الفهرس | Only 14 pages are availabe for public view |
Abstract Primary health care (PHC) services play an essential role in TB control. WHO (2014), European (2015), and CDC (2013) guidelines stress the role of PHC in TB control. To assess the role of PHC services in TB control in Menoufia governorate (the aim of the study) this study, which is essentially questionnaire based, was done according the above guidelines. We assessed 6 points in PHC units/centers in Menoufia governorate. These 6 points were: I- Basic knowledge of PHC physicians about TB through an eleven points questionnaire. II - Facilities for case detection: a working X-ray apparatus, smear staining for acid fast bacilli and availability of DOTS. III- Communication to central health authorities or a T.B specialist. IV- Recording systems for proper patient management and follow up. V - Follow up of patients after referral to central health units. VI - Role in community education. Statistical analysis of data showed the following results: -Studied area includes 10 health territories and 46 primary care units (centers) with one physician in each unit. - Urban territories comprised 16 units (34.8%), rural territories comprised 30 units (65.2%) and only 40 patients were recorded in all units. - The % of the correct answers of the basic knowledge score ranged from 18% to 81%, with a mean of 54.5% and physicians in rural areas have higher scoring in basic knowledge than physicians in urban areas. |