Provider and User Acceptability of Integrated Treatment for the Control of Malaria and Helminths in Saraya, South-Eastern Senegal.
Provider and User Acceptability of Integrated Treatment for the Control of Malaria and Helminths in Saraya, South-Eastern Senegal.
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DOI：
10.4269/ajtmh.23-0113
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发表时间：
2023-11-01
期刊：
影响因子：
--
通讯作者：
Ndiaye JLA
中科院分区：
文献类型：
--
作者：
Afolabi MO;Diaw A;Fall EHB;Sall FB;Diédhiou A;Seck A;Camara B;Niang D;Manga IA;Mbaye I;Sougou NM;Sow D;Greenwood B;Ndiaye JLA
建议将控制疟疾、血吸虫病和土壤传播的蠕虫病的垂直规划整合起来，以实现到2030年消除疟疾和被忽视的热带病的目标。本定性研究是在一项随机对照试验的背景下进行的，旨在探讨高危儿童的父母/照顾者和医疗保健提供者的看法和观点，以确定他们对疟疾寄生虫综合治疗方法的接受程度。随机选择参加试验的儿童的父母/照顾者、医疗保健提供者、试验工作人员、疟疾和NTD项目经理，使用专门设计的主题指南进行访谈。从访谈中获得的笔录被编码，使用内容分析确定的共同主题被三角化。访谈了57名研究参与者，包括26名父母/照顾者、10名≥10岁的研究儿童、15名试验工作人员、4名医疗保健提供者和2名来自塞内加尔卫生部的管理人员。38名参与者（66.7%）为男性，年龄从10岁到65岁不等。总体而言，综合疟疾蠕虫治疗方法被认为是可以接受的，但研究参与者表达了对阿莫地喹和吡喹酮联合包装的味道、气味和副作用的担忧。由于同伴影响和对性别敏感的文化信仰，在10至14岁的儿童中也观察到不愿接受药物治疗。需要解决对阿莫地喹和吡喹酮的味道和气味的担忧，以优化综合治疗方案的吸收。此外，需要制定文化上适当的战略，以便将10至14岁的儿童纳入这一方法。
Integration of vertical programs for the control of malaria, schistosomiasis, and soil-transmitted helminthiasis has been recommended to achieve elimination of malaria and neglected tropical diseases (NTD) by 2030. This qualitative study was conducted within the context of a randomized controlled trial to explore the perceptions and views of parents/caregivers of at-risk children and healthcare providers to determine their acceptability of the integrated malaria-helminth treatment approach. Randomly selected parents/caregivers of children enrolled in the trial, healthcare providers, trial staff, malaria, and NTD program managers were interviewed using purpose-designed topic guides. Transcripts obtained from the interviews were coded and common themes identified using content analysis were triangulated. Fifty-seven study participants comprising 26 parents/caregivers, 10 study children aged ≥ 10 years, 15 trial staff, four healthcare providers, and two managers from the Senegal Ministry of Health were interviewed. Thirty-eight of the participants (66.7%) were males, and their ages ranged from 10 to 65 years. Overall, the integrated malaria–helminth treatment approach was considered acceptable, but the study participants expressed concerns about the taste, smell, and side effects associated with amodiaquine and praziquantel in the combination package. Reluctance to accept the medications was also observed among children aged 10 to 14 years due to peer influence and gender-sensitive cultural beliefs. Addressing concerns about the taste and smell of amodiaquine and praziquantel is needed to optimize the uptake of the integrated treatment program. Also, culturally appropriate strategies need to be put in place to cater for the inclusion of children aged 10 to 14 years in this approach.
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DOI：
10.1016/s0140-6736(20)32227-3
发表时间：
2020-12-05
期刊：
Lancet (London, England)
影响因子：
--
作者：
ACCESS-SMC Partnership
通讯作者：
ACCESS-SMC Partnership
影响因子：
2.5
作者：
通讯作者：
--
影响因子：
3.8
作者：
通讯作者：
--
影响因子：
3
作者：
Midzi, Nicholas;Mtapuri-Zinyowera, Sekesai;Mduluza, Takafira
通讯作者：
Mduluza, Takafira
影响因子：
3.3
作者：
Cohee, Lauren M.;Chilombe, Moses;Laufer, Miriam K.
通讯作者：
Laufer, Miriam K.