Preparedness for Diabetes and Cardiovascular diseases service delivery in health facilities in Mangochi district, Malawi
| dc.contributor.author | Lutala, Prosper | |
| dc.date.accessioned | 2021-12-20T16:30:09Z | |
| dc.date.available | 2021-12-20T16:30:09Z | |
| dc.date.issued | 16-06-21 | |
| dc.description.abstract | Type of the study: A mixed- methods. Problem statement: Diabetes and hypertension are steadily increasing in Sub-Sahara Africa and Malawi. However, preparedness and readiness in dealing with noncommunicable diseases (NCDs) were reported weak and inappropriate in several settings in Africa, including Malawi. Current level of availability and preparedness in the management of NCDs in general in few domains (NCDs’ referrals and community activities) s and perceptions of providers regarding NCDs services in Mangochi, as also perceptions of providers regarding NCDs services’ availability and preparedness remain unknown in Mangochi. Therefore, need for this study. Objectives: This study aim is to assess the preparedness through readiness of health facilities for diabetes and cardiovascular (CVDs) services in public and private health facilities in Mangochi district, Malawi. Specific objectives are: assess basic supplies for diagnostic, management, treatment, referral and community management of diabetes and cardiovascular diseases in health facilities in Mangochi district; to assess availability and preparedness of staff in managing diabetes and hypertension in health facilities in Mangochi district; to assess the perceptions of staff about the availability and readiness of diabetes’s and cardiovascular diseases’ services in health facilities in Mangochi district; and to identify factors associated with the preparedness of health facilities in Mangochi district for the outpatient’s management of diabetes and cardiovascular diseases Methodology: The study will be carried out in private and public health facilities in Mangochi. It will cover the period between March to September 2021. The sample will be selected among all the forty-two health facilities in Mangochi and their respective in-charges, and knowledgeable clinician, nurse and health surveillance assistant . Multistage Random sampling will be done for health centers, purposeful selection for the four hospitals and systematic sampling of in-charge in 16-Jun-2021 5 Study protocol Version 4 (June 5, 2021) selected facilities. Sample size: a computed sample of 32 facilities with for each, his in-charge and others staff needed. A local validated service availability and readiness assessment (SARA) self-administered questionnaire including a checklist will be carried out by a trained research assistant (quantitative), while a semi-structured interview will guide collection of qualitative data. Quantitative part will use simple descriptive statistics (means, percentages, chi-square and test-t of student for continuous and categorical, respectively; logistic regression for associations); and content analyses will be conducted to identify key themes for the qualitative data. Ethical considerations: Informed consent, confidentiality, anonymity, authorization from district and ethical clearance from COMREC. Expected findings: they are human resource by cadre and training, equipment, availability of guidelines, medicines and commodities, diagnostics, and education materials and states, referrals, community NCDs activities; perceptions of staff. determinants availability. Dissemination: Feedback to the facilities involved, study report to COMREC, College library, National Health Sciences Research Committee (through the COMREC Secretariat) presented as a policy brief, journal articles in peer-reviewed journals, and University of Malawi Research and Publication Committees. | en_US |
| dc.description.sponsorship | en_US | |
| dc.identifier.uri | http://rscarchive.kuhes.ac.mw/handle/20.500.12988/596 | |
| dc.language.iso | en | en_US |
| dc.publisher | Kamuzu University of Health Sciences | en_US |
| dc.relation.ispartofseries | P.04/21/3312 | |
| dc.title | Preparedness for Diabetes and Cardiovascular diseases service delivery in health facilities in Mangochi district, Malawi | en_US |
| dc.title.alternative | A mixed-methods study | en_US |
| dc.type | Plan or protocol | en_US |