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Evaluation de la capacité opérationnelle des établissements sanitaires de première ligne dans la prise en charge du paludisme en Côte d’Ivoire

INTRODUCTION: Do health facilities (HF) have basic resources needed to manage malaria? The purpose of our study was to analyze the operational capacity (OC) of first-line health facilities in Ivory Coast in the management of malaria. METHODS: SARA methodology was used to conduct a descriptive cross-...

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Autores principales: Meless, David Guanga, Hounsa, Annita Emeline, Sangaré, Abou Dramane, Pongathié, Adama Sanogo, Kouakou, Julie Sackou, Samba, Mamadou, Kouadio, Luc
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859026/
https://www.ncbi.nlm.nih.gov/pubmed/31762885
http://dx.doi.org/10.11604/pamj.2019.34.16.19932
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author Meless, David Guanga
Hounsa, Annita Emeline
Sangaré, Abou Dramane
Pongathié, Adama Sanogo
Kouakou, Julie Sackou
Samba, Mamadou
Kouadio, Luc
author_facet Meless, David Guanga
Hounsa, Annita Emeline
Sangaré, Abou Dramane
Pongathié, Adama Sanogo
Kouakou, Julie Sackou
Samba, Mamadou
Kouadio, Luc
author_sort Meless, David Guanga
collection PubMed
description INTRODUCTION: Do health facilities (HF) have basic resources needed to manage malaria? The purpose of our study was to analyze the operational capacity (OC) of first-line health facilities in Ivory Coast in the management of malaria. METHODS: SARA methodology was used to conduct a descriptive cross-sectional study from 10 to 30 July 2016. The operational capacity in the management showed an average availability of 9 identification tracers divided in 3 areas: (i) staff and guidelines; (ii) capacity of diagnosis; (iii) drugs and products. This operational capacity was assessed through the calculation of an index and then compared with the health facilities according to the management authority and the geographical area using Chi-square test with p-values α fixed at 0.05. RESULTS: Out of 818 HFs, 651(79.6%) were in the public sector and 487(59.5%) were located in the rural area. The operational capacity of first line health facilities was 74.5%. This OC was higher in the public sector (81.3%) than in the private sector (48.8%) (p < 10(-3)) as well as in the rural area (82.7%) compared to the urban area (62.9%) (p < 10(-3)). CONCLUSION: In 2016, first line health facilities in Ivory Coast had basic resources needed to manage malaria. It is necessary to focus on the need to strengthen health facility services in addition to prevention.
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spelling pubmed-68590262019-11-22 Evaluation de la capacité opérationnelle des établissements sanitaires de première ligne dans la prise en charge du paludisme en Côte d’Ivoire Meless, David Guanga Hounsa, Annita Emeline Sangaré, Abou Dramane Pongathié, Adama Sanogo Kouakou, Julie Sackou Samba, Mamadou Kouadio, Luc Pan Afr Med J Research INTRODUCTION: Do health facilities (HF) have basic resources needed to manage malaria? The purpose of our study was to analyze the operational capacity (OC) of first-line health facilities in Ivory Coast in the management of malaria. METHODS: SARA methodology was used to conduct a descriptive cross-sectional study from 10 to 30 July 2016. The operational capacity in the management showed an average availability of 9 identification tracers divided in 3 areas: (i) staff and guidelines; (ii) capacity of diagnosis; (iii) drugs and products. This operational capacity was assessed through the calculation of an index and then compared with the health facilities according to the management authority and the geographical area using Chi-square test with p-values α fixed at 0.05. RESULTS: Out of 818 HFs, 651(79.6%) were in the public sector and 487(59.5%) were located in the rural area. The operational capacity of first line health facilities was 74.5%. This OC was higher in the public sector (81.3%) than in the private sector (48.8%) (p < 10(-3)) as well as in the rural area (82.7%) compared to the urban area (62.9%) (p < 10(-3)). CONCLUSION: In 2016, first line health facilities in Ivory Coast had basic resources needed to manage malaria. It is necessary to focus on the need to strengthen health facility services in addition to prevention. The African Field Epidemiology Network 2019-09-06 /pmc/articles/PMC6859026/ /pubmed/31762885 http://dx.doi.org/10.11604/pamj.2019.34.16.19932 Text en © David Guanga Meless et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Meless, David Guanga
Hounsa, Annita Emeline
Sangaré, Abou Dramane
Pongathié, Adama Sanogo
Kouakou, Julie Sackou
Samba, Mamadou
Kouadio, Luc
Evaluation de la capacité opérationnelle des établissements sanitaires de première ligne dans la prise en charge du paludisme en Côte d’Ivoire
title Evaluation de la capacité opérationnelle des établissements sanitaires de première ligne dans la prise en charge du paludisme en Côte d’Ivoire
title_full Evaluation de la capacité opérationnelle des établissements sanitaires de première ligne dans la prise en charge du paludisme en Côte d’Ivoire
title_fullStr Evaluation de la capacité opérationnelle des établissements sanitaires de première ligne dans la prise en charge du paludisme en Côte d’Ivoire
title_full_unstemmed Evaluation de la capacité opérationnelle des établissements sanitaires de première ligne dans la prise en charge du paludisme en Côte d’Ivoire
title_short Evaluation de la capacité opérationnelle des établissements sanitaires de première ligne dans la prise en charge du paludisme en Côte d’Ivoire
title_sort evaluation de la capacité opérationnelle des établissements sanitaires de première ligne dans la prise en charge du paludisme en côte d’ivoire
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6859026/
https://www.ncbi.nlm.nih.gov/pubmed/31762885
http://dx.doi.org/10.11604/pamj.2019.34.16.19932
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