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马达加斯加家庭和提供者对结核病和家庭感染查的看法:一种定性研究
Voahirana Tantely Annick Andrianantoandro1, Mamy Jean Jacques Razafimahatratra2, Martine Audibert3
1Unité Mixte de recherche Internationale SOURCE (Université Catholique de Madagascar-Institut de Recherche pour le développement), Université Catholique de Madagascar, Université Catholique de Madagascar BP 6059, Antananarivo, 101, Madagascar. anntantely@yahoo.fr.
BMC public health
|September 24, 2025
概括
马达加斯加面临着高结核病 (TB) 负担. 在家庭接触者中针对结核病感染 (TBIs) 的家庭查策略显示出改善结核病控制和减少污名化的承诺.
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
- 定性研究方法 定性研究方法
背景情况:
- 马达加斯加的结核病 (TB) 负担一直很高,检测依赖于被动策略.
- 结核病感染 (TBIs) 代表着未来活跃结核病病例的沉默储备,但受到有限的关注.
- 社区对结核病的了解有限,这种疾病与耻辱和耻辱有关.
研究的目的:
- 调查马达加斯加社区对结核病的看法.
- 探讨一种创新的家庭方法对结核病感染 (TBI) 查和护理的可行性和社区接受度.
- 在马达加斯加语境内确定实施TBI查的障碍和促进者.
主要方法:
- 定性研究采用半结构化的深度访谈,对26名国家,区域和社区级医疗保健工作者进行了深度访谈.
- 与46名结核病患者的家庭接触者 (HHC) 进行了焦点小组讨论.
- 这项研究是通过APRECIT项目与国家结核病控制计划 (NTP) 合作进行的.
主要成果:
- 结核病被认为是可耻的,导致患者和家人的耻辱化.
- 卫生保健工作者在结核病检测和治疗方面面临系统和家庭层面的障碍.
- 家庭TBI查被社区和医疗保健机构视为一种中断疾病进展和减少耻辱感的方法.
- 卫生工作者对无症状患者的治疗和国家可扩展性提出了担忧.
结论:
- 在马达加斯加有效的结核病控制需要改善关于疾病的公众沟通.
- 实施基于家庭的HCS查策略对于识别患有结核病进展高风险的个体至关重要.
- 该战略具有显著的潜力,可以加强该地区的整体结核病控制工作.
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