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在尼日利亚共同创建一个针对性别的结核病干预措施:一个由研究人员领导的合作研究
Chukwuebuka Ugwu1, Oluwatoyosi Adekeye2, Beate Ringwald3
1Liverpool School of Tropical Medicine, Liverpool, UK. Chukwuebuka.ugwu@lstmed.ac.uk.
BMC health services research
|January 12, 2025
概括
尼日利亚的男性面临着严重的结核病 (TB) 负担. 这项研究共同创建了一个针对性别的结核病干预计划,利用利益相关者的意见来改善男性结核病的结果.
科学领域:
- 公共卫生 公共卫生
- 性别研究是性别研究.
- 传染病控制和控制传染病
背景情况:
- 尼日利亚的男性占结核病 (TB) 报告的一半以上,并经历了护理延迟,导致疾病负担更高.
- 解决性别障碍对于有效控制结核病至关重要,但尼日利亚缺乏针对男性的方法的指导和证据.
- 由于男性的结核病风险不成比例,因此需要制定有针对性的策略,以减少社区内的传播.
研究的目的:
- 共同创建一个针对尼日利亚郊区社区男性的,针对性别的结核病干预措施.
- 解决结核病治疗方法的证据和指导方面的差距,以满足男性的特定需求.
- 通过促进男性更早地接触结核病服务来减少结核病传播.
主要方法:
- 一种由研究人员领导的协作方法,让13个当地结核病利益相关者参与了三阶段的参与式设计过程.
- 在2022年3月至11月期间,进行了两次在线Delphi研究周期和一次面对面的研讨会.
- 干预措施对影响进行了评估,并根据克服性别障碍的有效性来确定优先级,并使用定性方法和描述性统计数据进行分析.
主要成果:
- 利益相关者优先考虑积极寻找病例和对男性进行系统性结核病查,强调提高认识.
- 开发了一个由三个组成部分组成的干预方案,重点是社区意识,男性占主导地位的环境中的查和数字胸部X射线.
- 该干预旨在提高结核病知识,增加寻求护理的机会,降低成本和耻辱感,加快男性的诊断.
结论:
- 与当地利益相关者进行合作,反复参与,成功地就实用性,性别敏感的结核病干预措施达成共识.
- 共同创建的干预措施解决了尼日利亚男性结核病护理的关键性别障碍.
- 这种方法强调了利益相关者的洞察力在制定可持续和有效的公共卫生战略中的价值.
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