在乌干达坎帕拉的私人社区药房使用实施研究综合框架 (CFIR) 探索早期结核病例发现的促进因素和障碍
Rodgers Katwesigye1, Mary Mbuliro1, Rejani Lalitha2
1Makerere University Joint AIDS Program (MJAP).
Research square
|September 2, 2025
概括
乌干达的私人药房可以改善结核病的早期检测. 关键的促进因素包括员工的意愿和感知价值,而障碍则包括资源,空间和耻辱感.
科学领域:
- 公共卫生
- 传染性疾病
- 卫生系统研究
背景情况:
- 结核病 (TB) 是一个全球性健康挑战, 乌干达面临着高结核病/艾滋病负担.
- 世界卫生组织的终结结核病战略促进了涉及私人医疗服务提供商的公私混合模式.
- 乌干达已经采用PPM模式来加强结核病控制工作.
研究的目的:
- 探索促进和阻碍私人社区药房参与乌干达坎帕拉早期结核病例检测的因素.
- 在结核病防治方面开展有效的公私合作.
主要方法:
- 在坎帕拉的五家私人社区药房进行了定性研究.
- 通过对药房医疗服务提供者,客户和业主/经理进行深入采访来收集数据.
- 分析涉及一种诱导性主题方法,将结果映射到实施研究综合框架 (CFIR) 中.
主要成果:
- 促进者包括药房工作人员培训和合作的意愿,承认结核病是公共卫生威胁,以及社区宣传活动的潜力.
- 障碍包括空间有限,设施成本高,查工具不足,结核病耻辱,知识缺口,资源限制以及药店可能损失的收入.
- 药房工作人员表示愿意参与结核病查活动.
结论:
- 这些发现为加强私人社区药房参与乌干达早期结核病例发现提供了相关干预的基础.
- 解决发现的障碍对于社区药房成功实施结核病查至关重要.
- 进一步的研究应评估旨在克服这些障碍的干预措施的影响.
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