Communicable and Non-communicable Diseases Diagnosis and Treatment Service Availability at Primary Health Care Units During COVID-19 Outbreak in Ethiopia.

Journal: Ethiopian journal of health sciences

Volume: 33

Issue: Spec Iss 2

Year of Publication: 2024

Affiliated Institutions:  University of Gonder, College of Medicine and Health Science, Institute of Public Health, Gonder, Ethiopia. Hawassa University, College of Medicine and Health Sciences, Hawassa, Ethiopia. Jimma University, Institute of Health, Jimma, Ethiopia. Dire Dawa University, College of Medicine and Health Sciences, Dire Dawa, Ethiopia. World Health Organization Country Office for Ethiopia, Universal Health Coverage/Life Course, Health System Strengthening Team, Addis Ababa, Ethiopia.

Abstract summary 

Non-communicable diseases (NCDs) pose a substantial global health challenge, resulting in an annual death toll of over 15 million individuals aged 30 to 69. Ethiopia, categorized as COVID-19 vulnerable, grapples with NCD treatment challenges. This study aims to assess disease service availability at primary health units in Ethiopia during the pandemic.A facility-based cross-sectional study was conducted from October to December 2021 across regions, encompassing 452 facilities: 92 health centers, 16 primary hospitals, 344 health posts, and 43 districts. Facility selection, based on consultation with regional health bureaus, included high, medium, and low performing establishments. The study employed the WHO tool for COVID-19 capacity assessment and evaluated services for various diseases using descriptive analysis.Results reveal service disruptions in the past year: hospitals (55.6%), health centers (21.7%), districts (30.2%), and health posts (17.4%). Main reasons were equipment shortages (42%), lack of skilled personnel (24%), and insufficient infection prevention supplies (18.8%). While tuberculosis treatment was fully available in 23% of health posts and malaria services in 65.7%, some health centers lacked HIV/AIDS, cardiovascular, mental health, and cervical cancer services. Most communicable and non-communicable disease diagnoses and treatments were fully accessible at primary hospitals, except for cervical cancer (56.3%) and mental health (62.5%) services.Significant gaps exist in expected services at primary health units. Improving disease care accessibility necessitates strengthening the supply chain, resource management, capacity building, and monitoring systems.

Authors & Co-authors:  Gonete Tajebew Zayede TZ Asseffa Netsanet Abera NA Gashu Kassahun Dessie KD Tilahun Binyam B Angaw Dessies Abebaw DA Jisso Meskerem M Tamiso Alemu A Alemayehu Akalewold A Fikre Rekiku R Abdisa Biru B Sime Habtamu H Yesuf Elias Ali EA Umer Abdurezak A Kebede Mesfin M Mohammed Hussen H Yazie Bekele B Gurmu Kassu Ketema KK Endehabtu Berhanu Fikadie BF

Study Outcome 

Source Link: Visit source

Statistics
Citations :  WHO, author. Non-communicable diseases. Geneva: World Health Organization; 2022. [Fact sheet], [Available: < https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases>]
Authors :  18
Identifiers
Doi : 10.4314/ejhs.v33i2.3S
SSN : 2413-7170
Study Population
Male,Female
Mesh Terms
Female
Other Terms
COVID-19;Communicable and non-communicable disease;Essential health services;Ethiopia;primary healthcare
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
Ethiopia