Quality assurance of a diarrhoea control programme in northeastern Brazil

F. C. Barros, B. C. Forsberg, C. G. Victora, A. G K Maranhao, M. Stegeman, A. Gonzalez-Richmond, R. M. Martins, Z. A. Neumann, J. McAuliffe, J. A. Branco

Research output: Contribution to journalArticle

Abstract

In this study quality assurance methods were used in an evaluation of a programme for Control of Diarrhoeal Diseases (CDD) in northeastern Brazil. Seventy-eight randomly selected public primary care facilities in four states were assessed by trained surveyors. Problems observed in the facilities were lack of information on target population and coverage, lack of equipment to permit rehydration in the premises, and frequent unavailability of trained professionals. Health workers showed deficiencies in history taking, physical examination and knowledge on diarrhoea management. Many caretakers had difficulties in recalling information given to them in the health facilities. Eighty-four percent of the cases were treated with oral rehydration, but 90% were sent home immediately and not kept in the facilities to practice rehydration under guidance as recommended by the national CDD programme. An overuse of the medical treatment was observed. More than two-thirds of health professionals gave wrong indications for use of antibiotics. The study showed that oral rehydration therapy is well established in the government health services in the region but that the CDD programme needs to take early action to correct deficiencies in logistics, case management and health education.

Original languageEnglish (US)
Pages (from-to)35-40
Number of pages6
JournalScandinavian Journal of Social Medicine
Volume22
Issue number1
StatePublished - 1994
Externally publishedYes

Fingerprint

Fluid Therapy
Brazil
Diarrhea
Health Services Needs and Demand
Health Facilities
Health
Program Evaluation
Case Management
Health Education
Physical Examination
Health Services
Primary Health Care
Anti-Bacterial Agents
Equipment and Supplies
Therapeutics

Keywords

  • Brazil
  • Developing countries
  • Diarrhoea
  • Quality assurance

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Barros, F. C., Forsberg, B. C., Victora, C. G., Maranhao, A. G. K., Stegeman, M., Gonzalez-Richmond, A., ... Branco, J. A. (1994). Quality assurance of a diarrhoea control programme in northeastern Brazil. Scandinavian Journal of Social Medicine, 22(1), 35-40.

Quality assurance of a diarrhoea control programme in northeastern Brazil. / Barros, F. C.; Forsberg, B. C.; Victora, C. G.; Maranhao, A. G K; Stegeman, M.; Gonzalez-Richmond, A.; Martins, R. M.; Neumann, Z. A.; McAuliffe, J.; Branco, J. A.

In: Scandinavian Journal of Social Medicine, Vol. 22, No. 1, 1994, p. 35-40.

Research output: Contribution to journalArticle

Barros, FC, Forsberg, BC, Victora, CG, Maranhao, AGK, Stegeman, M, Gonzalez-Richmond, A, Martins, RM, Neumann, ZA, McAuliffe, J & Branco, JA 1994, 'Quality assurance of a diarrhoea control programme in northeastern Brazil', Scandinavian Journal of Social Medicine, vol. 22, no. 1, pp. 35-40.
Barros FC, Forsberg BC, Victora CG, Maranhao AGK, Stegeman M, Gonzalez-Richmond A et al. Quality assurance of a diarrhoea control programme in northeastern Brazil. Scandinavian Journal of Social Medicine. 1994;22(1):35-40.
Barros, F. C. ; Forsberg, B. C. ; Victora, C. G. ; Maranhao, A. G K ; Stegeman, M. ; Gonzalez-Richmond, A. ; Martins, R. M. ; Neumann, Z. A. ; McAuliffe, J. ; Branco, J. A. / Quality assurance of a diarrhoea control programme in northeastern Brazil. In: Scandinavian Journal of Social Medicine. 1994 ; Vol. 22, No. 1. pp. 35-40.
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