Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016

Khalid Fadl Alla Khalid; Nada Jafar Osman; Malaz Elbashir Ahmed; Rania Hassan Abdelgfour

doi:doi:10.11648/j.wjph.20180304.15

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Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016

Khalid Fadl Alla Khalid, Nada Jafar Osman, Malaz Elbashir Ahmed, Rania Hassan Abdelgfour

Published in World Journal of Public Health (Volume 3, Issue 4)

Received: 22 September 2018 Accepted: 25 December 2018 Published: 18 January 2019

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Abstract

Provision of quality health care service is the product of cooperation between the patient and the healthcare provider (HCP) in a supportive environment. The efficiency of STIs health program requires proper management and efficient use of resources. In Sudan the STIs services are provided as part of PHC service package. The management and responsibility for PHC centers is decentralized to state and locality levels. This study investigated the managerial factors at health care system , and care provision levels that affect the provision of quality STIs service, and consequently the utilization of STIs health service, in El-Damazin locality at Blue Nile state (BNS), 2015- 2016. The study design was descriptive cross-sectional facility-based applying qualitative research method. Purposive sampling technique was applied for health program managers at state ministry of health (SAP coordinator, RH coordinator and the manager of curative medicine department) and the care providers at all primary health centers in El-damazin locality (total of eight centers and ten care providers). Both content and framework analysis was performed. The following findings were identified by the program managers as barriers to the provision of STI services: the verticality state AIDS program (SAP) and reproductive health program (RH), ineffective coordination between both SAP, RH, and the curative medicine department, and inadequate financial & technical resources. The STIs were reflected in the annual plans, however not prioritized and budgeted. The care providers were not following the standard STI syndromic management protocols, they identified the lack of treatment protocol tools, and no recent trainings on STIs were the main barriers to provide quality services. In addition, the care providers indicated low health seeking of the surrounding communities for STI. It is recommended that proper advocacy on the importance of STI, in addition to effective coordination between the relevant programs at ministry of health should be activated, and are mandatory to ensure proper technical and financial resource mobilization which consequently will yield into provision of quality management of STI program. Moreover, care providers are required to be equipped with the necessary skills and tools in order to provide high quality syndromic management of STIs.

Published in	World Journal of Public Health (Volume 3, Issue 4)
DOI	10.11648/j.wjph.20180304.15
Page(s)	131-135
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Sexually Transmitted Infections (STIs), Management Approaches, Utilization of STIs Health Service, Service Provision Modalities, Quality Services, Ineffective Coordination, Resources, Verticality

References

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[2]	Christian. N and Janet. B. What are sexually transmitted infections? What are sexually transmitted disease?. Medical News Today. Published: Jun 13, 2012; Updated: July 26, 2017.
[3]	World Health Organization, Geneva, Switzerland. Sexual and reproductive health. Report on global sexually transmitted infection surveillance 2013. pp 54. ISBN: 978 92 4 150740 0. Published: June, 2014.
[4]	UNFPA. HIV prevention and care for life. UNFPA Sudan/ fact sheet; 2012 Jul 23.
[5]	WHO. Guidelines for the Management of Sexually Transmitted Infections. Essential Medicines and Health Products Information Portal. WHO:2001, page 88, Updated 2006.
[6]	WHO. Sexual and reproductive health. Global Health Sector Strategy on Sexually Transmitted Infections 2016–2021. June 2016. 60 pages; Page, 12. WHO/RHR/16.09.
[7]	WHO, Global prevalence of selected available sexually transmitted infections. WHO; 2001 Nov.
[8]	Marjolein. D, Jurrien. T, Hamadassalia. T, Tim. M. The match between motivation and performance management of health sector workers in Mali. Human Resources for Health2006. Received: 22 June 2005. Accepted: 09 February 2006. Published: 09 February 2006
[9]	Beene. M, Gizachew. Y, Afework. K, Berihun. M, Shitaye. A, Bemnet. A, and Dagnachew. M. Sexually transmitted infections based on the syndromic approach in Gondar town, northwest Ethiopia. a retrospective study. BMC Public Health. 2013; 13: 123. Published online 2013 Feb 16. doi: 10.1186/1271-2458-13-123 PMCID: PMC3586370.
[10]	Sudan. National AIDS Control Programme Report on ANC: HIV Sentinel Sero-Survey 2009. Khartoum: SNAP surveillance unit.2010.
[11]	UNAIDS.2010 UNGASS Report, North Sudan [internet]. SNAP; 2010 March 31
[12]	Jean. P, Pierre. D, Andrew. G. A code of best practice for disease control program to avoid damaging health care services in developing countries. The international journal for health planning and management. First published: 30 October 2003. https://doi.org/10.1002/hpm.723
[13]	WHO, Primary health care. Marks 40th anniversary of the Alma Ata Declaration on PHC, 2018
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[15]	Sylla. T, Integration of non-communicable diseases in health care: tackling the double burden of disease in African settings. Cite this: The Pan African Medical Journal. 2014; 18:202. Received: 24/02/2014 - Accepted: 20/03/2014 - Published: 05/07/2014
[16]	WHO. 10 Facts on Sexually Transmitted Infections. World Health Organization, Geneva, Switzerland, 2013.
[17]	Beyene. M, Gizachew. Y, Afework. K, Berihun. M, Shitaye. A, Bemnet. A, and Dagnachew. M. Sexually transmitted infections based on the syndromic approach in Gondar town, northwest Ethiopia. a retrospective study. BMC Public Health. 2013; 13: 123. Published online 2013 Feb 16.
[18]	Khalid. F, Samia. H, Nada. O, Malaz. A, Factors Affecting the Utilization of Sexually Transmitted Infections Health Services at the Primary Health Centers in El-Damazin locality at Blue Nile State, Sudan 2015-2016, World Journal of Public Health. Vol. 3, No. 2, 2018, pp. 61-68. doi: 10.11648/j.wjph.20180302.15
[19]	Klouman. E, Masenga. EJ, Klepp. KI, Sam. NE, Nkya. W, Nkya. C. HIV and reproductive tract infections in a total village population in rural Kilimanjaro, Tanzania, women at increased risk. J Acquire Immune Defic Syndr Hum Retrovirol. 2007; 12:163–168. doi: 10.1097/00042560-199702010-00010.
[20]	Peterman. A. Effective Interventions to Reduce Sexually Transmitted Disease: Introduction to the Special Issue. Sexually Transmitted Diseases: February 2016 - Volume 43 - Issue 2S - p S1–S2.

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APA Style

Khalid Fadl Alla Khalid, Nada Jafar Osman, Malaz Elbashir Ahmed, Rania Hassan Abdelgfour. (2019). Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016. World Journal of Public Health, 3(4), 131-135. https://doi.org/10.11648/j.wjph.20180304.15

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ACS Style

Khalid Fadl Alla Khalid; Nada Jafar Osman; Malaz Elbashir Ahmed; Rania Hassan Abdelgfour. Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016. World J. Public Health 2019, 3(4), 131-135. doi: 10.11648/j.wjph.20180304.15

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AMA Style

Khalid Fadl Alla Khalid, Nada Jafar Osman, Malaz Elbashir Ahmed, Rania Hassan Abdelgfour. Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016. World J Public Health. 2019;3(4):131-135. doi: 10.11648/j.wjph.20180304.15

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@article{10.11648/j.wjph.20180304.15,
  author = {Khalid Fadl Alla Khalid and Nada Jafar Osman and Malaz Elbashir Ahmed and Rania Hassan Abdelgfour},
  title = {Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016},
  journal = {World Journal of Public Health},
  volume = {3},
  number = {4},
  pages = {131-135},
  doi = {10.11648/j.wjph.20180304.15},
  url = {https://doi.org/10.11648/j.wjph.20180304.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20180304.15},
  abstract = {Provision of quality health care service is the product of cooperation between the patient and the healthcare provider (HCP) in a supportive environment. The efficiency of STIs health program requires proper management and efficient use of resources. In Sudan the STIs services are provided as part of PHC service package. The management and responsibility for PHC centers is decentralized to state and locality levels. This study investigated the managerial factors at health care system , and care provision levels that affect the provision of quality STIs service, and consequently the utilization of STIs health service, in El-Damazin locality at Blue Nile state (BNS), 2015- 2016. The study design was descriptive cross-sectional facility-based applying qualitative research method. Purposive sampling technique was applied for health program managers at state ministry of health (SAP coordinator, RH coordinator and the manager of curative medicine department) and the care providers at all primary health centers in El-damazin locality (total of eight centers and ten care providers). Both content and framework analysis was performed. The following findings were identified by the program managers as barriers to the provision of STI services: the verticality state AIDS program (SAP) and reproductive health program (RH), ineffective coordination between both SAP, RH, and the curative medicine department, and inadequate financial & technical resources. The STIs were reflected in the annual plans, however not prioritized and budgeted. The care providers were not following the standard STI syndromic management protocols, they identified the lack of treatment protocol tools, and no recent trainings on STIs were the main barriers to provide quality services. In addition, the care providers indicated low health seeking of the surrounding communities for STI. It is recommended that proper advocacy on the importance of STI, in addition to effective coordination between the relevant programs at ministry of health should be activated, and are mandatory to ensure proper technical and financial resource mobilization which consequently will yield into provision of quality management of STI program. Moreover, care providers are required to be equipped with the necessary skills and tools in order to provide high quality syndromic management of STIs.},
 year = {2019}
}

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TY  - JOUR
T1  - Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016
AU  - Khalid Fadl Alla Khalid
AU  - Nada Jafar Osman
AU  - Malaz Elbashir Ahmed
AU  - Rania Hassan Abdelgfour
Y1  - 2019/01/18
PY  - 2019
N1  - https://doi.org/10.11648/j.wjph.20180304.15
DO  - 10.11648/j.wjph.20180304.15
T2  - World Journal of Public Health
JF  - World Journal of Public Health
JO  - World Journal of Public Health
SP  - 131
EP  - 135
PB  - Science Publishing Group
SN  - 2637-6059
UR  - https://doi.org/10.11648/j.wjph.20180304.15
AB  - Provision of quality health care service is the product of cooperation between the patient and the healthcare provider (HCP) in a supportive environment. The efficiency of STIs health program requires proper management and efficient use of resources. In Sudan the STIs services are provided as part of PHC service package. The management and responsibility for PHC centers is decentralized to state and locality levels. This study investigated the managerial factors at health care system , and care provision levels that affect the provision of quality STIs service, and consequently the utilization of STIs health service, in El-Damazin locality at Blue Nile state (BNS), 2015- 2016. The study design was descriptive cross-sectional facility-based applying qualitative research method. Purposive sampling technique was applied for health program managers at state ministry of health (SAP coordinator, RH coordinator and the manager of curative medicine department) and the care providers at all primary health centers in El-damazin locality (total of eight centers and ten care providers). Both content and framework analysis was performed. The following findings were identified by the program managers as barriers to the provision of STI services: the verticality state AIDS program (SAP) and reproductive health program (RH), ineffective coordination between both SAP, RH, and the curative medicine department, and inadequate financial & technical resources. The STIs were reflected in the annual plans, however not prioritized and budgeted. The care providers were not following the standard STI syndromic management protocols, they identified the lack of treatment protocol tools, and no recent trainings on STIs were the main barriers to provide quality services. In addition, the care providers indicated low health seeking of the surrounding communities for STI. It is recommended that proper advocacy on the importance of STI, in addition to effective coordination between the relevant programs at ministry of health should be activated, and are mandatory to ensure proper technical and financial resource mobilization which consequently will yield into provision of quality management of STI program. Moreover, care providers are required to be equipped with the necessary skills and tools in order to provide high quality syndromic management of STIs.
VL  - 3
IS  - 4
ER  -

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Author Information

Khalid Fadl Alla Khalid

HIV Prevention Program, United Nations Population Fund, Khartoum, Sudan
Nada Jafar Osman

Directorate General of Primary Health Care, Federal Ministry of Health, Khartoum, Sudan
Malaz Elbashir Ahmed

HIV Prevention Program, United Nations Population Fund, Khartoum, Sudan
Rania Hassan Abdelgfour

HIV Prevention Program, United Nations Population Fund, Khartoum, Sudan

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Plain Text BibTeX RIS

APA Style

Khalid Fadl Alla Khalid, Nada Jafar Osman, Malaz Elbashir Ahmed, Rania Hassan Abdelgfour. (2019). Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016. World Journal of Public Health, 3(4), 131-135. https://doi.org/10.11648/j.wjph.20180304.15

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ACS Style

Khalid Fadl Alla Khalid; Nada Jafar Osman; Malaz Elbashir Ahmed; Rania Hassan Abdelgfour. Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016. World J. Public Health 2019, 3(4), 131-135. doi: 10.11648/j.wjph.20180304.15

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AMA Style

Khalid Fadl Alla Khalid, Nada Jafar Osman, Malaz Elbashir Ahmed, Rania Hassan Abdelgfour. Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016. World J Public Health. 2019;3(4):131-135. doi: 10.11648/j.wjph.20180304.15

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@article{10.11648/j.wjph.20180304.15,
  author = {Khalid Fadl Alla Khalid and Nada Jafar Osman and Malaz Elbashir Ahmed and Rania Hassan Abdelgfour},
  title = {Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016},
  journal = {World Journal of Public Health},
  volume = {3},
  number = {4},
  pages = {131-135},
  doi = {10.11648/j.wjph.20180304.15},
  url = {https://doi.org/10.11648/j.wjph.20180304.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjph.20180304.15},
  abstract = {Provision of quality health care service is the product of cooperation between the patient and the healthcare provider (HCP) in a supportive environment. The efficiency of STIs health program requires proper management and efficient use of resources. In Sudan the STIs services are provided as part of PHC service package. The management and responsibility for PHC centers is decentralized to state and locality levels. This study investigated the managerial factors at health care system , and care provision levels that affect the provision of quality STIs service, and consequently the utilization of STIs health service, in El-Damazin locality at Blue Nile state (BNS), 2015- 2016. The study design was descriptive cross-sectional facility-based applying qualitative research method. Purposive sampling technique was applied for health program managers at state ministry of health (SAP coordinator, RH coordinator and the manager of curative medicine department) and the care providers at all primary health centers in El-damazin locality (total of eight centers and ten care providers). Both content and framework analysis was performed. The following findings were identified by the program managers as barriers to the provision of STI services: the verticality state AIDS program (SAP) and reproductive health program (RH), ineffective coordination between both SAP, RH, and the curative medicine department, and inadequate financial & technical resources. The STIs were reflected in the annual plans, however not prioritized and budgeted. The care providers were not following the standard STI syndromic management protocols, they identified the lack of treatment protocol tools, and no recent trainings on STIs were the main barriers to provide quality services. In addition, the care providers indicated low health seeking of the surrounding communities for STI. It is recommended that proper advocacy on the importance of STI, in addition to effective coordination between the relevant programs at ministry of health should be activated, and are mandatory to ensure proper technical and financial resource mobilization which consequently will yield into provision of quality management of STI program. Moreover, care providers are required to be equipped with the necessary skills and tools in order to provide high quality syndromic management of STIs.},
 year = {2019}
}

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TY  - JOUR
T1  - Managerial Factors Affecting the Provision of Quality Sexually Transmitted Infections Primary Health Care Service in El-Damazin, Sudan 2015-2016
AU  - Khalid Fadl Alla Khalid
AU  - Nada Jafar Osman
AU  - Malaz Elbashir Ahmed
AU  - Rania Hassan Abdelgfour
Y1  - 2019/01/18
PY  - 2019
N1  - https://doi.org/10.11648/j.wjph.20180304.15
DO  - 10.11648/j.wjph.20180304.15
T2  - World Journal of Public Health
JF  - World Journal of Public Health
JO  - World Journal of Public Health
SP  - 131
EP  - 135
PB  - Science Publishing Group
SN  - 2637-6059
UR  - https://doi.org/10.11648/j.wjph.20180304.15
AB  - Provision of quality health care service is the product of cooperation between the patient and the healthcare provider (HCP) in a supportive environment. The efficiency of STIs health program requires proper management and efficient use of resources. In Sudan the STIs services are provided as part of PHC service package. The management and responsibility for PHC centers is decentralized to state and locality levels. This study investigated the managerial factors at health care system , and care provision levels that affect the provision of quality STIs service, and consequently the utilization of STIs health service, in El-Damazin locality at Blue Nile state (BNS), 2015- 2016. The study design was descriptive cross-sectional facility-based applying qualitative research method. Purposive sampling technique was applied for health program managers at state ministry of health (SAP coordinator, RH coordinator and the manager of curative medicine department) and the care providers at all primary health centers in El-damazin locality (total of eight centers and ten care providers). Both content and framework analysis was performed. The following findings were identified by the program managers as barriers to the provision of STI services: the verticality state AIDS program (SAP) and reproductive health program (RH), ineffective coordination between both SAP, RH, and the curative medicine department, and inadequate financial & technical resources. The STIs were reflected in the annual plans, however not prioritized and budgeted. The care providers were not following the standard STI syndromic management protocols, they identified the lack of treatment protocol tools, and no recent trainings on STIs were the main barriers to provide quality services. In addition, the care providers indicated low health seeking of the surrounding communities for STI. It is recommended that proper advocacy on the importance of STI, in addition to effective coordination between the relevant programs at ministry of health should be activated, and are mandatory to ensure proper technical and financial resource mobilization which consequently will yield into provision of quality management of STI program. Moreover, care providers are required to be equipped with the necessary skills and tools in order to provide high quality syndromic management of STIs.
VL  - 3
IS  - 4
ER  -

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