关于为土壤传播的虫进行大规模药物管理的社区观点:定性证据综合
Tilly Fox1, Swastika Shrestha2, Rebecca Kuehn1
1Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.
社区的看法对土壤传播虫 (STH) 的大规模药物管理 (MDA) 的遵守有重大影响. 解决信任,可访问性和社区参与对于成功的性病控制计划至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 定性研究是指质量研究.
背景情况:
- 土壤传播的虫感染 (STH) 影响全球24%的人口.
- 大量药物管理 (MDA) 是世卫组织推的一种用于控制STH的策略.
- 社区的坚持对于MDA计划的成功至关重要,受到对药物,计划和提供者的看法的影响.
研究的目的:
- 综合社区经验和对STH MDA计划的看法的定性证据.
- 将研究结果与2022年关于淋巴性 filariasis MDA的Cochrane审查进行比较.
主要方法:
- 17项定性和混合方法研究的系统审查和主题综合 (2001-2024年).
- 基于先前的柯克伦审查的框架综合,包括演和归纳分析.
- 用于评估对发现的信心的等级-CERQual方法.
主要成果:
- 社区关于MDA参与的决定涉及对感知到的风险,利益和可行性进行平衡.
- 负面经验和不信任,受谣言和历史因素的影响,可以阻止参与.
- 物理,社会和信息障碍限制了访问;社区参与和清晰的沟通是理想的.
结论:
- 许多社区对STH MDA的担忧与淋巴状腺炎MDA的担忧相似,这表明程序设计存在系统性挑战.
- 通过有效的沟通和社区参与来建立信任至关重要.
- 解决社区的看法和改善节目交付对于增强坚持和STH控制至关重要.
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