Proportion of Incidence, Diagnosis, and Management of Acute Respiratory Infections at the Three Community Health Centers, In Baucau Municipality, Year 2024.
DOI:
https://doi.org/10.3007/tmxz0v43Keywords:
Proportion of Incidence, Diagnosis, Management of Acute Respiratory, Infections at the Three Community Health CentersAbstract
This report presents a comprehensive analysis of Acute Respiratory Infection (ARI) incidence, diagnostic classification, and management practices across three primary health centers (CS Tirilolo, CS Uailili, and CS Bucoli) in Baucau Municipality, Timor-Leste, based on retrospective data from 2025. The study sampled 283 ARI cases (Tirilolo n=92, Uailili n=95, Bucoli n=96) drawn from a total of 25,640 health center visits in 2025. The result shoen the Overall ARI represented 22% of all visits in the three centers. Distribution by diagnosis among sampled ARI cases: 46% cough/no pneumonia, 39% pneumonia, 15% severe pneumonia, Most patients were children under five; caregivers were predominantly female with low educational attainment and farming occupations. ARI burden varied markedly by center, with CS Bucoli showing the highest burden (62% ARI proportion among visits) and higher proportions of pneumonia/severe pneumonia. Management adherence to WHO and national Timor-Leste guidelines was reported at 100% across the sampled cases, including appropriate antibiotic use and timely referral for severe pneumonia. The analysis identifies socio-economic and environmental determinants household solid fuel use, poor ventilation, caregiver education, and occupation-linked exposures as likely contributors to spatial variation in ARI burden and severity. While clinical management at facility level followed guidelines in the sampled cases, gaps remain in upstream prevention, community-level early detection, oxygen access scale-up, supply chain resilience for essential medicines, and tailored environmental health interventions. The recommendations for targeted programmatic actions: prioritized community health education, strengthened integrated management of childhood illness (IMCI) and referral pathways, improved oxygen systems and essential medicine supply at primary centers, focused interventions in high-burden subdistricts (notably Bucoli), and multisectoral environmental risk reduction (household energy transition, ventilation improvements, air quality monitoring).
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