Quality assurance of a diarrhoea control programme in northeastern Brazil.
Scand J Soc Med
; 22(1): 35-40, 1994 Mar.
Article
em En
| MEDLINE
| ID: mdl-8029664
ABSTRACT
PIP: The 9 states in the northeast of Brazil were divided into 4 groups based on population size and geographical distribution. In the capital cities of each state, 5-8 health units treating children with diarrhea were chosen at random. Overall, 78 health care units were studied. University-trained nurses evaluated each health care unit regarding diarrhea management and conducted interviews using questionnaires for the data collection. The survey team was split into groups of 4, each group covering 1 state. The field-work was carried out in May 1989 and took 4-6 weeks to complete. 88% of facilities surveyed were health centers, while the rest were outpatient departments in hospitals. In 40% of the facilities, the number of monthly consultations of children was known, while only 22% had information on the number of children attending for diarrhea each month. 62% of facilities had a special oral rehydration therapy (ORT) place for children. Utensils for administration of ORT were available in only half of the facilities. In 1/5 of the facilities the sugar-salt-solution packets were never or seldom available. In 32 of 65 facilities, the most recent shipment of ORS packets had arrived in the last month. 10 facilities had not received ORS for more than 6 months. In 67 facilities (86%) a physician, and in 9 a health auxiliary, was responsible for managing childhood diarrhea. 75 visits for childhood diarrhea were observed in 42 health facilities. 58 of the attendances (77%) were managed by doctors, 12 by health auxiliaries, and 5 by nurses. 90% of the patients were sent home, while the rest were treated. In 84% of cases oral rehydration therapy was prescribed, usually oral rehydration salts (ORS). Antimicrobial drugs were prescribed in 21% of the cases. Other drugs like metochlopramide, caolin-pectin, aspirin and vitamins were prescribed in 41% of the cases.
Palavras-chave
Americas; Brazil; Child Health Services; Delivery Of Health Care; Developing Countries; Diarrhea--prevention and control; Diseases; Equipment And Supplies; Evaluation Report; Health; Health Personnel; Health Services; Health Services Evaluation; Latin America; Maternal-child Health Services; Oral Rehydration; Primary Health Care; Program Evaluation; Programs; Quality Of Health Care; South America; Treatment
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Atenção Primária à Saúde
/
Garantia da Qualidade dos Cuidados de Saúde
/
Controle de Doenças Transmissíveis
/
Diarreia
Tipo de estudo:
Diagnostic_studies
/
Evaluation_studies
/
Guideline
Aspecto:
Determinantes_sociais_saude
Limite:
Child
/
Humans
País/Região como assunto:
America do sul
/
Brasil
Idioma:
En
Revista:
Scand J Soc Med
Ano de publicação:
1994
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Suécia