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Fasina AA, Dean AJ, Panebianco NL, Shofer FS, Ali O, Yahya M, Ismail S, Henwood PC. Evaluation of Diagnostic Imaging Capacity and the Role for Point-of-Care Ultrasound (POCUS) within the Zanzibar Health System. POCUS J 2021; 6:45-50. [PMID: 36895506 PMCID: PMC9979903 DOI: 10.24908/pocus.v6i1.14763] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Background: The Zanzibar Ministry of Health identified access to ultrasound (US) as a system priority due to limited diagnostic imaging capacity and consequent impact on patient care and requested a needs assessment in this regard. As a result, the objective of this study was to assess diagnostic imaging capacity focusing on ultrasound in Zanzibar, including health care providers’ (HCPs) current training, use, and barriers to implementation. Methods: A previously published ultrasound needs assessment survey was modified and administered on-site at the eight public hospitals in Zanzibar among a convenience sample of HCPs. Demographics, perceived US needs, current training and practice, and availability of specialty support were assessed. HCPs also completed focused personal interviews (FPIs) to explore experience with training, interests, and barriers to ultrasound. On-site diagnostic imaging modalities were assessed. Results: There were nine ultrasound machines present at six of the eight public hospitals assessed. All had x-ray, but only one had a CT scanner and a radiologist. There was no MRI capacity at the hospitals assessed at the time of the study. Survey data among 40 participants revealed that prior experience with POCUS was limited with only 10% reporting any prior ultrasound training or experience. The majority of those surveyed (72%), indicated a ‘high’ interest in learning ultrasound. Of those reporting interest in POCUS applications, obstetrics was the most often cited (70%). Lack of ultrasound machines (40%) and educators (28%) were identified as the greatest barriers. Conclusion: HCPs in Zanzibar have limited access to diagnostic imaging, including ultrasound, and expressed a high level of interest in learning point-of-care ultrasound. A shortage of machines and educators are the main barriers to widespread use. Obstetrics is the application for which ultrasound is currently most used and is the application HCPs are most interested in learning. Equipment and educational support for a POCUS program could improve care by increasing access to diagnostic imaging.
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Affiliation(s)
- Abiola A Fasina
- Emergency Healthcare Consultants Lagos Nigeria.,Point-of-care Ultrasound in Resource-limited Environments Philadelphia, PA USA
| | - Anthony J Dean
- Department of Emergency Medicine, University of Pennsylvania Hospital Philadelphia, PA USA.,Point-of-care Ultrasound in Resource-limited Environments Philadelphia, PA USA
| | - Nova L Panebianco
- Department of Emergency Medicine, University of Pennsylvania Hospital Philadelphia, PA USA
| | - Frances S Shofer
- Department of Emergency Medicine, University of Pennsylvania Hospital Philadelphia, PA USA
| | | | - Mwajuma Yahya
- Department of Radiology, Mnazi Moja Hospital Unguja Zanzibar
| | - Salim Ismail
- Department of Radiology, Mnazi Moja Hospital Unguja Zanzibar
| | - Patricia C Henwood
- Point-of-care Ultrasound in Resource-limited Environments Philadelphia, PA USA.,Department of Emergency Medicine, Thomas Jefferson University Hospital Philadelphia, PA USA
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