寻找失踪的肺结核患者:一种参与式的方法来确定乌干达的优先干预措施
Jasper Nidoi1,2, Justin Pulford3, Tom Wingfield2,3,4,5
1Department of Research and Innovation, Makerere University Lung Institute, New Mulago Hospital Complex, Upper Mulago Hill Road, Kampala P.O. Box 7749, Uganda.
Health policy and planning
|August 31, 2024
概括
男性面临更高的结核病 (TB) 风险和错过的诊断. 乌干达的参与性研究确定了针对性别的干预措施,如男性友好的服务和综合查,以改善男性的结核病治疗机会.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 性别研究是性别研究.
背景情况:
- 性别差异显著影响结核病 (TB) 暴露和脆弱性,男性患结核病的患病率更高,诊断错误,大大导致新的感染.
- 了解这些性别特异性的动态对于制定有效的结核病控制策略至关重要,特别是在高负担环境中.
研究的目的:
- 通过参与式研究方法,确定针对乌干达男性系统性结核病 (TB) 查的性别具体干预措施.
- 划分和比较男性的理想与实际的结核病健康寻求途径,以发现护理障碍.
主要方法:
- 形成性研究涉及70名结核病利益相关者 (医疗保健工作者,结核病幸存者,政策制定者,研究人员) 在乌干达四家医院.
- 利用"踏板"的方法来识别男性结核病健康寻求途径中的障碍和解决方案.
- 与17名参与者共同分析会议,以综合见解并就拟议的干预措施达成共识.
主要成果:
- 由于系统性障碍,男性的实际结核病护理途径与理想不同:延迟寻求医疗,不方便的设施时间和与工作日程冲突的长时间等待.
- 拟议的干预措施包括针对男性的综合性结核病服务,优先考虑对咳的男性进行X射线查,卫生保健工作者培训,结核病冠军参与和私人从业者参与.
结论:
- 一种参与式的共同设计方法在乌干达的男性中促进了不同卫生主体之间就特定于环境的,以人为中心的结核病干预措施达成共识.
- 已识别的干预方案将在即将进行的试点研究中对其可接受性,有效性和成本效益进行评估.
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