马拉维的ART启动和早期保留干预的利益相关者优先事项:比较国际和国家观点的定性研究
Santhi Hariprasad1, Khumbo Phiri2, Marguerite Thorp3
1Boston University.
Research square
|January 10, 2024
概括
利益关方对对抗逆转录病毒疗法 (ART) 的新客户或回归客户提供差异化服务 (DSD) 模式的支持至关重要. 优先考虑客户的接受度和可持续性是马拉维成功实施的关键.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 定性研究是一种定性研究.
背景情况:
- 接受抗逆转录病毒治疗 (ART) 的新客户或回归客户通常被排除在差异化服务交付 (DSD) 模型之外.
- 这些患者面临更高的治疗中断风险,并可能受益于灵活的护理.
- 开发和扩展针对这一群体的干预措施时,利益相关者的参与至关重要.
研究的目的:
- 探索利益相关者对DSD模型的看法和决策标准,以适应马拉维的新客户或返回的ART客户.
- 了解国际和国家利益相关者的优先事项,涉及干预标准和特定的DSD方法.
主要方法:
- 定性研究涉及与22个国际和马拉维的利益相关者进行深入访谈.
- 使用大声思考场景来评估对干预标准 (成本,有效性,可接受性,可行性,公平性) 的看法以及对特定DSD干预措施的兴趣.
- 采用主题内容分析来检查数据并确定利益相关者群体之间的差异.
主要成果:
- 国际和马拉维的利益相关者都优先考虑客户的接受度.
- 国际利益相关者强调有效性,而马拉维的利益相关者优先考虑成本,可行性和可持续性.
- 基于设施的DSD模型,包括多个月的分发和延长的工作时间,引起了最大的兴趣. 以人为中心的护理被普遍认为是关键的.
结论:
- 国家和国际利益相关者为新的/回归的ART客户支持DSD模型.
- 优先考虑客户接受度和长期可持续性至关重要,以符合国家利益相关者的关切.
- 进一步的研究应调查利益相关者的不同优先事项,并确保当地观点为资金和规划决策提供信息.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
11.8K
08:10Neuroimaging Field Methods Using Functional Near Infrared Spectroscopy NIRS Neuroimaging to Study Global Child Development: Rural Sub-Saharan Africa
Published on: February 2, 2018
14.9K
相关概念视频
Community Based Intervention
43
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
43
International Nursing Organizations II
1.0K
The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
1.0K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.2K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.2K
Nursing Assessment
7.6K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
7.6K
International Nursing Organizations I
1.7K
International Nursing Organization (ICN) is a global union of national nurses' organizations. Individual nurses can be a part of ICN through member organizations. Each member organization strives to ensure quality nursing care, sound health policies, the advancement of nursing knowledge, respect for the profession, and a satisfied and competent nursing workforce.
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
1.7K
Primary Healthcare Services
1.4K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.4K
