坦桑尼亚的医疗保健工作者与COVID-19相关的预防和控制措施的经验
Kassimu Tani1,2,3, Brianna Osetinsky2,3, Grace Mhalu1
1Department of Health System, Impact Evaluation and Policy, Ifakara Health Institute, Dar es Salaam, Tanzania.
PLOS global public health
|December 5, 2023
概括
在坦桑尼亚,卫生保健工作者在COVID-19期间面临着压力和不充分的防护设备等挑战. 有针对性的支持和一致的指导方针实施对于卫生系统的弹性至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生系统研究 卫生系统研究
背景情况:
- 卫生系统对流行病的抵御能力取决于准备好的医疗保健工作者 (HCW).
- 在COVID-19大流行期间,低收入国家对HCW经验的理解有限.
- 在COVID-19大流行期间,坦桑尼亚的卫生系统面临着严重的压力.
研究的目的:
- 探索坦桑尼亚卫生保健工作者 (HCW) 在COVID-19大流行期间的经验.
- 评估COVID-19控制指南的实施情况以及HCW对安全和福祉的看法.
- 确定一线HCW所面临的挑战和影响其经验的因素.
主要方法:
- 从2021年12月到2022年3月,对6,884名坦桑尼亚HCW进行了基于网络的调查.
- 该调查评估了指导方针的实施,HCW的安全,福祉,护理提供能力和挑战.
- 多变量回归分析检查了HCW/设施特征和挑战之间的关联.
主要成果:
- 大多数医疗保健工作者都知道并实施了COVID-19指南,包括戴口罩.
- 医疗保健工作者报告说,压力增加,感染担忧,个人防护设备不足.
- 女性HCW经历了更多的疲劳和痛苦;医生报告了所有的挑战. 对于支持和福祉的看法因HCW干部而异.
结论:
- 一致的指导方针实施和社会情感支持对HCW至关重要.
- 需要有针对性的干预措施,考虑到HCW干部对保护和福祉的不同看法.
- 解决HCW的担忧和改善卫生系统的反应对于疫情准备是必不可少的.
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