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关于结束东欧和中亚地区结核病的多部门问责制框架的前景:一项混合方法研究
Yuliya Chorna1,2, Ievgeniia-Galyna Lukash1,3, Yuliia Kalancha1
1TB Europe Coalition, Kyiv, Ukraine.
BMC global and public health
|March 5, 2025
概括
社区和民间社会参与对结核病 (TB) 应对至关重要,但它们的纳入计划,预算和政治影响仍然有限,阻碍了东欧和中亚的进展.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 全球健康 全球健康
背景情况:
- 结核病 (TB) 控制需要跨部门的参与,而不仅仅是卫生部门.
- 评估社区和民间社会参与东欧和中亚国家结核病应对措施至关重要.
研究的目的:
- 评估社区和民间社会参与国家结核病应对措施的程度和性质.
- 识别结核病控制中多部门合作和问责制的障碍和促进者.
主要方法:
- 基于社区的混合方法研究,利用调查,采访和重点小组.
- 在五个国家 (白俄罗斯,哈萨克斯坦,摩尔多瓦,塔吉克斯坦,乌克兰) 的结核病参与社区和民间社会代表的在线数据收集.
- 量化 (描述性统计) 和定性 (专题分析) 数据的三角化,以问责制和基于权利的框架为基础.
主要成果:
- 虽然参与者表示愿意参与结核病服务提供和评估,但他们参与运营规划,预算和政治影响是有限的.
- 不稳定的资金和对捐助者/国家行为者的竞争义务阻碍了对结核病社会决定因素的更广泛参与和关注.
- 捐助者资金的协调机构提供了加强结核病应对多部门问责制的机会.
结论:
- 消除结核病的多部门参与和问责是必不可少的.
- 需要可持续的机制来确保受结核病影响的社区和民间社会的有意义的参与,特别是在捐助者过渡期间.
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