BMC Med Inform Decis Mak - A cross-sectional pilot study assessing needs and attitudes to implementation of Information and Communication Technology for rational use of medicines among healthcare staff in rural Tanzania.

Tópicos

{ medic(1828) order(1363) alert(1069) }
{ inform(2794) health(2639) internet(1427) }
{ use(2086) technolog(871) perceiv(783) }
{ implement(1333) system(1263) develop(1122) }
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{ age(1611) year(1155) adult(843) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

CKGROUND: In resource-poor countries access to essential medicines, suboptimal prescribing and use of medicines are major problems. Health workers lack updated medical information and treatment support. Information and Communication Technology (ICT) could help tackle this. The impact of ICT on health systems in resource-poor countries is likely to be significant and transform the practice of medicine just as in high-income countries. However, research for finding the best way of doing this is needed. We aimed to assess current approaches to and use of ICT among health workers in two rural districts of Tanzania in relation to the current drug distribution practices, drug stock and continuing medical information (CME), as well as assessing the feasibility of using ICT to improve ordering and use of medicines.METHODS: This pilot study was conducted in 2010-2011, mapping the drug distribution chain in Tanzania, including problems and barriers. The study was conducted in Bunda and Serengeti districts, both part of the ICT4RD (ICT for rural development) project. Health workers involved in drug procurement and use at 13 health facilities were interviewed on use and knowledge of ICT, and their attitudes to its use in their daily work. They were also shown and interviewed about their thoughts on an android tablet application prototype for drug stock inventory and drug ordering, based on the Tanzanian Medical Stores Department (MSD) current paper forms.RESULTS: The main challenge was a stable supply of essential medicines. Drug supplies were often delayed and incomplete, resulting in stock-outs. All 20 interviewed health workers used mobile phones, 8 of them Smartphones with Internet connection. The Health workers were very positive to the tablet application and saw its potential in reducing drug stock-outs. They also expressed a great need and wish for CME by distance.CONCLUSION: The tablet application was easily used and appreciated by health workers, and thus has the potential to save time and effort, reduce transportation costs and minimise drug stock-outs. Furthermore, the android tablet could be used to reach out with CME programs to health care workers at remote health facilities, as well as those in towns.

Resumo Limpo

ckground resourcepoor countri access essenti medicin suboptim prescrib use medicin major problem health worker lack updat medic inform treatment support inform communic technolog ict help tackl impact ict health system resourcepoor countri like signific transform practic medicin just highincom countri howev research find best way need aim assess current approach use ict among health worker two rural district tanzania relat current drug distribut practic drug stock continu medic inform cme well assess feasibl use ict improv order use medicinesmethod pilot studi conduct map drug distribut chain tanzania includ problem barrier studi conduct bunda serengeti district part ictrd ict rural develop project health worker involv drug procur use health facil interview use knowledg ict attitud use daili work also shown interview thought android tablet applic prototyp drug stock inventori drug order base tanzanian medic store depart msd current paper formsresult main challeng stabl suppli essenti medicin drug suppli often delay incomplet result stockout interview health worker use mobil phone smartphon internet connect health worker posit tablet applic saw potenti reduc drug stockout also express great need wish cme distanceconclus tablet applic easili use appreci health worker thus potenti save time effort reduc transport cost minimis drug stockout furthermor android tablet use reach cme program health care worker remot health facil well town

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