Eintrag weiter verarbeiten
Role of laboratory services in primary health center (PHC) outpatient department performance: an Indian case study
Gespeichert in:
| Zeitschriftentitel: | Primary Health Care Research & Development |
|---|---|
| Personen und Körperschaften: | , |
| In: | Primary Health Care Research & Development, 20, 2019 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Cambridge University Press (CUP)
|
| Schlagwörter: |
| Zusammenfassung: | <jats:title>Abstract</jats:title><jats:sec id="S1463423619000537_as1"><jats:title>Background:</jats:title><jats:p>In resource-constrained settings, primary health centers (PHCs) are critical for universal health coverage. Laboratory service is one of its important components. While PHC and its performance are focused, its laboratory service has been neglected in developing countries like India.</jats:p></jats:sec><jats:sec id="S1463423619000537_as2"><jats:title>Aim:</jats:title><jats:p>To determine the role of different level of PHC laboratory services on the overall PHC performance.</jats:p></jats:sec><jats:sec id="S1463423619000537_as3"><jats:title>Methods:</jats:title><jats:p>Cross-sectional study based on 42 PHCs of Osmanabad District, Maharashtra, India was performed. The study used levels of laboratory services in PHC as independent parameter and PHC outpatient department (OPD) visits per day (≤ 80 versus > 80) as dependent parameter. The control parameters used in the study were number of medical doctors, availability of laboratory technicians (LTs) and population coverage by PHC. Field visit was done to collect data on levels of laboratory services, but secondary source was used for other parameters. The logistic regression analysis was performed in study.</jats:p></jats:sec><jats:sec id="S1463423619000537_as4"><jats:title>Findings:</jats:title><jats:p>The study found variation in PHC population coverage (10 788–74 702) and OPD visits per day (40–182) across PHC. Strong positive association was observed between levels of laboratory services and number of OPD visits per day in PHC. PHC offering both malaria and tuberculosis in-house testing had higher odds (4.81) of getting more OPDs (≥ 80 OPD visits per day) as compared to PHC not offering in-house testing facility for malaria and tuberculosis. This association was stronger in PHCs with lower population coverage (0–75 quartile) as compared to PHCs with higher population coverage (75–100 quartile).</jats:p></jats:sec><jats:sec id="S1463423619000537_as5"><jats:title>Conclusion:</jats:title><jats:p>Focus on laboratory services is needed to enhance the existing PHCs performance. Skill-up gradation of existing LT could help in improving the contribution of the existing laboratories in PHC functioning.</jats:p></jats:sec> |
|---|---|
| ISSN: |
1463-4236
1477-1128 |
| DOI: | 10.1017/s1463423619000537 |