Integration of basic dermatological care into primary health care services in Mali.
OBJECTIVE: To evaluate, in a developing country, the effect of a short training programme for general health care workers on the management of common skin diseases--a neglected component of primary health care in such regions. METHODS: We provided a one-day training programme on the management of th...
| Publicado en: | Bulletin of the World Health Organization Vol. 83; no. 12; pp. 935 - 942 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
World Health Organization
Dec2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106446034&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106446034 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00429686 BUW jtl: Bulletin of the World Health Organization issn: 00429686 maglogo: N pubinfo: dt: Dec2005 vid: 83 iid: 12 pid: 437 pub: World Health Organization artinfo: ui: 106446034 106446034 2009169992 NLM16462986 106446034 ppf: 935 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Integration of basic dermatological care into primary health care services in Mali. aug: au: Mahé A Faye O N'Diaye HT Konaré HD Coulibaly I Kéita S Traoré AK Hay RJ affil: Department of Dermatology, Institut d'Hygiene Sociale, BP 7045, Dakar, Senegal; mahe@refer.sn sug: subj: Primary Health Care Trends Professional Development Quality Improvement Skin Diseases Education Chi Square Test Clinical Indicators Confidence Intervals Descriptive Statistics Female Funding Source Health Knowledge Evaluation Male Mali Odds Ratio P-Value Pretest-Posttest Design Human Female Male ab: OBJECTIVE: To evaluate, in a developing country, the effect of a short training programme for general health care workers on the management of common skin diseases--a neglected component of primary health care in such regions. METHODS: We provided a one-day training programme on the management of the skin diseases to 400 health care workers who worked in primary health care centres in the Bamako area. We evaluated their knowledge and practice before and after training. FINDINGS: Before training, knowledge about skin diseases often was poor and practice inadequate. We found a marked improvement in both parameters after training. We analysed the registers of primary health care centres and found that the proportion of patients who presented with skin diseases who benefited from a clear diagnosis and appropriate treatment increased from 42% before the training to 81% after; this was associated with a 25% reduction in prescription costs. Improved levels of knowledge and practice persisted for up to 18 months after training. CONCLUSIONS: The training programme markedly improved the basic dermatological abilities of the health care workers targeted. Specific training may be a reasonable solution to a neglected component of primary health care in many developing countries. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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