在尼日利亚阿布贾学习和实施高分辨率无光镜的促进者和障碍者观点:一种定性研究
Megan E Mansfield1, Connor R Volpi2, Chama John3
1Institute of Human Virology, University of Maryland, School of Medicine, Baltimore, MD, USA.
BMC cancer
|November 14, 2025
概括
在尼日利亚的艾滋病毒感染者中,实施高分辨率异视镜 (HRA) 进行门癌前查,需要本地化研究和资源. 解决知识差距和成本,同时促进组织支持和安全环境,是成功采用和可持续性的关键.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 对高风险人群来说,部癌症的预防至关重要,包括感染艾滋病毒的性少数群体男性 (SMM).
- 高分辨率异视镜 (HRA) 是早期检测和治疗前癌症的关键工具.
- 定性研究对于了解癌症查实施中的当地背景至关重要.
研究的目的:
- 调查在尼日利亚阿布贾学习和实施HRA的障碍和促进者.
- 探索利益相关者的观点,在艾滋病毒护理服务中采用HRA.
- 确定影响癌查计划可持续性的因素.
主要方法:
- 采用19个半结构面试的深度定性方法.
- 利益相关者包括患者,HRA提供者和卫生系统代表.
- 以"实施研究综合框架" (CFIR) 为指导的专题分析.
主要成果:
- 关键障碍包括对HRA的知识不足以及患者和诊所的财务担忧.
- 促进者包括组织买入,中小企业社交网络和安全的诊所环境.
- 接受证据和承认健康益处支持了可持续性.
结论:
- 本地化研究,文化敏感性和资源配置对于HRA在尼日利亚艾滋病毒治疗中的采用至关重要.
- 组织支持,社区参与和安全的医疗保健环境增强了信任和可持续性.
- 利益相关者的观点对于加强癌查能力和可持续性至关重要.
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