在乌干达的COVID-19大流行期间,患者层面的结核病护理服务的障碍,混合方法研究研究
Mudarshiru Bbuye1, Stella Zawedde Muyanja2, Isaac Sekitoleko3,4
1Makerere University Lung Institute, College of Health Sciences, Makerere University, Kampala, Uganda. mudarshirubbuye@gmail.com.
BMC health services research
|January 10, 2024
概括
控制COVID-19的封锁破坏了乌干达结核病 (TB) 护理的准入,有79.9%的患者报告了障碍. 在疫情期间确保基本卫生服务的连续性对于结核病控制至关重要.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在COVID-19大流行期间实施的封锁措施对全球基本卫生服务产生了重大影响.
- 结核病 (TB) 护理连续性受到威胁,可能会扭转几十年来结核病控制努力的进展.
- 了解患者报告的障碍对于在公共卫生紧急情况下维持结核病服务至关重要.
研究的目的:
- 在COVID-19大流行期间调查患者报告的乌干达结核病 (TB) 护理服务的障碍.
- 评估封锁措施对结核病服务利用的影响.
- 确定结核病患者在流行病期间获得医疗保健所面临的挑战.
主要方法:
- 进行了一项混合方法研究,结合了定量和定性方法.
- 审查了结核病患者 (2020年1月至9月) 的医疗记录.
- 通过对672名参与者的电话问卷和对28名参与者的深入访谈收集数据,随后进行统计和专题分析.
主要成果:
- 与封锁前相比,在COVID-19封锁期间,患者中显著增加的比例报告了结核病护理获取障碍 (79.9%与68.1%,p=0.027).
- 主要障碍包括运输挑战 (缺乏手段和成本),长距离,对COVID-19感染的恐惧,与重叠症状相关的耻辱感,以及医疗保健工作者的可用性减少.
- 与28名参与者的定性访谈详细介绍了这些访问问题.
结论:
- 乌干达的COVID-19封锁措施明显阻碍了获得基本结核病 (TB) 护理服务的机会.
- 乌干达面临着未来流行性疾病的风险,需要制定基本服务连续性的战略.
- 必须制定积极的措施,在未来的疫情应对干预措施 (如锁定) 期间保护结核病护理.
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