公共卫生发展干预在可接受性和可行性之间:对一个例子进行描述性-解释性讨论
André Nana Yakam1, Jürgen Noeske2, Irène Adeline Goupeyou Wandji3
1University of Douala, Faculty of Economics and Applied Management, Douala, Cameroon.
The Pan African medical journal
|July 8, 2024
概括
喀麦隆的家长和工作人员可以接受使用异化/里法素 (3RH) 的结核预防治疗 (TPT). 然而,管理人员对可行性和资源需求表示怀疑,阻碍了这一重要的公共卫生战略的广泛采用.
科学领域:
- 公共卫生 公共卫生
- 运营研究 运营研究
- 传染病流行病学 传染病流行病学
背景情况:
- 喀麦隆国家结核病控制计划 (NTP) 参与了一项关于儿童接触者的结核病预防治疗 (TPT) 的多国研究.
- 这项研究的目的是证明3个月的异化/里芬素 (3RH) TPT的效率和可行性.
- 尽管有希望的结果,但喀麦隆的TPT覆盖率仍然很低.
研究的目的:
- 探索系统的TPT与喀麦隆的3RH的可接受性和可行性.
- 了解TPT在儿童接触中广泛采用的障碍.
主要方法:
- 在喀麦隆进行了一项描述性解释性研究.
- 31名关键参与者和利益相关者在五个重点小组或单独采访.
- 用理论框架分析了成绩单,以评估可接受性和可行性.
主要成果:
- 家长和现场工作人员对TPT干预措施表现出积极的接受,赞赏医疗保健工作人员的同情心.
- 中级和中央级经理对研究启动和可行性表示怀疑.
- 管理人员忽视了扩大TPT所需的资源和优先级.
结论:
- 采用有效的公共卫生策略,如TPT需要不仅在试点项目中证明可行性.
- 成功的采用需要仔细规划和利益相关者的参与,在所有的程序层面.
- 解决管理层的怀疑和资源分配对于扩大TPT至关重要.
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