Hermida J
División de Nutrición y Salud del Instituto de Nutrición de Centroamérica y Panamá.
Salud Publica Mex. 1993 May-Jun;35(3):268-82.
The directorate of the North Health Area of Guatemala along with the National Nutrition Institute of Centroamérica and Panama in 1991 carried out a rapid evaluation of the quality of care provided to the population for oral rehydration, acute diarrhea and cholera. The purpose was to collect data to facilitate the implementation of efficacious activities to improve quality and optimize the use of resources. The current article contains the results of the evaluation of twenty health centers of the North Health Area of Guatemala, and the consequent activities to improve the process of care. The main failures in performance where: deficient distribution of inputs; errors in the performance of physical exams of the children in the determination of the severity of dehydration; poor use of antibiotics and in the treatment of those with severe dehydration; and specially the failure to educate the mother about the proper feeding for a sick child. The delivery of inputs improved as a outcome of the actions product of the evaluation. Another activity was a workshop, combining theory and practice, of the treatment of cholera. Currently, local authorities prepare and carry out longer term interventions taking into account the results of the evaluation.
危地马拉北部卫生区管理部门与中美洲和巴拿马国家营养研究所于1991年对为民众提供的口服补液、急性腹泻和霍乱护理质量进行了快速评估。目的是收集数据，以促进开展有效活动来提高质量并优化资源利用。本文包含对危地马拉北部卫生区20个卫生中心的评估结果以及随后为改善护理流程而开展的活动。表现方面的主要不足有：物资分配不足；在确定儿童脱水严重程度时进行身体检查存在错误；抗生素使用不当以及对重度脱水患者的治疗；特别是未能就患病儿童的正确喂养方式对母亲进行教育。作为评估行动的结果，物资供应情况得到了改善。另一项活动是关于霍乱治疗的理论与实践相结合的研讨会。目前，地方当局考虑到评估结果，准备并实施更长期的干预措施。
