TB programme stakeholder views on lessons from the COVID-19 response in South Africa.

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2023-09-21 DOI:10.5588/pha.23.0015

H Myburgh, S-A Meehan, D T Wademan, M Osman, A C Hesseling, G Hoddinott

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引用次数: 1

Abstract

Background: The global COVID-19 pandemic has reversed many of the hard-won gains made in TB programmes and the associated reduction in the number of TB deaths, case notifications and incidence over the last three decades. Modelling estimates show that the impact will be lasting. There are global calls to recover the shortfalls along the TB care cascade that have resulted from COVID-19, with the recognition that the COVID-19 response holds lessons to inform more robust and comprehensive TB programmes and services.

Objective: To explore lessons from response measures to the COVID-19 pandemic in two high TB burden South African provinces.

Design: This was an exploratory qualitative study. We conducted interviews with TB programme stakeholders (managers and facility-level staff: n = 35) between February and June 2022.

Results: We identified eight facilitators of the COVID-19 response, including political will, rapid policy development, multi-sectoral collaboration, patient-centred models of care delivery, community engagement, mHealth and telehealth technologies, rigorous contact tracing and widespread mask wearing. Political will was singled out as a critical driver of the response.

Conclusion: Leveraging COVID-19 inspired collaborations, technologies and avenues for health service delivery is an opportunity to maximise benefits for the TB programme. Reinvestment in national TB programmes and political prioritisation of TB are critical.

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结核病方案利益攸关方对南非新冠肺炎应对经验教训的看法。

背景：全球新冠肺炎大流行扭转了过去三十年来结核病方案取得的许多来之不易的成果，以及结核病死亡人数、病例通知和发病率的相关下降。模型估计表明，这种影响将是持久的。全球都在呼吁弥补新冠肺炎造成的结核病护理短缺，同时认识到新冠肺炎应对措施吸取了经验教训，为更有力、更全面的结核病计划和服务提供了信息。目的：探讨南非两个高结核病负担省份应对新冠肺炎大流行措施的经验教训。设计：这是一项探索性的定性研究。我们在2022年2月至6月期间对结核病项目利益相关者（管理人员和设施级工作人员：n=35）进行了采访。结果：我们确定了新冠肺炎应对措施的八位推动者，包括政治意愿、快速政策制定、多部门合作、以患者为中心的护理模式、社区参与、mHealth和远程医疗技术，严格的接触者追踪和广泛佩戴口罩。政治意愿被单独列为反应的关键驱动因素。结论：利用新冠肺炎引发的合作、技术和卫生服务提供途径，是结核病计划效益最大化的机会。对国家结核病方案的再投资和结核病的政治优先次序至关重要。

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.