评估科摩罗联盟的结核病诊断和治疗。

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2023-03-21 DOI:10.5588/pha.22.0057
J Noeske, A Mzembaba, Y Assoumani, S Maoulida, A Makpenon
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引用次数: 0

摘要

背景:尽管进行了包括分子诊断和接触者调查在内的若干战略调整,科摩罗联盟在结核病病例通报方面一直存在差距。因此,我们在国家结核病规划(NTP)下进行了结核病患者途径分析(PPA)。目的:评估求医行为与结核病服务可得性的一致性,以澄清这些缺失病例的原因。设计:在国家和区域两级分析了三个主要数据来源,包括国家卫生设施清单、结核病监测数据和求医行为数据,以确定获得结核病诊断的可及性和最初的求医点。使用标准化PPA Wizard程序将汇总数据可视化,并使用人口统计和社会经济数据完成分析。结果:在最初的求诊点,18%的患者可以获得结核病服务,这些服务仅在9个集中的公共卫生设施中提供。此外,30%的患者最初在非正规部门就诊,45%在卫生设施的正规公共或私营部门就诊,这两家机构都缺乏结核病诊断或一线治疗的能力。结论:结核病服务在中级和中央护理水平的集中和有限的可及性表明需要进行分散努力。
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Evaluating TB diagnosis and care in the Union of the Comoros.

Setting: The Union of the Comoros has experienced a persistent notification gap in TB cases despite several strategic changes, including molecular diagnosis and contact investigation. We therefore performed a TB patient pathway analysis (PPA) under the National Tuberculosis Programme (NTP).

Objective: To assess the alignment of healthcare-seeking behaviour and TB service availability to clarify the reasons for these missing cases.

Design: Three primary data sources, including a national list of health facilities, TB surveillance data and care-seeking behaviour data, were analysed at the national and regional levels to determine access to TB diagnosis and the initial point of care-seeking. Summary data were visualised using the standardised PPA Wizard programme, and the analysis was completed using demographic and socio-economic data.

Results: At the initial point of care-seeking, 18% of patients had access to TB services, available only in nine centralised public health facilities. Furthermore, 30% of patients initially consulted in the informal sector and 45% in the formal public or private sector in health facilities, both of which lacked the capacity for TB diagnosis or first-line treatment.

Conclusion: The concentration of and limited access to TB services at the intermediate and central levels of care indicate a need for decentralisation efforts.

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来源期刊
Public Health Action
Public Health Action RESPIRATORY SYSTEM-
自引率
0.00%
发文量
29
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.
期刊最新文献
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