APH 2002, 60, 125-140:

Motifs de contacts au niveau de la première ligne dans le sahel tunisien.

MS. Soltani, M. Letaief, K. Ben Salem, O. Mandhouj, H. Gacem, Z. Belghith, R. Nouira and A. Bchir

Keywords: motif de contact, 1ére ligne, Tunisie

The knowledge of the ambulatory morbidity is necessary to estimate health of the populations and to follow its evolution.  In this frame that we forward-looking a prospective study, which carries of the motives for contact in the first line of Monastir's governorate during one year (november 1996 october 1997).  The population of study consists of the population served by the centers of basic health.  From the point of view of the methodology, we proceeded by a sampling to two degrees.  The first sounding concerns the weeks and retained the first week of every month; the second concerns the consultants and retaining the first week of every month; the second concerns the consultants and retaining the 1/5 at the level of every CSB.  This study is based on a questionnaire beforehand tested, which investigates besides identification, the motives for contact, the utilization of the services of care and the diagnosis retained by the doctor.  In the term of this study, we collected 6372 consultants among who 2/3 are female and 30% are children less than 15 years.  The symptons and the complaints are the most usually expressed with 66% of the cases, the therapeutic procedures in 9,9% of the cases, the procedures of screening and prevention in 7,3% of the cases, the diagnoses and the diseases in 6,9% of the cases.  The results of exams and administrative motives represent respectively 5,8% and 3,4%.  The average number of motives by contact is 1,2 by contact.

Besides in 83% of our consultants expressed a unique motive for contact.  The diseases of the respiratory system dominated the ambulatory pathology at the 1-st line level with 43,5% followed by the diseases of the circulatory system and the cutaneous diseases.  The main pathologies are dominated by tronsillitis and the bronchitis.