ArticlePloS one2019
Are Tanzanian health facilities ready to provide management of chronic respiratory diseases? An analysis of national survey for policy implications.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of clinical effectiveness, components, and delivery of pulmonary rehabilitation in low-resource settings.NPJ primary care respiratory medicine · 2020Pooled it
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- Hepatitis B infection prevention: Audit of selected healthcare facilities in the Greater Accra Region, Ghana.Infection prevention in practice · 2023Article
- Experiences and perceptions of participants on the pathway towards clinical management of dual tuberculosis and diabetes mellitus in Tanzania.Global health action · 2022Article
- Patterns of comorbidity and multimorbidity among middle-aged and elderly women in peri-urban Tanzania.Journal of multimorbidity and comorbidity · 2022Article
- Inhaler Non-Adherence, Associated Factors and Asthma Control among Asthma Patients in a Tertiary Level Hospital in Tanzania.The East African health research journal · 2022Article
- Management of chronic lung diseases in Sudan and Tanzania: how ready are the country health systems?BMC health services research · 2021Article
- Availability of diagnostic services and essential medicines for non-communicable respiratory diseases in African countries.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2021Article
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- Availability and readiness of diabetes health facilities to manage tuberculosis in Tanzania: a path towards integrating tuberculosis-diabetes services in a high burden setting?BMC public health · 2019Article
- Medical service quality evaluation based on LDA and sentiment analysis: Examples of seven chronic diseases.Digital healthArticle
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2 authors.
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Abstract
introductionChronic respiratory diseases in Tanzania are prevalent and a silent burden to the affected population, and healthcare system. We aimed to explore the availability of services and level of health facilities readiness to provide management of chronic respiratory diseases and its associated factors.
methodsThe current study is a secondary analysis of the 2014-2015 Tanzania Service Provision Assessment Survey data. Facilities were considered to have a high readiness to provide management of chronic respiratory diseases if they scored at least half (≥50%) of the indicators listed in each of the three domains (staff training and guideline, equipment, and basic medicines) as identified by World Health Organization-Service Availability and Readiness Assessment manual. Descriptive, unadjusted and adjusted logistic regression analyses were performed. A P value < 0.05 was taken to indicate statistical significance.
resultsOut of 723 facilities included in this analysis, approximately one-tenth had a high readiness to provide management of chronic respiratory diseases. Less than 10% of the facilities had at least one staff who received training for management of chronic respiratory diseases. In an adjusted model, privately owned facilities [AOR = 3.3; 95% CI, 1.5-7.5], hospitals [AOR = 11.6; 95% CI, 5.0-27.2], health centres [AOR = 5.0; 95% CI, 2.4-10.7], and performance of routine management meeting [AOR = 3.3; 95% CI, 1.4-7.8] were significantly associated with high readiness to provide management for chronic respiratory diseases.
conclusionMajority of Tanzanian health facilities have low readiness to provide management for chronic respiratory diseases. There is a need for the Tanzanian government to increase the availability of diagnostic equipment, medication, and to provide refresher training specifically in the lower-level and public health facilities for better management of chronic respiratory diseases and other non-communicable diseases.
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