让私营部门参与尼日利亚结核病预防和护理的挑战:混合方法研究
Obioma Chijioke-Akaniro1, Simeon Onyemaechi2, Joseph Kuye3
1National Tuberculosis and Leprosy Control Programme, Abuja, Nigeria ocakaniro@gmail.com.
BMJ open
|September 14, 2023
概括
尼日利亚的私人医疗保健提供者在结核病 (TB) 预防和护理实践中存在重大差距,大多数设施不从事结核病服务. 解决这些知识和实践缺陷对于改善国家结核病控制工作至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 私营医疗保健提供者在结核病 (TB) 预防和护理方面发挥着至关重要的作用,但他们在尼日利亚的贡献仍然不足于最佳水平.
- 了解私人医生所面临的实践和挑战对于加强结核病控制策略至关重要.
研究的目的:
- 评估尼日利亚私人医生关于结核病 (TB) 管理的现有做法.
- 确定导致私人医疗保健提供者在结核病预防和护理方面的有限参与的因素.
主要方法:
- 采用混合方法方法,将结核病患者数据的定量追溯审查与临床工作人员的定性深入访谈相结合.
- 从Oyo州和尼日利亚联邦首都领地 (FCT) 的私人医疗机构收集了2017年1月至2018年12月期间通知的患者的数据.
主要成果:
- 很少有私人医疗机构被指定为"参与"的结核病护理机构 (11.0%在Oyo州,0%在FCT).
- 在诊断实践中发现了显著的差距,许多可能的结核病例没有接受适当的细菌学测试或调查.
- 许多被诊断为结核病的患者被转移到公共设施,而私人管理的患者通常接受了非常规的治疗方案,结果不佳.
结论:
- 大多数私人机构都不积极参与结核病服务,表现出知识和实践的不足.
- 这些发现强调了需要采取战略干预措施,以提高私营部门在尼日利亚结核病控制计划中的参与和能力.
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