护理质量与卫生系统功能

数据集获取（Figshare）

• 源站标题：<p>Quality of care and health systems functioning.</p>
• DOI：10.1371/journal.pgph.0005936.t004
• 发布日期：2026-02-25
• 文件数：1 个
• 文件总体积：5.63 KB
• 源站页面：https://plos.figshare.com/articles/dataset/_p_Quality_of_care_and_health_systems_functioning_p_/31413670

命令行下载

curl -L -o "Table 4.xls" "https://ndownloader.figshare.com/files/62163922"

文件清单

• Table 4.xls（5.63 KB）

文件总体积 5.63 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Diabetes is a significant cause of disabilities and deaths in Africa. In Madagascar, diabetes causes an estimated 5,000 deaths yearly. There are many barriers to diabetes care in Madagascar, and a key barrier is health systems readiness to provide care, especially in rural areas. To mitigate this, the non-governmental organization (NGO) Pivot and the Ministry of Public Health (MoPH) jointly implemented a diabetes decentralization program in Ifanadiana, a rural district of Madagascar. This program included advocacy; mass screening; training of healthcare workers (HCWs); procurement of equipment, medications and consumables; establishment of a dedicated diabetes care day at primary health centers (PHCs); and support groups for patients. This study evaluated the implementation of this multifaceted diabetes program using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. Using a mixed methods study design, we evaluated program implementation at PHCs at 3, 6, and 18 months of implementation. Overall, 2.1% of people tested during mass screenings were positive for diabetes and 59.3% of people diagnosed with diabetes during mass screenings entered into care at a PHC. There was a fasting blood glucose check at 93.2% of visits, and an average 1.35 days of medication stock out per month. 48.0% patients had their diabetes controlled, ranging from 33.3% at the PHCs with 3 months of implementation to 57.8% at 18 months of implementation. Qualitative data revealed that HCWs adopted various aspects of the program, with suggestions for improvement on the training received. A dedicated day for diabetes management weekly was widely accepted by patients and HCWs. The most difficult aspect of diabetes management for patients was dietary recommendations. This study demonstrated that NGO support enables accessibility of diabetes services even in the most remote areas, and a multi-layered approach to implementation of diabetes diagnosis and treatment is needed for effective care.

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pgph.0005936.t004（source: https://plos.figshare.com/articles/dataset/_p_Quality_of_care_and_health_systems_functioning_p_/31413670）。