Background

The national committee for control of viral hepatitis (NCCVH) in Egypt, settled by the Ministry of health, treated over one million patients in around 60 centers with chronological changes in drug combinations. This research aims to study the health care facilities and services provided by NCCVH treatment centers in Egypt and explore hinders faced.

Methods

A cross-sectional operational research study. Multistage random sampling technique was applied for Egyptian governorates. From each stratum one governorate was chosen from which one center was randomly selected. Quality of recorded data for each center in the central server (Data-oriented parameter), newly designed score to assess the overall performance of the centers was retrieved from computer based recording system. A self-administered questionnaire was completed by the centers head.

Results

This study included 24 treatment centers from urban, rural areas, Upper and Lower Egypt. The Upper centers showed the best completeness of follow-up records and the least compliance rates. None of the centers had 100% completeness of follow-up data. Proportion of SVR is minimally less than proportion of patient with known outcome in all treatment centers. A novel indicator standardizing the comparisons of performance of different facilities was introduced: Total number of physicians/total number of SVR patients with completed records. The highest response rate: Monfiya Governorate (Lower Egypt), Aswan (Upper Egypt), Completeness of follow-up records: Kalyoubia (Lower Egypt), Sohag governorate (Upper Egypt). The average administrative score was 64%.

Conclusion

Challenges of NCCVH program: overcrowdings, resistant sociocultural background among rural patients, limited accessibility for internal migrants and incompleteness of data entry are system lacking points. Strengths include, clear patient pathway, well-established database online application, well-trained physicians and treatment availability.

中文翻译：

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在埃及对慢性丙型肝炎进行大规模治疗期间对设施性能的评估：促成因素和障碍。

背景

由卫生部设立的埃及国家病毒性肝炎控制委员会（NCCVH）对60多个中心的100万患者进行了治疗，其用药时间顺序发生了变化。这项研究旨在研究埃及NCCVH治疗中心提供的医疗保健设施和服务，并探讨面临的障碍。

方法

横断面运营研究。多阶段随机抽样技术已应用于埃及各省。从每个阶层中选择一个省，并从中随机选择一个中心。从基于计算机的记录系统中检索中央服务器中每个中心的记录数据质量（面向数据的参数），新设计的分数以评估中心的整体性能。中心负责人填写了一份自我管理的调查表。

结果

该研究包括来自城市，农村地区，上埃及和下埃及的24个治疗中心。上层中心表现出最佳的随访记录完整性和最低的合规率。没有一个中心有100％完整的随访数据。SVR的比例至少小于所有治疗中心中具有已知结果的患者比例。引入了标准化不同设施性能比较的新型指标：医师总数/具有完整记录的SVR患者总数。最高答复率：蒙菲亚省（下埃及），阿斯旺（上埃及），随访记录的完整性：卡尔尤比亚（下埃及），苏哈格省（上埃及）。平均行政得分是64％。

结论

NCCVH计划的挑战：人满为患，农村患者的社会文化背景恶劣，内部移民的可及性有限以及数据输入不完整是系统缺乏的要点。优势包括清晰的患者路径，完善的数据库在线应用程序，训练有素的医师和治疗可用性。