Qualitative Assessment of Challenges in Tuberculosis Control in West Gojjam Zone, Northwest Ethiopia: Health Workers' and Tuberculosis Control Program Coordinators' Perspectives.
Qualitative Assessment of Challenges in Tuberculosis Control in West Gojjam Zone, Northwest Ethiopia: Health Workers' and Tuberculosis Control Program Coordinators' Perspectives.
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DOI：
10.1155/2016/2036234
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发表时间：
2016
影响因子：
--
通讯作者：
Bjune GA
中科院分区：
文献类型：
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作者：
Gebreegziabher SB;Yimer SA;Bjune GA
背景薄弱的卫生系统对有效控制结核病构成许多障碍。本研究旨在探讨卫生工作者和结核病控制项目协调员对埃塞俄比亚阿姆哈拉地区西戈贾姆地区结核病控制所面临的卫生系统挑战的看法。方法.这是一项定性描述性研究。对16名卫生工作者进行了8次与结核病控制项目协调员的深入访谈和2次焦点小组讨论。目的抽样被用来招募研究参与者。专题分析用于确定和分析主要专题。结果我们发现，实验室试剂和抗结核药物供应的间歇性中断，缺乏训练有素和积极的卫生工作者，结核病数据记录不佳，缺乏对结核病治疗指南的遵守，以及缺乏获得结核病诊断工具，这些都是研究区结核病控制计划绩效面临的挑战。结论.确保不间断地向所有卫生机构供应抗结核药物和实验室试剂至关重要。对卫生工作者进行标准结核病护理和数据处理方面的持续进修培训，以及制定和实施合理的保留战略，以吸引和激励卫生专业人员在农村地区工作，是改善研究区结核病控制计划绩效的必要干预措施。
Background. Weak health systems pose many barriers to effective tuberculosis (TB) control. This study aimed at exploring health worker's and TB control program coordinator's perspectives on health systems challenges facing TB control in West Gojjam Zone, Amhara Region, Ethiopia. Methods. This was a qualitative descriptive study. Eight in-depth interviews with TB control program coordinators and two focus group discussions among 16 health workers were conducted. Purposive sampling was used to recruit study participants. Thematic analysis was used to identify and analyse main themes. Results. We found that intermittent interruptions of laboratory reagents and anti-TB drugs supplies, absence of trained and motivated health workers, poor TB data documentation, lack of adherence to TB treatment guideline, and lack of access to TB diagnostic tools at peripheral health institutions were challenges facing the TB control program performance in the study zone. Conclusions. Ensuring uninterrupted supply of anti-TB drugs and laboratory reagents to all health institutions is essential. Continuous refresher training of health workers on standard TB care and data handling and developing and implementing a sound retention strategy to attract and motivate health professionals to work in rural areas are necessary interventions to improve the TB control program performance in the study zone.