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Kodouda SF, Zachariah R, Khogali M, et al. How well are asthma treatment cards filled out in public health centres in Gazeera State, Sudan?. Public Health Action. 2014;4(2):116-21doi: 10.5588/pha.14.0004.
Kodouda, S. F., Zachariah, R., Khogali, M., van Griensven, J., Saeed, M., Ibrahim, E. H., Schneider, S., Adulazeem, S., El Sadig, H. A., Atta, R., Mahgoub, N. G., & El Sony, A. I. (2014). How well are asthma treatment cards filled out in public health centres in Gazeera State, Sudan?. Public health action, 4(2), 116-21. https://doi.org/10.5588/pha.14.0004
Kodouda, S F, et al. "How well are asthma treatment cards filled out in public health centres in Gazeera State, Sudan?." Public health action vol. 4,2 (2014): 116-21. doi: https://doi.org/10.5588/pha.14.0004
Kodouda SF, Zachariah R, Khogali M, van Griensven J, Saeed M, Ibrahim EH, Schneider S, Adulazeem S, El Sadig HA, Atta R, Mahgoub NG, El Sony AI. How well are asthma treatment cards filled out in public health centres in Gazeera State, Sudan?. Public Health Action. 2014 Jun 21;4(2):116-21. doi: 10.5588/pha.14.0004. PMID: 26399211; PMCID: PMC4539030.
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Public Health Action. 2014 Jun 21;4(2):116-21. doi: 10.5588/pha.14.0004.

How well are asthma treatment cards filled out in public health centres in Gazeera State, Sudan?.

Public health action

S F Kodouda, R Zachariah, M Khogali, J van Griensven, M Saeed, E Hussein Ibrahim, S Schneider, S Adulazeem, H A El Sadig, R Atta, N Gafar Mahgoub, A I El Sony

Affiliations

  1. The Epidemiological Laboratory, Khartoum, Sudan.
  2. Medical Department Operational Research Unit/Operations, Operational Centre Brussels, Médecins Sans Frontières -MSF-Luxembourg, Luxembourg.
  3. Institute of Tropical Medicine, Antwerp, Belgium.
  4. Centre for Toxicology and Public Research, University of Luxembourg, Luxembourg.
  5. Ministry of Health, Wad Madani, Gazera State, Sudan.

PMID: 26399211 PMCID: PMC4539030 DOI: 10.5588/pha.14.0004

Abstract

SETTING: Four public district hospitals offering asthma treatment in Gazeera State, Sudan. Incomplete recording of patient data directly affects the quality of asthma care and the evaluation of asthma management programmes.

OBJECTIVE: To assess the completeness of filling out of treatment cards and accuracy of calculating peak expiratory flow (PEF) for confirming diagnosis and grading severity of asthma.

DESIGN: Cross-sectional audit of asthma treatment cards from asthma centres, 2006-2012.

RESULTS: Of 959 patient cards assessed, completeness ranged from 47% to 98%. Six of 13 variables had an unsatisfactory grade of completeness (<80% complete). Calculated PEF was indicated in 885 (92%) cards, but was correct in only 609 (69%). PEF variability was recorded in 835 (87%) cards, but was correctly calculated in 442 (53%). A scheduled follow-up visit was attended by only 359 (37%) patients, indicating 63% loss to follow-up. Contact telephone numbers were missing from 453 (47%) cards.

CONCLUSION: This is the first study in Africa to assess the data completeness and integrity of asthma patient cards, identifying important shortcomings. This affects quality of management of asthma patients and programme evaluation. Steps to rectify this situation are urgently needed.

Keywords: chronic disease; electronic medical records; operational research; quality

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