کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2652285 1563918 2015 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
An evaluation of the adequacy of pharmaceutical services for the provision of antiretroviral treatment in primary health care clinics
ترجمه فارسی عنوان
ارزیابی کفایت خدمات دارویی برای ارائه درمان ضدویروسی در کلینیک های مراقبت های اولیه
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی

BackgroundWith the introduction of nurse-initiated and -managed antiretroviral therapy (NIMART), new challenges have emerged with regard to the prescribing and dispensing of ART by nurses. One of the key challenges is ensuring adequate pharmaceutical services at PHC clinics.ObjectiveThe objective of the study was to evaluate the adequacy of pharmaceutical services for the provision of ART in PHC clinics.MethodA quantitative descriptive study was undertaken in 20 (43%) randomly selected, eligible clinics in the uMgungundlovu district of KwaZulu-Natal, South Africa.ResultsClinics used allocated medicine rooms for storing medication, as there were no pharmacies. Problems identified were: insufficient storage space (50%; n = 10); inadequate security (40%; n = 8); poor air conditioning (20%; n = 4), and functional stock-outs of essential drugs (80%; n = 16). Professional nurses performed the tasks of managing drug supply and prescribing and dispensing medication as there were no pharmacists or pharmacist's assistants in these clinics.ConclusionHuman resource constraints necessitate professional nurses to manage drug supplies and to prescribe and dispense medication in resource-constrained PHC clinics. Clear guidelines tailored for PHC are needed to assist nurses in maintaining pharmaceutical service standards when ART services are decentralised.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Health SA Gesondheid - Volume 20, Issue 1, June 2015, Pages 83–90
نویسندگان
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