Management of asthma in Benin: the challenge of loss to follow-up.
Public Health Action
; 3(1): 76-80, 2013 Mar 21.
Article
em En
| MEDLINE
| ID: mdl-26393001
ABSTRACT
SETTING:
An asthma pilot project in Benin.OBJECTIVE:
To assess the implementation of standard case management of asthma at three referral centres and three primary care centres.METHODS:
The project began with local adaptation of international asthma guidelines, followed by situation analysis, pre-intervention, training and intervention. The initial dosage of inhaled beclometasone was determined by asthma severity. Outcome of treatment was assessed annually, starting from one year after enrolment.RESULTS:
Of 103 asthma patients identified during situation analysis, only 11 (11%) were prescribed inhaled corticosteroids. After health worker training, a total of 430 asthma patients were identified in 2008, of whom 273 (63.5%) returned after initial management with 7-day oral prednisolone. Of the 273 patients, 261 (95.6%) had persistent asthma, 231 (86.2%) had peak flow measurement variability of ≥20%, and 155 (56.8%) had had one or more unplanned visits to health facilities in the previous year. Outcome at one year evaluation was as follows 63 (24.1%) had improved, 48 (18.4%) remained stable, 14 (5.4%) were worse and 136 (52.4%) were lost to follow-up.CONCLUSION:
It is feasible to train health workers to manage asthma patients in a standardised manner. However, a high proportion of patients were lost to follow-up during treatment.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
11_ODS3_cobertura_universal
/
1_ASSA2030
Problema de saúde:
11_delivery_arrangements
/
1_recursos_humanos_saude
Tipo de estudo:
Guideline
Idioma:
En
Revista:
Public Health Action
Ano de publicação:
2013
Tipo de documento:
Article