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Assessing the Quality of the Management Skills Required for Lower Respiratory tract Infections in Kilimanjaro, Tanzania

Mbwele, B. (2014) Assessing the Quality of the Management Skills Required for Lower Respiratory tract Infections in Kilimanjaro, Tanzania. Health, 6 (1). pp. 15-26. ISSN 1949-5005

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Abstract

Lower respiratory tract infections (LRTI) are among the leading causes of morbid-ity and mortality. A severe form of atypical pneu- monia, Q fever, has been found in Northern Tan- zania. Assessment of the quality of health care for lower respiratory tract infection from the cli-nicians performance has rarely been performed. A cross sectional descriptive study using the qualitative and quantitative approaches in 11 hospitals of different levels in Kilimanjaro region. Clinicians of the Health facilities and pa- tients files were assessed. Medications for LRTI were highly variable for both the first and second attempts. No file showed attempts for assessing the severity of Pneumonia. No documentation of atypical pneumonia could be found from files. Clinicians are not aware of the causes of atypical pneumonia and how to treat it. Only 6 (11.1%) clinicians could mention causes of atypical pneumonia. Only 7 clinicians (13.0%) clinicians were aware of Q-fever and could men- tion the cause of Q-fever. Clinical records for monitoring the progress were varying signifi- cantly by levels of care. Level of mental state χ2 (4) = 139.4; P value < 0.001, blood pressure χ2 (8) = 75.2; P value < 0.001, temperature χ2 (4) = 78.7; P value < 0.001, pulse rate χ2 (4) = 139.1; P value < 0.001, respiratory rate χ2 (4) = 197.7; P value < 0.001, auscultation χ2 (4) = 92.2; P value < 0.001. Management of LRTI and atypical pneumonia shall be guided by the local audits reflected by the scientific reports.

Item Type: Article
Keywords: Health Care, Respiratory Infections,Morbidity, Mortality Tanzania, Sub-Saharan Africa
Subjects: Health Systems > Surveillance, monitoring & evaluation
Divisions: Kilimanjaro Christian Medical Centre
Depositing User: Mr Joseph Madata
Date Deposited: 04 Apr 2014 11:13
Last Modified: 04 Apr 2014 11:13
URI: http://ihi.eprints.org/id/eprint/2368

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