斐济全国性大规模药物管理 (MDA) 计划的可接受性:基于面试的定性研究
Elke Mitchell1,2, Aminiasi Tavui3, Sarah Andersson3
1Kirby Institute, UNSW Sydney, Sydney, Australia.
The Lancet regional health. Western Pacific
|September 19, 2024
概括
在斐济,社区对大规模药物管理 (MDA) 的接受受到了信任,社区参与和量身定制的交付的影响. 了解这些因素是有效的控制计划的关键.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 定性研究方法 定性研究方法
背景情况:
- 斐济是全球病发病率最高的国家之一.
- 大规模药物管理 (MDA) 是一种潜在的控制策略.
- 在接受者和提供者之间接受病MDA的研究不足.
研究的目的:
- 在斐济探索全国性病MDA的可接受性.
- 确定影响MDA可接受性的障碍和促进者.
- 为未来的控制计划设计提供信息.
主要方法:
- 在斐济的中部和西部部门进行了国家MDA运动后的定性研究.
- 包括44名社区成员和12名关键告密者.
- 使用半结构面试和解释性分析.
主要成果:
- 促进者:以前的经验,感知到的健康益处,社区/领导人的认可,咨询和当地参与.
- 障碍:不信任,宗教信仰,有限的宣传范围和城市实施挑战.
- 社会结构因素显著影响了MDA的可接受性.
结论:
- 这是关于全国性病MDA可接受性的第一个全球性定性研究.
- 未来的MDA计划应该优先考虑社区宣传和共同设计.
- 建议针对城市/农村环境和社区参与量身定制的方法.
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