快速实施地图,以确定尼日利亚宫癌控制的实施决定因素和战略
Ijeoma Uchenna Itanyi1,2, Clare Viglione3, Anne F Rositch4
1Department of Community Medicine, College of Medicine, University of Nigeria Nsukka, Enugu, Nigeria.
Frontiers in public health
|September 4, 2023
概括
这项研究使用虚拟实施映射来识别宫癌查和治疗纳入尼日利亚艾滋病毒计划中的障碍和策略. 这种方法被证明是可行的,以解决医疗保健挑战在低资源环境.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 在瘤学瘤学.
背景情况:
- 宫癌在尼日利亚是一个重大的健康负担,不成比例地影响着感染艾滋病毒的妇女.
- 宫癌查和治疗服务的有限提供和采用阻碍了进展.
- 了解实施决定因素对于整合基于证据的干预措施至关重要,特别是在资源较少的环境中.
研究的目的:
- 描述使用虚拟在线实施映射方法的方法 (步骤1-3).
- 确定实施决定因素,机制和战略,将子宫癌查和治疗纳入尼日利亚现有的艾滋病毒基础设施.
- 为了应对COVID-19大流行所带来的挑战,在实施科学中进行在线协作.
主要方法:
- 一个混合方法研究设计,结合了虚拟修改名义组技术 (NGT),与实施映射步骤1-3相一致.
- 11个利益相关者参与了两阶段的虚拟NGT过程,利用在线调查和NGT与实施映射.
- 探索,准备,实施和维持 (EPIS) 框架指导了关于决定因素和战略的讨论.
主要成果:
- 确定了18个决定因素,包括人力资源能力,服务获取,物流和与客户相关的因素.
- 最主要的障碍是人力资源的缺口,对宫癌服务的缺乏,以及由于缺乏认识而造成的需求低.
- 确定了六个核心和两个增强的实施战略,以实现整合.
结论:
- 快速实施映射是确定实施决定因素,机制和战略的可行和可接受方法.
- 这种虚拟方法在低收入和中等收入国家 (LMICs) 的复杂医疗干预中是有效的.
- 这些发现支持将子宫癌服务纳入尼日利亚现有的艾滋病毒计划.
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