评估COVID-19管理对在印度国家结核消除计划工作的人力资源工作量的影响
Christina Mergenthaler1, Aarushi Bhatnagar2, Di Dong2
1KIT Royal Tropical Institute, Amsterdam, The Netherlands. c.mergenthaler@kit.nl.
BMC health services research
|August 7, 2024
概括
COVID-19大流行严重影响了印度的结核病 (TB) 控制,压倒了人力资源,并减少了结核病例的发现. 战略规划对于减轻未来卫生系统中断至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗卫生工作人员管理管理
背景情况:
- 结核病 (TB) 仍然是全球卫生紧急情况,每年有数百万人未被诊断出来.
- 随着COVID-19大流行,全球卫生系统受到压力,影响了现有的公共卫生计划.
- 对印度结核病控制的人力资源 (HR) 能力进行了评估,以评估COVID-19的影响.
研究的目的:
- 分析COVID-19对结核病的人力资源对印度卫生 (HRH) 工作负载的影响.
- 为了确定在疫情期间结核病相关活动的完成程度.
- 假设对结核病控制的未来的人力资源要求.
主要方法:
- 在印度18个地区进行了工作负载指标和人员需求 (WISN) 分析.
- 通过电话采访收集数据,包括在COVID-19任务上花费的时间.
- 关键信息人采访探讨了HRH的规划和任务转移.
主要成果:
- 73%的受访者报告执行COVID-19任务,平均每天4小时.
- 包括ASHA工作者和实验室技术人员在内的过度工作的干部,花费了超过50%的时间在COVID-19上.
- PCR 机器从结核病检测改为COVID-19 检测,影响了诊断.
结论:
- COVID-19显著降低了印度结核病例发现的人力资源能力.
- 国家结核病根除计划 (NTEP) 的资源不足,导致加班或损害结核病服务.
- 战略HRH规划和资源配置至关重要,以缓冲卫生系统免受未来的流行病.
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