结核病计划利益相关者对南非COVID-19应对措施的教训的看法
H Myburgh1,2,3, S-A Meehan1, D T Wademan1
1Desmond Tutu TB Centre, Department of Paediatrics and Child Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Public health action
|September 22, 2023
概括
从COVID-19流行病响应中吸取的教训可以加强结核病 (TB) 计划. 关键的促进者包括政治意愿和技术,为改善结核病护理和减少死亡提供了机会.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- COVID-19大流行严重破坏了全球结核病 (TB) 控制工作,扭转了数十年来减少结核病死亡和发病率的进展.
- 建模研究预测对结核病计划的长期负面影响,需要采取紧急战略来解决护理级联缺陷.
研究的目的:
- 调查从适用于改善高负担南非省份结核病计划的COVID-19应对措施中吸取的经验教训.
主要方法:
- 采用了一种探索性定性研究设计.
- 在2022年2月至6月期间,与35个TB项目利益相关者进行了半结构化访谈,包括经理和设施级人员.
主要成果:
- 确定了COVID-19应对的八个关键促进因素:政治意愿,快速政策制定,多部门合作,以患者为中心的护理,社区参与,移动健康/远程健康,联系人追踪和口罩.
- 政治意愿成为有效应对实施的关键驱动力.
结论:
- 调整COVID-19应对策略,包括合作和技术,为加强国家结核病计划提供了机会.
- 对结核病服务的再投资和政治优先考虑对于持续的进步和减轻与流行病相关的挫折至关重要.
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