Surti Shaily B, Babu Bontha V, Parmar Ankita, Patel Geetika M, Patel Shubhangi
Department of Preventive and Social Medicine, Parul Institute of Medical Sciences and Research, Parul University, Vadodara, India.
Division of Socio-Behavioural, Health Systems & Implementation Research, Indian Council of Medical Research, New Delhi, India.
J Racial Ethn Health Disparities. 2025 Feb 17. doi: 10.1007/s40615-025-02300-4.
Healthcare providers' knowledge and perceptions significantly influence the quality of the treatment provided to the patients and thereby, effective implementation of healthcare programs. Hence, this study attempted to explore the knowledge and perceptions of the healthcare providers related to Sickle Cell Disease and effectiveness of the interventions.
This qualitative study was conducted during evaluation phase of the quasi-experimental study at Chhotaudepur district, Gujarat. It included 26 healthcare providers of four cadres, namely peripheral health workers (PHWs), lab technicians (LTs), pharmacists, and medical officers (MOs) from two intervention Primary Health Centres. Data was collected through in-depth interviews.
Most of the respondents were aware of the correct cause, etiology, and symptoms of SCD. They had knowledge of management as well, although it was mainly focused on symptomatic treatment delivered through this intervention study. Respondents shared that the disease can be prevented by mass screening, awareness generation, and counselling. Almost all respondents unanimously believed that this intervention study had positive impacts on community by establishing three tier screening mechanism and strengthening health system capacities.
Study findings revealed adequate knowledge and positive attitude among healthcare providers related to SCD. They also perceived positive impacts of the interventions on the community in terms of improved knowledge, and awareness related to SCD diagnosis and treatment. Thus, it underscores the significance of knowledge and positive attitude in the primary healthcare providers to deal with the burden of the disease on the ground level.
医疗服务提供者的知识和认知显著影响着为患者提供的治疗质量，进而影响医疗保健项目的有效实施。因此，本研究试图探讨医疗服务提供者对镰状细胞病的知识和认知以及干预措施的有效性。
本定性研究在古吉拉特邦乔陶德布尔区的准实验研究评估阶段进行。研究对象包括来自两个干预初级卫生中心的26名四个干部级别的医疗服务提供者，即外周卫生工作者（PHW）、实验室技术员（LT）、药剂师和医务人员（MO）。通过深入访谈收集数据。
大多数受访者了解镰状细胞病的正确病因、发病机制和症状。他们也有管理方面的知识，尽管主要集中在通过本干预研究提供的对症治疗上。受访者表示，通过大规模筛查、提高认识和咨询可以预防该疾病。几乎所有受访者一致认为，这项干预研究通过建立三级筛查机制和加强卫生系统能力，对社区产生了积极影响。
研究结果显示，医疗服务提供者对镰状细胞病有足够的知识和积极的态度。他们还认为干预措施对社区在提高与镰状细胞病诊断和治疗相关的知识和认识方面产生了积极影响。因此，这凸显了初级医疗服务提供者的知识和积极态度在应对基层疾病负担方面的重要性。
