Initiating and developing clinical services, training and research in a low resource setting: the Malawi ENT experience
Initiating and developing clinical services, training and research in a low resource setting: the Malawi ENT experience
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DOI：
10.1177/0049475514524393
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发表时间：
2014-07-01
期刊：
影响因子：
0.6
通讯作者：
Chitule, Jean
中科院分区：
文献类型：
--
作者：
Mulwafu, Wakisa;Nyirenda, Thomas Elliot;Chitule, Jean
背景 马拉维等撒哈拉以南非洲国家缺乏耳鼻喉 (ENT) 数据、服务和培训机会。目的 反思马拉维耳鼻喉科新经验，并向资源匮乏的国家提出指导方针。对马拉维耳鼻喉科服务建立之前和之后的数据进行设计分析。结果 2008 年，第一个也是唯一一个马拉维耳鼻喉科专家利用外部资金建立了耳鼻喉科服务。十五名临床官员接受了培训，并在每家外展医院安置了一名护士。 2012 年，记录了 15,284 次咨询：其中 543 次（3.6%）来自外展诊所。 49% 的人需要治疗，45% 的人需要医疗建议。 2.7%的患者接受了手术；鼻子和喉咙异物占 21%，耳朵异物和耳朵活检占 18%。 结论 要在贫穷国家建立可及且可持续的耳鼻喉专科服务，需要建立在已建立的当地卫生服务系统的基础上，在人员、基础设施、培训和数据收集方面进行仔细规划和投资。
Background Sub-Saharan Africa countries like Malawi have a paucity of ear, nose and throat (ENT) data, services and training opportunities.Objective To reflect on new Malawian ENT experience and to propose guidelines to poorly resourced countries.Design Analysis of data predating and following establishment of ENT services in Malawi.Results In 2008 the first and only Malawian ENT specialist established ENT services with external funding. Fifteen clinical officers have been trained and a nurse placed at each outreach hospital. In 2012, 15,284 consultations were recorded: 543 (3.6%) from outreach clinics. Forty-nine percent needed medical treatment, while 45% needed medical advice. Surgery was performed on 2.7% of patients; 21% for foreign bodies in the nose and throat and 18% for foreign bodies and biopsies of ears.Conclusions To establish accessible and sustainable specialist ENT services in a poor country requires building on an established local health delivery system, careful planning and investment in personnel, infrastructure, training and data collection.