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首页> 外文期刊>Reproductive Health >Health facility-based data on women receiving sulphadoxine-pyrimethamine during pregnancy in Tanzania: lessons to learn from a cross-sectional survey in Mkuranga and Mufindi districts and other national survey reports
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Health facility-based data on women receiving sulphadoxine-pyrimethamine during pregnancy in Tanzania: lessons to learn from a cross-sectional survey in Mkuranga and Mufindi districts and other national survey reports

机译：关于坦桑尼亚怀孕期间接受磺胺多辛-乙胺嘧啶的妇女的基于卫生机构的数据：在姆库兰加和穆芬迪地区进行的横断面调查以及其他国家调查报告中的经验教训

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Background A study of health facility (HF) data on women receiving sulphadoxine-pyrimethamine (SP) for intermittent preventive treatment of malaria during pregnancy (IPTp) was carried out at antenatal care clinics in Mkuranga and Mufindi districts. Methods A review of health management information system (HMIS) registers, interviews with health-care workers (HWs) and district and national level malaria control program managers corroborated by inter-temporal assessment through observations at HF levels. Statistical data were analyzed in Excel and interpreted in triangulation with qualitative data from interviews and observations. Results Data indicated that IPTp doses administered to women were inadequate and partly inconsistent. HMIS registers lacked space for IPT records, forcing HWs to manipulate their record-keeping. The proportionumber of IPTp recipients in related to the supply of SP for free delivery, to women’s attendance behaviours, showed variation by quarter and year of reporting. Conclusion It is impossible to achieve rational health service planning when the HMIS is weak. Whilst it is acknowledged that the HMIS is already overloaded, concerted measures are urgently needed to accommodate data on new interventions and other vertical programs if malaria programs are to achieve their goals.
机译：背景技术在Mkuranga和Mufindi地区的产前保健诊所对孕妇接受磺胺多辛-乙胺嘧啶（SP）间歇性预防性治疗疟疾（IPTp）的卫生设施（HF）数据进行了研究。方法：对健康管理信息系统（HMIS）进行登记，与卫生保健工作者（HWs）以及地区和国家级疟疾控制项目经理进行访谈，并通过对HF水平的观察进行跨时评估来佐证。统计数据在Excel中进行分析，并与来自访谈和观察的定性数据在三角剖分中进行解释。结果数据表明，对女性的IPTp剂量不足，部分不一致。 HMIS注册处缺少IPT记录的空间，从而迫使HW操纵其记录保存。 IPTp接受者的比例/数量与免费提供的SP的数量以及妇女的出勤行为有关，在报告的季度和年份之间存在差异。结论当HMIS薄弱时，不可能实现合理的卫生服务计划。尽管人们认识到HMIS已经超载，但如果疟疾计划要实现其目标，则迫切需要采取协调一致的措施来容纳有关新干预措施和其他纵向计划的数据。

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