最近的地区冲突期间,埃塞俄比亚的提格雷地区与战争有关的临床结核病服务中断:混合顺序方法研究研究
Kibrom Gebreselasie Gebrehiwot1, Gebremedhin Berhe Gebregergis2, Measho Gebreslasie Gebregziabher2
1School of Medicine, College of Health Science, Mekelle University, PO Box: 1871, Mekelle, Ethiopia. drhaileab@gmail.com.
Conflict and health
|April 9, 2024
概括
提格雷战争严重扰乱了结核病治疗,导致患者访问减少,对卫生设施和设备造成重大损害. 需要采取紧急行动,恢复服务并打击结核病.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 埃塞俄比亚的Tigray冲突造成了广泛的卫生设施破坏,严重影响了结核病诊断和管理等基本服务.
- 该地区70%以上的卫生设施遭受了完全或部分破坏.
研究的目的:
- 评估在最近的战争期间,在提格雷的卫生设施中结核病护理的状态.
- 为了比较结核病服务的战前和战时条件.
主要方法:
- 采用了一种连续的混合方法方法,分析了来自69个医疗机构的数据.
- 诊断服务的可用性和患者利用率与战前 (2020年9月至10月) 和战争期间 (2020年11月至2021年7月) 进行了比较.
- 来自深入访谈的定性数据探讨了医疗保健工作者面临的挑战.
主要成果:
- 结核病患者的访问在战争的第一个月下降了34%,农村地区受到了不成比例的影响.
- 据报道,包括显微镜和GeneXpert机器在内的诊断设备遭受了重大损坏和被盗.
- 在战争期间,多抗药结核病 (MDR TB) 的检测率下降了41%.
结论:
- 战争导致结核病患者访问量大幅下降,医疗保健基础设施和设备遭受严重破坏.
- 缺乏安全,设施破坏,设备盗窃和药物供应中断是主要的挑战.
- 紧急恢复公共服务和结核病护理对该地区至关重要.
相关概念视频
Pulmonary Tuberculosis I
242
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
242
Pulmonary Tuberculosis V
179
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
179
Pulmonary Tuberculosis IV
142
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
142
Pulmonary Tuberculosis II
228
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
228
Pulmonary Tuberculosis III
325
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
325
Other Pulmonary Disorders
836
Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
836


