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Ridha Gataa, Thouraya Nabli Ajmi, Iheb Bougmiza, Ali Mtiraoui. Morbidity patterns in general practice settings of the province of Sousse, Tunisia. The Pan African Medical Journal. 2009;3:11 Key words: General practice, problems managed by general practitioners, International Classification of Primary Care, ICPC-2 Permanent link: http://www.panafrican-med-journal.com/content/article/3/11/full Received: 03/11/2008 - Accepted: 20/10/2009 - Published: 02/11/2009 © Ridha Gataa et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
Morbidity patterns in general practice settings of the province of Sousse, Tunisia
Ridha Gataa1&, Thouraya Nabli Ajmi1, Iheb Bougmiza1, Ali Mtiraoui1
1Department of Community Medicine - Medical Faculty of Sousse (Tunisia)
& Corresponding author
Faculté de Médicine – Avenue Mohamed Karoui – Sousse 4000 – Tunisie. Tel: +216 – 98 503 933 or +216 – 73 220675, Fax: +216 – 73 210925.
Background
Primary health care is one of the most important pillars of the Tunisian health care system. However, very little information is available regarding the specificities of general practice and the patterns of morbidity encountered.
Methods
We conducted a descriptive study from June 2002 to May 2003 in 85 primary health centres in Sousse during 12 randomly selected weeks in order to describe the variability of the morbidity in all seasons;(3 weeks were randomly selected in each season). Each working day of selected weeks, a systematic sample of patients was identified in each health centre by taking every fifth registered patient. There were 16,271 consultations. The International Classification of Primary Care (ICPC-2) was used to code recorded data of the consultation.
Results
There were 24,882 reasons for encounter, a total of 18,097 problems managed by general practitioners (GPs), and 40,190 interventions. There was a predominance of females (62%) and a relatively young population attending the primary health care settings as 50% was aged less than 25 years. According to ICPC-2 chapters, we found that respiratory diseases were the main problems managed in primary health care (43%), followed by digestive (10.1%), locomotive (8.9%), cardiovascular affections (8.7%) and skin diseases (8.4%). These five conditions alone constituted about 80% of the total cases. However, genital conditions for both males and females (1%) as well as psychological and social problems (0.85%) were rarely managed in primary care.
Conclusion
The findings will be useful in helping to revise the educational curriculum of medical studies as required in general practice and to plan relevant vocational training for GPs. They will also be important for health policy makers in Tunisia.
