Kundi M Z, Ahmad I, Anjum M
Department of Paediatrics, Rawalpindi Medical College.
J Pak Med Assoc. 1997 Jan;47(1):3-6.
To promote the use of oral rehydration therapy (ORT), a training programme was launched by The Pakistan National Programme for Control of Diarrhoeal Disease (CDD) by establishing the Diarrhoea Training Units (DTUs). Physicians trained at DTU were designated to establish functioning oral rehydration therapy (ORT) corners at their health centres and train health workers in delivery of facilities on standard diarrhoea case management. The study was designed to evaluate the functioning of ORT corners three years after their establishment. The study revealed that ORT corners have failed to achieve the main objectives of DTU programme. Twenty-four out of 49 ORT corners were non-functional after three years of their establishment, mainly due to frequent transfers of trained staff. In 22 ORT corners evaluated, performance of health professionals was far from satisfactory, 19 out of 22 doctors were found to have inadequate performance in diarrhoea management and only 3 out of 7 LHVs performed adequately. LHVs could not consistently deliver health education messages to mothers. There seems to be a lack of interest and willingness to participate actively, as more than 50% of both doctors and LHVs did not consider ORT work as their job. We conclude that the ultimate objectives of improved and appropriate diarrhoea case management through ORT corners have not been achieved.
为推广口服补液疗法（ORT），巴基斯坦国家腹泻病控制规划（CDD）通过设立腹泻病培训单位（DTUs）启动了一项培训计划。在DTU接受培训的医生被指定在其健康中心设立有效的口服补液疗法（ORT）角，并培训卫生工作者提供标准腹泻病例管理设施。该研究旨在评估ORT角设立三年后的运行情况。研究表明，ORT角未能实现DTU计划的主要目标。49个ORT角中有24个在设立三年后无法正常运行，主要原因是受过培训的工作人员频繁调动。在评估的22个ORT角中，卫生专业人员的表现远不能令人满意，22名医生中有19名在腹泻管理方面表现不佳，7名助理卫生访视员（LHVs）中只有3名表现合格。助理卫生访视员无法始终如一地向母亲们传达健康教育信息。似乎缺乏积极参与的兴趣和意愿，因为超过50%的医生和助理卫生访视员都不认为ORT工作是他们的职责。我们得出结论，通过ORT角改善和适当管理腹泻病例的最终目标尚未实现。
