关键词: Healthcare facilities India WHO Package of Essential Noncommunicable Diseases noncommunicable diseases preparedness Healthcare facilities India WHO Package of Essential Noncommunicable Diseases noncommunicable diseases preparedness Healthcare facilities India WHO Package of Essential Noncommunicable Diseases noncommunicable diseases preparedness

Mesh : Cross-Sectional Studies Delivery of Health Care Health Facilities Humans India Noncommunicable Diseases / therapy Primary Health Care

来  源:   DOI:10.4103/ijph.ijph_29_22

Abstract:
UNASSIGNED: India is experiencing a rapid health transition with a rising burden of noncommunicable diseases (NCDs), causing significant morbidity and mortality. Cost-effective interventions for comprehensive NCD management can only be designed after assessing the readiness of various health facilities.
UNASSIGNED: This study aimed to assess the preparedness of healthcare facilities of Manipur in the management of NCDs and to assess the knowledge of doctors regarding NCDs.
UNASSIGNED: A cross-sectional study was conducted in 21 public healthcare facilities in seven districts of Manipur during October 2021. Readiness of these facilities was assessed through observation and interview of doctors and nurses using a checklist adapted from the WHO Package of Essential NCDs. Knowledge of 153 doctors was also assessed using a self-administered, structured questionnaire. Data were entered in SPSS-26 and expressed using descriptive statistics.
UNASSIGNED: General readiness index of primary health centers (PHCs), community health centers (CHCs), district hospitals (DHs), and tertiary care centers (TCCs) was 47%, 66.3%, 73.2%, and 70%, respectively. CHCs were ready in the domains of patient care services (80%), human resources (75%), and advocacy (91.7%). DHs and TCCs were ready in terms of patient care services, human resources, record maintenance, referral system, and advocacy. PHCs were not ready in any of the nine domains. Majority of the doctors (88%) had inadequate knowledge regarding NCDs.
UNASSIGNED: PHCs and CHCs were not adequately prepared, but DHs and TCCs were ready to manage NCDs. More than four-fifth of the doctors had inadequate knowledge. Strengthening PHCs and CHCs and training of healthcare workers are needed for integrated NCD management.
摘要:
UNASSIGNED:印度正在经历快速的卫生转型,非传染性疾病负担不断上升,导致显著的发病率和死亡率。只有在评估各种卫生设施的准备情况后,才能设计具有成本效益的综合非传染性疾病管理干预措施。
UNASSIGNED:本研究旨在评估曼尼普尔邦医疗机构在非传染性疾病管理方面的准备情况,并评估医生对非传染性疾病的了解。
UNASSIGNED:2021年10月,在曼尼普尔七个地区的21个公共医疗机构进行了一项横断面研究。使用根据世卫组织基本非传染性疾病一揽子计划改编的清单,通过对医生和护士的观察和访谈来评估这些设施的准备情况。还使用自我管理的方法评估了153名医生的知识,结构化问卷。数据在SPSS-26中输入并使用描述性统计来表示。
未经评估:初级保健中心(PHCs)的一般准备指数,社区卫生中心(CHC),地区医院(DHs),三级护理中心(TCC)占47%,66.3%,73.2%,70%,分别。CHC已在患者护理服务领域准备就绪(80%),人力资源(75%),和宣传(91.7%)。就病人护理服务而言,医院和部队派遣队已经准备就绪,人力资源,记录维护,转介系统,和宣传。在九个域中的任何一个域中都没有准备好PHC。大多数医生(88%)对非传染性疾病的认识不足。
未经批准:PHCs和CHCs准备不足,但是卫生部和TCC已经准备好管理非传染性疾病。超过五分之四的医生知识不足。NCD综合管理需要加强PHC和CHC以及对医护人员的培训。
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