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国家消除结核病计划中的"直接利益转移"的覆盖范围,延迟和实施挑战 - 一项混合方法研究
Prerna Verma1, Sudhir L Jadhav1, Anjali Dhone2
1Dr. D.Y. Patil Medical College, Hospital & Research Centre, Dr. D.Y. Patil Vidyapeeth, Pune, India.
The Indian journal of tuberculosis
|August 7, 2024
概括
印度结核病患者的直接福利转移 (DBT) 覆盖率为76.81%. 关键的挑战包括缺乏意识,银行问题和软件错误,这些问题需要解决,以改善消除结核病的营养支持.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 结核病研究 结核病研究
背景情况:
- 粮食不安全和营养不良严重导致印度结核病负担.
- 印度政府于2018年启动了直接福利转移 (DBT) 计划,Nikshay Poshan Yojana,以提供营养支持.
- 在国家结核病消除计划中,有限的研究已经探索了DBT的实施.
研究的目的:
- 评估国家消除结核病计划中直接福利转移 (DBT) 的覆盖范围.
- 为了确定与 DBT 相关的延迟和实施挑战,在马哈拉施特拉州西部 (普奈区).
- 为改善结核病患者营养支持计划的有效性提供见解.
主要方法:
- 一项混合方法研究于2020年8月至2022年9月在马哈拉施特拉州西部的普纳区进行.
- 量化部分包括3373名参与者.
- 定性组成部分涉及与医疗保健提供者进行深入采访和与患者和护理人员进行焦点小组讨论,并根据主题进行分析.
主要成果:
- 总体DBT覆盖率达到了76.81%.
- 医疗保健提供者提到人员短缺,银行不参与PFMS,缺乏银行账户,患者恐惧,复杂的DBT流程和软件问题.
- 患者报告意识低,不信任,银行账户/文档问题,财务不稳定,身体虚弱以及与软件相关的福利延迟.
结论:
- 该研究发现DBT覆盖率令人鼓舞,强调其在消除结核病方面的营养支持潜力.
- 发现的常见实施挑战包括缺乏意识,银行系统问题和软件故障.
- 解决这些已识别的挑战对于提高DBT覆盖率和有效性至关重要.
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