印度儿童结核病管理的障碍和促进因素:系统性审查
Matthew Willis1, Joelle Van de Wetering2, Heynes Brown3
1School of Medicine, Dentistry & Biomedical Sciences, Queen's University Belfast, Belfast, BT7 1NN, UK. mwillis11@qub.ac.uk.
印度儿童结核病管理的障碍包括父母的知识差距,社区的耻辱和卫生系统的挑战. 促进者涉及跨部门的合作和先进的诊断,如Xpert MTB/RIF.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 儿科 儿科 儿科
背景情况:
- 儿童结核病 (TB) 是一个重大的全球卫生挑战,印度承担了相当大的负担.
- 目前的结核病控制策略往往忽略了儿科病例,导致儿童的治疗和结果不够理想.
- 了解障碍物和促进者对于提高印度儿科结核病护理至关重要.
研究的目的:
- 系统地审查和识别影响印度儿科结核病管理的障碍和促进因素.
- 分析现有的关于儿童结核病诊断,治疗和预防方面的挑战和推动因素的文献.
主要方法:
- 通过使用Embase,PubMed和Web of Science数据库进行了系统的文献审查.
- 搜索涵盖了2012年1月1日至2024年9月7日发表的研究,重点关注儿科结核病管理障碍和促进因素.
- 在选了1132篇原创文章后,包括了24篇文章.
主要成果:
- 个人层面的障碍包括父母的知识差距,财务限制以及对私人医疗保健的偏好.
- 社区层面的障碍包括性别不平等,耻辱,拥挤的生活条件和传统做法.
- 卫生系统的障碍包括不充分的提供者培训,诊断挑战,资源限制和私营部门问题. 促进者包括跨部门合作和Xpert MTB/RIF使用.
结论:
- 印度的儿科结核病管理是复杂的,受到个人,社区和卫生系统层面的多方面的障碍的影响.
- 识别这些挑战和促进者为改善儿科结核病诊断,治疗和预防策略提供了关键的见解.
- 加强了解对于在印度和全球推进儿科结核病护理至关重要.
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