Patients with kidney disease are referred late to tertiary institutions with increased morbidity and mortality. The accurate diagnoses and management of kidney disease by primary healthcare staff is dependent on the requisite knowledge and availability of adequate laboratory services. We set out to describe the practice pattern of districts Hospitals.
We conducted a situational cross-sectional descriptive survey of district hospitals within the Ashanti region of Ghana. A structured questionnaire was designed via google survey and the links sent to medical superintendents and/or administrators for completion. Data was exported onto an Excel sheet and analyzed with Stata 13. Summary statistics with means ± standard deviation and medians with interquartile range were used where appropriate. Percentages and proportions were used for categorical data.
We surveyed 26 hospitals in the Ashanti region of Ghana. This included 23(88.5%) public facilities. Most 25(96.2%) of hospitals had a dedicated diabetes mellitus clinic and 24(92.3%) had dedicated hypertension clinic. Only 5(19.2%) hospitals routinely requested urinalysis for patients with diabetes and hypertension during visits. Almost all 25(96.2%) hospitals could carry out routine urine analysis in their laboratory but only 16 (61.5%) of the hospitals could run serum urea and creatinine test. Most 25(96.2%) of respondents suggested that the training of health staff for the early diagnosis and management of kidney disease as key to improve care.
Primary healthcare staff in district hospitals do not routinely screen high risk patients for kidney disease and call for training to manage patients with kidney disease appropriately.
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