Increasing Trend of Clinical Laboratory Testing at Gelephu Central Regional Referral Hospital, Bhutan

Chhetri, Vishal; Yangchen, Karma; Dawa, Chenga

doi:10.23958/ijirms/vol03-i11/463

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…In Bhutan there is no evidence of malaria case transmitted either by blood transfusion or congenital. [18,19] The past four years (2014-2017) data showed the diversity of parasite species in the three endemic districts. Samtse and Sarpang detected the predominance of P. vivax with 93% and 62%, whereas, Samdrup Jongkhar has seen predominance of P. falciparum (61 %).…”

Section: Resultsmentioning

confidence: 99%

Burden of Malaria in three Endemic Districts of Bhutan: Road to Malaria Elimination

Chhetri¹,

Dukpa

Namgay

et al. 2019

ijirms

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Introduction: Bhutan is considered as a low endemic country for malaria. In the last decade, Bhutan has successfully reduced the number of malaria cases with the support from Global Fund and WHO. Sarpang, Samtse and Samdrup Jongkhar districts located in the Southern foothills of Bhutan records the most cases. Method: This retrospective study was undertaken with the available census record maintained in health centers of the three endemic districts and VDCP. Results: There were 892 confirmed malaria cases in 2009 and 41 cases in 2017 in three endemic districts. The slide positivity rate (SPR) declined from 2.2% in 2009 to 0.1% in 2017. The distribution of disease was significantly higher (p<0.05) amongst the male population with the increasing trend of Plasmodium vivax infection. The study found predominance of P. vivax in Samtse (93%), and Sarpang (62%) and Plasmodium falciparum in Samdrup Jongkhar (61%). The last four years (2014-2017) data showed that maximum cases detected were imported, followed by indigenous and introduced malaria; with 50%, 44% and 6%, respectively. The mortality and morbidity due to malaria has magnificently declined in the last decade. Conclusion: The large-scale implementation of vector control interventions, such as insecticide-treated bed nets, indoor residual spraying, free health care service and active vector surveillance has achieved a marked reduction in malaria incidence. Cross border malaria is still a huge challenge for elimination of malaria in Bhutan. Thus, imported malaria is an increasing problem due to high receptivity, and vulnerability.

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Section: Resultsmentioning

confidence: 99%

Burden of Malaria in three Endemic Districts of Bhutan: Road to Malaria Elimination

Chhetri¹,

Dukpa

Namgay

et al. 2019

ijirms

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“…The RRS has improved the overall precision of the analysis, thereby increasing efficacy and reducing TAT. 8 There is a wide variation in satisfaction rate among the participating laboratories, and this inconsistency may be primarily attributed to the number of equipment breakdowns in individual laboratories and accessibility to biomedical engineers.…”

Section: Discussionmentioning

confidence: 99%

Efficiency of Reagent Rental System in Biochemistry Services in Bhutan

Chhetri,

Nima,

Dophu

et al. 2021

Clin Lab Sci

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INTRODUCTION:The evidence-based practice in medicine has made the laboratory diagnostic imperative for optimal health care services. The quality approaches in laboratory medicine in Bhutan have been incorporated since the one last decade. The quality of the clinical chemistry in Bhutan has been compromised due to the erratic supply of the reagents or consumables, poor equipment maintenance, and lack of automachine. In order to address this predicament, the Reagent Rental System (RRS) was introduced in clinical chemistry in 2014. In this study, we evaluated the efficiency of RRS at clinical chemistry services in Bhutan.METHODS: A set of questionnaires was developed and information was collected from 8 major hospitals with RRS. The information was also collected from the physicians and hospital administrators on RRS. Data entry was done using Microsoft Excel. Descriptive information is presented as frequencies, means, and percentages. RESULTS:The overall satisfaction rate among the clinical chemistry laboratories using RRS was found to be 51.1%.Among the participating laboratories, Tashigang General Hospital Laboratory showed the highest satisfaction rate (81.8%). The Central Regional Referral Hospital Laboratory was found to be the least satisfied (27.2%). The implementation of RRS has minimized the coefficient of variation (CV) from 27.3% in 2011 to 5.1% in 2017. In the last 4 years (2014-2017), the average service interruption was reduced to 40.5 days from 14 months in the past. The participating laboratories were found to be satisfied with the analytical performance of the auto-analyzer; however, the nontechnical factors have negatively influenced the efficiency of RRS to improve the quality of the service. The physicians and hospital administrators also found that RRS has improved the quality of the service with reliable patient reports. CONCLUSIONS:The RRS has improved the quality of the clinical chemistry services by improving the supply of the reagents and consumables, equipment maintenance, and CV.

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“…Gelephu hospital examines the second highest number of OPD cases in the country. 12 The sharp escalation of T2DM has been observed in South East Asian region. 13 T2DM is mostly associated with change in lifestyle due to urbanization.…”

Section: Discussionmentioning

confidence: 99%

Diabetes Case Burden at Central Regional Referral Hospital, Gelephu, Bhutan; A Retrospective Study

Chhetri¹,

Pokhrel²,

Zangmo³

et al. 2020

IHRJ

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BACKGROUND: Diabetes is a metabolic disorder affecting millions of people globally. The incidence of type 2 diabetes is increasing rapidly in Bhutan. Anecdotal evidences show poor compliance and loss to follow up among the Bhutanese population living with diabetes. This study was conducted to understand the case load, age and gender distribution and compliance to follow up among diabetic patients registered at Central Regional Referral Hospital, Gelephu, Bhutan. MATERIALS & METHOD: All the patients diagnosed and registered with Diabetic Clinic between 1st January 2014 to 31st December 2018 were included in the study.RESULTS: There was a sharp increase in number of registered diabetic patients from 641 cases in 2014 to 1590 cases in 2018. A total of 949 new cases were diagnosed and registered during the study period of which 52% were women. The overall diabetes prevalence under Gelephu CRRH catchment area is found to be 2.91% with lowest at Chhudzom (1.01%) and highest in Samtenling Gewog (3.18%). Lost to follow up among new cases for past four years was found to be 3.96%, 5.0%, 6.47% and 5.85% from 2015 to 2018 respectively.CONCLUSION: The ageing population and sedentary lifestyle has contributed to the sharp escalation of type 2 diabetes cases in Gelephu. The hospital recorded total of 1590 cases in 2018 which is a two-fold increase in case load within a span of five years. The current analysis found that loss to follow up was 3.96%, 5.0%, 6.47% and 5.85% from 2015 to 2018 respectively among new cases of diabetes registered with the hospital.

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Increasing Trend of Clinical Laboratory Testing at Gelephu Central Regional Referral Hospital, Bhutan

Cited by 3 publications

References 18 publications

Burden of Malaria in three Endemic Districts of Bhutan: Road to Malaria Elimination

Burden of Malaria in three Endemic Districts of Bhutan: Road to Malaria Elimination

Efficiency of Reagent Rental System in Biochemistry Services in Bhutan

Diabetes Case Burden at Central Regional Referral Hospital, Gelephu, Bhutan; A Retrospective Study

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