Scholarlink

Background <p>Integrating the principles of humanized care into healthcare systems is critical to promoting optimal well-being. In a context of limited resources, improving quality of care means identifying priority sites to optimize cost-effectiveness. The objective was to measure key indicators of quality and safety in health facilities and map priority health districts (HDs) for effective implementation of high-impact interventions in the Centre Region.</p> Methods <p>We conducted a descriptive cross-sectional analysis of retrospective data from 32 HDs in the Centre Region for the period 2018–2022. Data were extracted from the national District Health Information System 2 (DHIS2) database in April 2023 and checked for completeness. The health indicators assessed were those defined in the Cameroon Health Sector Strategy for 2020–2030. Data were analyzed using R statistics version 4.2.3.</p> Results <p>The density of the qualified healthcare workers was 13.7 per 10 000 inhabitants in 2022. Over the five-year study period, the density of doctors in rural areas declined by almost 20% by 2020, whereas urban areas experienced a concurrent increase. The Odza HD had the highest inpatient mortality rate over the five-year study period (49%). In rural areas, the Esse HD had the highest mortality rate (32.4%). Esse (18.8%) and Odza (6.7%) HDs had the highest perioperative mortality rates in rural and urban areas, respectively. Most of the urban HDs (5/8 = 62.5%) had a neonatal mortality rate higher than the regional median (RM = 3.1). Half of the rural HDs had a maternal mortality ratio higher than the RM = 118 per 1000 live births and the Mbandjock (357/1,000) and Mvog-Ada (285/1,000) HDs carried the highest burden in rural and urban areas respectively. More than two thirds of urban HDs recorded a proportion of free malaria treatment cases below the RM (14%).</p> Conclusions <p>Efforts to humanize healthcare in the Centre Region are hindered by persistent disparities in care quality and inconsistent policy implementation. Addressing these challenges requires timely implementation of a National Strategic Plan to Improve the Quality of Healthcare and Service Delivery, emphasizing on capacity building through training and supervision.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Humanization of care: a geospatial analysis of key indicators of quality and safety of health care and service in the Centre region, Cameroon

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年7月27日

查看全文
  • Fabrice Zobel Lekeumo Cheuyem,
  • Adidja Amani,
  • Brian Ngongheh Ajong,
  • Lionel Berthold Keubou Boukeng,
  • Christian Mouangue,
  • Martine Golda Mekouzou Tsafack,
  • Esther Andriane Bitye Bi Mvondo,
  • Ariane Nouko,
  • Claude Axel Minkandi,
  • Christelle Sandrine Ngos,
  • Edwige Omona Guissana,
  • Raissa Katy Noa Otsali,
  • Djoulay-Hatou,
  • Adam Yaya,
  • Pamela Sonfack,
  • Florence Kissougle Nkongo

摘要

Background

Integrating the principles of humanized care into healthcare systems is critical to promoting optimal well-being. In a context of limited resources, improving quality of care means identifying priority sites to optimize cost-effectiveness. The objective was to measure key indicators of quality and safety in health facilities and map priority health districts (HDs) for effective implementation of high-impact interventions in the Centre Region.

Methods

We conducted a descriptive cross-sectional analysis of retrospective data from 32 HDs in the Centre Region for the period 2018–2022. Data were extracted from the national District Health Information System 2 (DHIS2) database in April 2023 and checked for completeness. The health indicators assessed were those defined in the Cameroon Health Sector Strategy for 2020–2030. Data were analyzed using R statistics version 4.2.3.

Results

The density of the qualified healthcare workers was 13.7 per 10 000 inhabitants in 2022. Over the five-year study period, the density of doctors in rural areas declined by almost 20% by 2020, whereas urban areas experienced a concurrent increase. The Odza HD had the highest inpatient mortality rate over the five-year study period (49%). In rural areas, the Esse HD had the highest mortality rate (32.4%). Esse (18.8%) and Odza (6.7%) HDs had the highest perioperative mortality rates in rural and urban areas, respectively. Most of the urban HDs (5/8 = 62.5%) had a neonatal mortality rate higher than the regional median (RM = 3.1). Half of the rural HDs had a maternal mortality ratio higher than the RM = 118 per 1000 live births and the Mbandjock (357/1,000) and Mvog-Ada (285/1,000) HDs carried the highest burden in rural and urban areas respectively. More than two thirds of urban HDs recorded a proportion of free malaria treatment cases below the RM (14%).

Conclusions

Efforts to humanize healthcare in the Centre Region are hindered by persistent disparities in care quality and inconsistent policy implementation. Addressing these challenges requires timely implementation of a National Strategic Plan to Improve the Quality of Healthcare and Service Delivery, emphasizing on capacity building through training and supervision.