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首页> 外文期刊>BMC research notes >Challenges in the control of Human African Trypanosomiasis in the Mpika district of Zambia
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Challenges in the control of Human African Trypanosomiasis in the Mpika district of Zambia

机译：赞比亚Mpika区控制非洲锥虫病的挑战

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Background Human African Trypanosomiasis is one of the Neglected Tropical Diseases that is targeted for elimination by the World Health Organization . Strong health delivery system in endemic countries is required for a control program to eliminate this disease. In Zambia, Human African Trypanosomiasis is lowly endemic in the northeastern part of the country. Findings We conducted a cross-sectional survey of health institutions in Mpika district in Northern Province of Zambia from 9th to 23rd November 2011. The aim of this study was to assess current health delivery system in the management of Human African Trypanosomiasis cases in Mpika district, Northern Province of Zambia. Ten health institutions were covered in the survey. Two structured questionnaires targeting health workers were used to collect the data on general knowledge on HAT and state of health care facilities in relation to HAT management from the surveyed health institution. Only 46% of the 28 respondents scored more than 50% from the questionnaire on general knowledge about Human African Trypanosomiasis disease. None of the respondents knew how to differentiate the two clinical stages of Human African Trypanosomiasis disease. There were only three medical doctors to attend to all Human African Trypanosomiasis cases and other diseases at the only diagnostic and treatment hospital in Mpika district. The supply of antitrypanosomal drugs to the only treatment centre was erratic. Only one refresher course on Human African Trypanosomiasis case diagnosis and management for health staff in the district had been organized by the Ministry of Health in conjunction with the World Health Organization in the district in 2009. The referral system for suspected Human African Trypanosomiasis cases from Rural Health Centres (RHCs) to the diagnostic/treatment centre was inefficient. Conclusions There are a number of challenges that have been identified and need to be addressed if Human African Trypanosomiasis is to be eliminated in a lowly endemic country such as Zambia. These include shortage of trained health workers, inadequate diagnostic and treatment centres, lack of more sensitive laboratory diagnostic techniques, shortage of trypanosomicides among others discussed in detail here.
机译：背景人类非洲锥虫病是被世界卫生组织消除的一种被忽视的热带疾病。采取控制计划以消除这种疾病需要流行国家的强有力的卫生保健系统。在赞比亚，非洲非洲锥虫病在该国东北部是地方性流行病。调查结果我们对赞比亚北部省姆皮卡区的卫生机构进行了横断面调查，调查范围从9 th 到23 rd 2011年11月。本研究的目的是评估赞比亚北部省Mpika区管理非洲人类锥虫病病例的当前医疗服务提供系统。调查覆盖了十个卫生机构。使用两个针对卫生工作者的结构化问卷，从被调查的卫生机构收集有关HAT的常识以及与HAT管理有关的卫生保健设施状况的数据。 28名受访者中，只有46％的受访者对人类非洲锥虫病的一般知识得分超过50％。没有一个受访者知道如何区分人类非洲锥虫病的两个临床阶段。在Mpika地区唯一的诊断和治疗医院中，只有三位医生来处理所有人类非洲锥虫病病例和其他疾病。向唯一的治疗中心供应抗锥虫药的情况很不稳定。卫生部与世界卫生组织于2009年在该地区仅组织了一次有关该地区卫生人员的人类非洲锥虫病病例诊断和管理的进修课程。从农村转诊可疑人类非洲锥虫病病例的系统诊断中心/治疗中心的卫生中心（RHC）效率低下。结论要在诸如赞比亚这样的低流行国家消除人类非洲锥虫病，已经发现了许多挑战，需要解决这些挑战。其中包括缺乏经过培训的卫生工作者，不足的诊断和治疗中心，缺乏更敏感的实验室诊断技术，缺乏锥虫杀菌剂等，这里将详细讨论。

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