青少年对印度土壤传播的虫社区大规模药物管理计划的看法
Kumudha Aruldas1, Jabaselvi Johnson1, Malvika Saxena1
1The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
The American journal of tropical medicine and hygiene
|March 12, 2024
概括
印度的青少年发现了成年人参与土壤传播虫 (STH) 感染的社区大规模药物管理 (cMDA) 的障碍. 他们提出了解决方案,并强调了它们在改善治疗合规性方面的作用.
科学领域:
- 公共卫生 公共卫生
- 实施科学 实施科学
- 传染病流行病学 传染病流行病学
背景情况:
- 土壤传播的虫感染 (STH) 仍然是流行地区的重大公共卫生问题.
- 全社区大规模药物管理 (cMDA) 是一种中断STH传播的策略,针对1至99岁的所有个人.
- 了解社区观点对于有效实施cMDA计划至关重要.
研究的目的:
- 探索青少年在印度特有社区的STH感染和cMDA的观点.
- 从青少年的角度来看,从青少年的角度来看,确定成人参与cMDA的感知障碍和促进者.
- 收集青少年提出的建议,以改善cMDA的交付和遵守.
主要方法:
- 在印度一个试验场所,与57名青少年进行了8次焦点小组讨论.
- 讨论以"实施研究综合框架"为指导.
- 数据使用ATLAS.ti 8.0软件与预定义的主题代码书进行分析.
主要成果:
- 青少年将成年人视为STH的潜在储库,原因是缺乏常规的除虫.
- 感知到cMDA的好处包括改善健康和工作效率.
- 成人参与的障碍包括不信任,害怕副作用,认为风险低,以及后勤挑战.
结论:
- 青少年提出社区外展,影响力参与和灵活的药物分发,以加强成人参与.
- 青少年对自己作为家庭内变革推动者的能力表示信心,以改善治疗遵从性.
- 青少年为优化cMDA策略和STH流行环境中的交付提供了宝贵的见解.
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