Elgadi Ammar, Mustafa Reem, Muddathir Sara, Altraifi Sara, Shikhidris Amar, Abusalih Omar, Algali Omer, Hamid Omer, Omer Omer, Hyder Alzhraa, Dafaalla Zahra, Eltayeb Zeinab, Mohammed Zainab, Abdellateef Sara, Ali Sara, Tageldein Saria, Fathi Sujood, Khalifa Saeed
Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
Medicine (Baltimore). 2025 Jul 25;104(30):e43640. doi: 10.1097/MD.0000000000043640.
Sudan faces significant healthcare challenges in providing adequate healthcare, particularly in rural areas, due to a lack of infrastructure, trained medical professionals, and low health awareness. Elttondoub village faces various health problems related to endemic and chronic diseases, contaminated water sources, and poor healthcare accessibility. The present study aims to assess health issues and accessibility in Elttondoub village, reported by community leaders, and to draw effective strategies to improve healthcare accessibility and promote community involvement in healthcare. This community-based qualitative study involved 5 focus group discussions with community leaders and residents in Elttondoub villages, Sudan. The sample was purposive and volunteer-based, and consisted of teachers, medical workers, religious leaders, and the local people's committee. Data was collected through voice recordings and field notes, which were transcribed and analyzed thematically using Atlas.ti9. The interviews were based on the World Health Organization community health needs assessment and were translated into Arabic. A total of 23 community leaders were interviewed. There were several health problems in Elttondoub village, including malaria, chronic diseases, and water contamination. Healthcare accessibility was limited due to transportation, financial, and political issues. Also, there is a shortage of medical professionals. Residents showed good levels of health knowledge regarding their common endemic diseases. The main health challenges were the use of a first aid kit and when to seek medical advice. Medical professionals and religious leaders were the most trusted sources of health education, as the residents headed to them when they sought medical advice. Community solutions suggested included preventive measures, improving healthcare infrastructure, and organizing health education programs. The construction of roads and bridges over creeks and the completion of the landfill project were suggested as feasible ways to improve healthcare accessibility. The study emphasizes the need for health education programs by organizing health training sessions and workshops for the community. Community involvement and engaging with the government to address health issues and establish an appropriate environment for medical personnel to solve the shortage, and assist in educating residents about their health. Healthcare accessibility improvement by constructing roads and bridges will facilitate transportation.
由于缺乏基础设施、训练有素的医疗专业人员以及健康意识淡薄，苏丹在提供充足的医疗保健方面面临重大挑战，特别是在农村地区。埃尔顿杜布村面临着与地方病和慢性病、受污染的水源以及医疗保健可及性差相关的各种健康问题。本研究旨在评估社区领导人报告的埃尔顿杜布村的健康问题和可及性，并制定有效的策略以改善医疗保健可及性，促进社区参与医疗保健。这项基于社区的定性研究涉及与苏丹埃尔顿杜布村的社区领导人和居民进行的5次焦点小组讨论。样本是有目的的且基于志愿者，由教师、医务工作者、宗教领袖和当地人民委员会组成。数据通过录音和实地笔记收集，转录后使用Atlas.ti9进行主题分析。访谈基于世界卫生组织的社区健康需求评估，并翻译成阿拉伯语。总共采访了23名社区领导人。埃尔顿杜布村存在若干健康问题，包括疟疾、慢性病和水污染。由于交通、财务和政治问题，医疗保健可及性有限。此外，医疗专业人员短缺。居民对其常见地方病有较好的健康知识水平。主要的健康挑战是急救包的使用以及何时寻求医疗建议。医疗专业人员和宗教领袖是最受信任的健康教育来源，因为居民在寻求医疗建议时会去找他们。建议的社区解决方案包括预防措施、改善医疗保健基础设施以及组织健康教育项目。建议修建跨越小溪的道路和桥梁以及完成垃圾填埋项目，作为改善医疗保健可及性的可行方法。该研究强调需要通过为社区组织健康培训课程和研讨会来开展健康教育项目。社区参与并与政府合作，以解决健康问题，为医务人员创造适当的环境以解决短缺问题，并协助教育居民了解自身健康。通过修建道路和桥梁改善医疗保健可及性将便利交通。
