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首页> 外文期刊>Pan African Medical Journal >Setting-up nurse-led pilot clinics for the management of non-communicable diseases at primary health care level in resource-limited settings of Africa
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Setting-up nurse-led pilot clinics for the management of non-communicable diseases at primary health care level in resource-limited settings of Africa

机译：在非洲资源有限的地区建立由护士领导的试点诊所，以在初级卫生保健水平管理非传染性疾病

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Background: This article describes the setting-up process for nurse-led pilot clinics for the management of four chronic diseases: asthma, type 2 diabetes mellitus, epilepsy and hypertension at the primary health care level in urban and rural Cameroon. Methods: The Biyem-Assi urban and the Bafut rural health districts in Cameroon served as settings for this study. International and local guidelines were identified and adapted to the country’s circumstances. Training and follow-up tools were developed and nurses trained by experienced physicians in the management of the four conditions. Basic diagnostic and follow-up materials were provided and relevant essential drugs made available. Results: Forty six nurses attended six training courses. By the second year of activity, three and four clinics were operational in the urban and the rural areas respectively. By then, 925 patients had been registered in the clinics. This represented a 68.5% increase from the first year. While the rural clinics relied mainly on essential drugs for their prescriptions, a prescription pattern combining generic and proprietary drugs was observed in the urban clinics. Conclusion: In the quest for cost-effective health care for NCD in sub-Saharan Africa, rethinking health workforce and service delivery has relevance. Nurse-led clinics, algorithm driven service delivery stands as alternatives to overcome the shortage of trained physicians and other issues relating to access to care.
机译：背景：本文介绍了在喀麦隆城市和农村地区，由护士领导的试点诊所的建立过程，以管理四种慢性病：哮喘，2型糖尿病，癫痫和高血压。方法：本研究以喀麦隆的比耶姆-阿西市区和巴富特农村卫生区为背景。确定了国际和本地准则，并根据该国的情况对其进行了调整。开发了培训和后续工具，并由经验丰富的医师对护士进行了四种疾病的管理培训。提供了基本的诊断和后续材料，并提供了相关的基本药物。结果：四十六名护士参加了六期培训课程。到活动的第二年，分别在城市和农村地区开设了三个和四个诊所。到那时，已有925名患者在诊所登记。这比第一年增加了68.5％。尽管农村诊所的处方主要依靠基本药物，但城市诊所却观察到了将仿制药和专有药物结合在一起的处方模式。结论：在寻求撒哈拉以南非洲非传染性疾病的经济有效的医疗保健方面，重新考虑卫生人力和服务提供具有现实意义。以护士为主导的诊所，以算法为基础的服务提供是克服受过训练的医师短缺和其他与获得护理有关的问题的替代方案。

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