越南的活跃结核病案例
![Credit: CC0 Public Domain 结核](https://scx1.b-cdn.net/csz/news/800a/2020/tuberculosis.jpg)
研究公共卫生干预措施的实施通常涉及识别“促进者”和“障碍”。在活跃结核病案例(也称为基于社区的结核筛查)的情况下,许多研究已经记录了促进者和障碍,但只有很少有人探索了利用促进者的“如何”,并克服活跃的障碍案例调查实践。这项新的研究有助于填补这种差距。
以前未被发现的结核
本研究是影响结核病项目的一部分。影响结核病在越南胡志明市的六个地区实施,产生了一个高产以前未被发现结核(TB)。Based on interviews with local leaders (e.g., District TB Unit managers), employees, volunteers and people with TB, the research team uncovered the facilitators, barriers and "how-to" strategies linked to the implementation of active case-finding within IMPACT TB. Most importantly, the IMPACT TB project was said to help the implementation of active case-finding, while implementation still depended on the individual employees and volunteers who could "make or break" the process.
实施活性结核病案例发现的三个主要主题
“我们生成了三个主要主题:(1)越南使用的研究活动案例查找模型为有利的社会和组织背景提供了有效的社会和组织背景,以便有效地与改进领域实施,包括沟通和提高认识,准备和物流,数据systems and processes, and incentives; (2) employees and volunteers capitalized on their strengths to facilitate active case-finding implementation, e.g., experience, skills, and communication; and (3) employees and volunteers were in a position to address patient-level barriers to active case-finding implementation, e.g., stigma, discrimination, and mistrust. These themes covered a variety of facilitators, barriers and "how-to" strategies," says Olivia Biermann, first author of the publication.
实施研究和下一步
“我们的结果也与我们在尼泊尔进行的研究以及该领域的其他可用证据一致。我相信跨学会的跨学者,障碍和”如何达“战略有很多可能性。实施主动案例查找。同时,这种研究的下一步应该涉及深入了解这些因素的更深,以了解它们在不同的背景下发挥作用。为了改善健康,这些发现可以帮助改善越南的规划和实施积极案例调查和全球低收入国家的类似背景。“
Olivia Bieromann等,在越南胡志明市六区实施促进者和解决障碍时障碍:与关键利益相关者进行定性研究,实施科学(2021)。DOI:10.1186 / s13012-021-01124-0
用户评论