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在埃塞俄比亚通过参与性过程设计结核消除框架:利益相关方讨论的结果
Mulatu Biru1, Daniel G Datiko2, Degu Jerene3
1USAID Eliminate TB Project, KNCV Tuberculosis Foundation, Addis Ababa, Ethiopia.
PloS one
|March 10, 2025
概括
将医学研究委员会 (MRC) 的框架应用于消除结核病的干预措施是可行的. 早期的利益相关者参与和社区参与对于成功的结核病消除策略至关重要.
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
- 卫生系统研究 卫生系统研究
背景情况:
- 消除结核病需要复杂,多方面的干预措施.
- 目前为指导这些干预措施实施的现有框架尚未得到充分理解.
- 这项研究探讨了使用医学研究委员会 (MRC) 框架指导结核病消除干预方案的可行性.
研究的目的:
- 以MRC框架为指导,评估应用多方结核消除干预措施的可行性.
- 收集利益相关者对结核病消除战略的实际应用的见解.
主要方法:
- 在更大的准试验性研究的准备阶段,采用了参与式行动研究设计.
- 从埃塞俄比亚三个地区的结核病项目经理,医疗保健工作者和社区代表那里收集了反.
- 对108名与会者进行的主题导向讨论的详细笔记进行了主题分析.
主要成果:
- 出现了五个主要主题:社区参与的重要性,政府对当地证据的兴趣,官员的承诺,考虑横向的社会决定因素 (营养,住房) 以及结核病治疗支持者的作用.
- 参与者强调需要社区结构和当地证据来支持结核病计划.
- 利益相关方的承诺很高,并提出了合作后续行动的建议.
结论:
- 该MRC框架是定制结核病消除协议和评估可行性的宝贵工具.
- 有效消除结核病需要利益相关者的早期参与,明确的沟通和积极的风险管理.
- 强有力的社区和政府参与,以及解决健康的社会决定因素,对于成功消除结核病至关重要.
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