践过。77人（100%）报告他们根据一线患者的脱水状况给予了补液溶液。甲硝唑（23%）、阿莫西林（17%）和复方新诺明（14%）是5岁以下儿童常用的抗菌药物。
洛贡和沙里省的医疗服务提供者对腹泻病及其疾病管理有不同的看法。因此，为改善腹泻管理，制定一份疾病管理标准文件并确保卫生专业人员执行将很重要。
