Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
Search Ahead of print Current Issue Archives Instructions Subscribe e-Alerts Login 
Home Email this article link Print this article Bookmark this page Decrease font size Default font size Increase font size
ORIGINAL ARTICLE
Year : 2006  |  Volume : 1  |  Issue : 1  |  Page : 8-11

Asthma care: Structural foundations at primary health care at Al-Qassim region, Saudi Arabia


1 Allergy and Clinical Immunology at AL-Qassim General Hospital, Buridah, Saudi Arabia
2 Emergency Department, King Saud Military Hospital, Unaizah, AL Qassim, Saudi Arabia
3 Internal Medicine, Allergy and Clinical immunology at King Abdulaziz University Hospital, Jeddah, Saudi Arabia

Correspondence Address:
Emad A Koshak
Department of Internal Medicine, King Abdulaziz University Hospital, PO Box - 80215, Jeddah - 21589
Saudi Arabia
Login to access the Email id


DOI: 10.4103/1817-1737.25863

Get Permissions

BACKGROUND: Proper structural foundations for asthma care at primary health care centers [PHCCs], are of essential importance, regarding its management. OBJECTIVE: To assess the adherence of PHCCs to the recommended structural foundation for asthma care. MATERIALS AND METHODS: 35 PHCCs were selected in a cluster random fashion. A questionnaire for structural standards was designed, based on the Saudi national protocol for the management of asthma (SNPMA). A physician and a nurse, each from PHCC, were trained for data collection. Structural facilities deficiency was arbitrarily classified into: least deficient (>75%), moderate to severe deficient (25-75%) and most deficient (<25%). RESULTS: The total population registered, was 131190 [urban: 85701 (65.4%), rural: 45489 (34.6%)]. Total registered asthmatics was 4093 [urban: 2585 (63.1%), rural: 1508 (36.9%)]. The asthma prevalence rate did not differ significantly between urban (3%) and rural (3.3%) areas . Structural facilities distribution for asthma care, did not significantly vary among urban and rural PHCCs and none of them fulfilled 100% of the desired standards. The least deficient, were the availability of asthma register and salbutamol, in its various forms. The moderately to severely deficient were the SNPMA, peak flow meter (PFM), nebulizer system, Theophylline and systemic corticosteroid. However, they were most deficient in trained doctors and nurses, record charts for Peak flow meter, spacer, educational material and inhalers of corticosteroid or cromoglycate. CONCLUSION: Proper structural foundations for asthma care at PHCCs, at AL-Qassim region, were below the desired national standards. They were most deficient in trained doctors and nurses, record charts for PFM, spacers, educational material and anti-inflammatory inhalers. Future health directorate strategies have to provide such beneficial interventions for proper asthma care.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed5122    
    Printed270    
    Emailed1    
    PDF Downloaded326    
    Comments [Add]    
    Cited by others 4    

Recommend this journal