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Communicable and Non-communicable Diseases Diagnosis and Treatment Service Availability at Primary Health Care Units During COVID-19 Outbreak in Ethiopia.
Gonete, Tajebew Zayede; Asseffa, Netsanet Abera; Gashu, Kassahun Dessie; Tilahun, Binyam; Angaw, Dessies Abebaw; Jisso, Meskerem; Tamiso, Alemu; Alemayehu, Akalewold; Fikre, Rekiku; Abdisa, Biru; Sime, Habtamu; Yesuf, Elias Ali; Umer, Abdurezak; Kebede, Mesfin; Mohammed, Hussen; Yazie, Bekele; Gurmu, Kassu Ketema; Endehabtu, Berhanu Fikadie.
Afiliación
  • Gonete TZ; University of Gonder, College of Medicine and Health Science, Institute of Public Health, Gonder, Ethiopia.
  • Asseffa NA; Hawassa University, College of Medicine and Health Sciences, Hawassa, Ethiopia.
  • Gashu KD; University of Gonder, College of Medicine and Health Science, Institute of Public Health, Gonder, Ethiopia.
  • Tilahun B; University of Gonder, College of Medicine and Health Science, Institute of Public Health, Gonder, Ethiopia.
  • Angaw DA; University of Gonder, College of Medicine and Health Science, Institute of Public Health, Gonder, Ethiopia.
  • Jisso M; Hawassa University, College of Medicine and Health Sciences, Hawassa, Ethiopia.
  • Tamiso A; Hawassa University, College of Medicine and Health Sciences, Hawassa, Ethiopia.
  • Alemayehu A; Hawassa University, College of Medicine and Health Sciences, Hawassa, Ethiopia.
  • Fikre R; Hawassa University, College of Medicine and Health Sciences, Hawassa, Ethiopia.
  • Abdisa B; Jimma University, Institute of Health, Jimma, Ethiopia.
  • Sime H; Jimma University, Institute of Health, Jimma, Ethiopia.
  • Yesuf EA; Jimma University, Institute of Health, Jimma, Ethiopia.
  • Umer A; Dire Dawa University, College of Medicine and Health Sciences, Dire Dawa, Ethiopia.
  • Kebede M; Dire Dawa University, College of Medicine and Health Sciences, Dire Dawa, Ethiopia.
  • Mohammed H; Dire Dawa University, College of Medicine and Health Sciences, Dire Dawa, Ethiopia.
  • Yazie B; Dire Dawa University, College of Medicine and Health Sciences, Dire Dawa, Ethiopia.
  • Gurmu KK; World Health Organization Country Office for Ethiopia, Universal Health Coverage/Life Course, Health System Strengthening Team, Addis Ababa, Ethiopia.
  • Endehabtu BF; University of Gonder, College of Medicine and Health Science, Institute of Public Health, Gonder, Ethiopia.
Ethiop J Health Sci ; 33(Spec Iss 2): 95-104, 2023 Oct.
Article en En | MEDLINE | ID: mdl-38352666
ABSTRACT

Background:

Non-communicable diseases (NCDs) pose a substantial global health challenge, resulting in an annual death toll of over 15 million individuals aged 30 to 69. Ethiopia, categorized as COVID-19 vulnerable, grapples with NCD treatment challenges. This study aims to assess disease service availability at primary health units in Ethiopia during the pandemic.

Methods:

A facility-based cross-sectional study was conducted from October to December 2021 across regions, encompassing 452 facilities 92 health centers, 16 primary hospitals, 344 health posts, and 43 districts. Facility selection, based on consultation with regional health bureaus, included high, medium, and low performing establishments. The study employed the WHO tool for COVID-19 capacity assessment and evaluated services for various diseases using descriptive analysis.

Results:

Results reveal service disruptions in the past year hospitals (55.6%), health centers (21.7%), districts (30.2%), and health posts (17.4%). Main reasons were equipment shortages (42%), lack of skilled personnel (24%), and insufficient infection prevention supplies (18.8%). While tuberculosis treatment was fully available in 23% of health posts and malaria services in 65.7%, some health centers lacked HIV/AIDS, cardiovascular, mental health, and cervical cancer services. Most communicable and non-communicable disease diagnoses and treatments were fully accessible at primary hospitals, except for cervical cancer (56.3%) and mental health (62.5%) services.

Conclusion:

Significant gaps exist in expected services at primary health units. Improving disease care accessibility necessitates strengthening the supply chain, resource management, capacity building, and monitoring systems.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Enfermedades no Transmisibles / COVID-19 Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Female / Humans País/Región como asunto: Africa Idioma: En Revista: Ethiop J Health Sci Año: 2023 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Etiopia
Texto completo
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XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Enfermedades no Transmisibles / COVID-19 Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Límite: Female / Humans País/Región como asunto: Africa Idioma: En Revista: Ethiop J Health Sci Año: 2023 Tipo del documento: Article País de afiliación: Etiopia Pais de publicación: Etiopia