针对结核病患者的社区驱动营养补充计划的覆盖范围,交付模式和实施挑战:来自印度普杜切里的一项混合方法研究
Revadi Gouroumourty1, Kibballi Madhukeshwar Akshaya2, Madhur Verma3
1Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
PLOS global public health
|December 23, 2025
概括
印度 印度 印度
科学领域:
- 公共卫生 公共卫生
- 营养 营养 营养 营养 营养
- 结核病管理的管理方法
背景情况:
- 印度的社区驱动的营养支持计划利用Ni-kshay Mitras (志愿者) 为结核病患者提供食物篮.
- 该计划旨在改善营养状况,这是结核病治疗坚持和结果的关键因素.
研究的目的:
- 评估印度普杜切里市的Ni-kshay Mitra营养支持计划的覆盖范围和确定实施挑战.
- 评估成年结核病患者粮食篮分配的及时性和公平性.
主要方法:
- 一种混合方法的方法,结合了成年结核病患者的二次数据分析 (2023年4月至2024年3月) 和42次与利益相关方的深入访谈 (2025年1月至2月).
- 用Kurt Lewin的框架对定性数据进行了主题分析,用R软件对定量数据进行了分析.
主要成果:
- 只有49%符合条件的结核病成年人在治疗期间至少接受了三个食物篮.
- 在结核病诊断和第一个食物篮接收之间观察到41天的显著延迟 (IQR26-71).
- 挑战包括捐赠者不一致,医疗服务提供者的后勤问题,以及对易受伤害的结核病患者缺乏优先考虑.
结论:
- 尼克夏·米特拉倡议显示出潜力,但面临着重大实施差距,包括延迟和不公平的粮食篮分配.
- 解决捐助者,卫生系统和患者感知障碍对于提高计划的有效性和覆盖范围至关重要.
- 需要加强战略,确保所有结核病患者,特别是弱势群体得到及时和公平的营养支持.
相关概念视频
01:28Pulmonary Tuberculosis V
520
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
520
01:26Methods Of Healthcare Delivery System
3.9K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.9K
01:26Pulmonary Tuberculosis IV
467
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
467
01:29Pulmonary Tuberculosis I
801
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
801
01:28Pulmonary Tuberculosis II
1.3K
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
1.3K
01:31Pulmonary Tuberculosis III
884
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
884