Views of health service providers on obstacles to tuberculosis control in Ghana.
Views of health service providers on obstacles to tuberculosis control in Ghana.
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DOI：
10.1186/2049-9957-2-9
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发表时间：
2013-05-02
影响因子：
8.1
通讯作者：
Amo-Adjei J
中科院分区：
文献类型：
--
作者：
Amo-Adjei J
虽然加纳不属于结核病负担沉重的国家，但这种疾病确实给感染和受其影响的个人以及整个卫生系统带来了相当大的经济和健康限制。尽管如此，对控制这种疾病的关键障碍的研究还不够。本文介绍了根据卫生服务提供者的意见对加纳结核病控制的制约因素进行探索性研究的结果。对该国参与结核病控制的一线卫生工作者进行了深入访谈。参与者是从国家结核病控制规划（NTP）的国家和区域、地区和设施一级协调员中有目的地挑选出来的。还从一个参与加纳结核病相关活动的国际非政府组织中挑选了一名关键的信息提供者。观察结果用于补充研究。数据进行归纳分析。答复者确认以下因素是结核病控制的制约因素：临床并发症、资金管理瓶颈、物质基础设施质量、争夺关注和资金、结核病和艾滋病毒控制方案之间的协调不令人满意、公私伙伴关系薄弱以及对干预措施的监测和评价薄弱。本文提供了结核病控制的一些关键障碍的证据。据报告，这些障碍一般是基于卫生系统的。尽管这份障碍清单并不详尽，但在规划结核病控制时考虑到这些障碍将是有用的，从而对该国的结核病管理采取更全面的方法。除此之外，还应开展进一步的研究，探讨患者对结核病控制的卫生服务相关障碍的看法。
Although Ghana does not fall into the category of those countries which have a high burden of tuberculosis (TB), the disease does present considerable economic and health limitations to individuals infected with, and affected by, the disease, as well as to the health system in general. Despite this fact, insufficient studies have been done on the key barriers to controlling the disease. This paper presents results from an exploratory study on the constraints of controlling TB in Ghana based on the opinions of health service providers. In-depth interviews were conducted with frontline health workers involved in TB control in the country. Participants were purposively selected from a pool of national and regional, and district and facility level coordinators of the National Tuberculosis Control Programme (NTP). One key informant was also selected from an international non-governmental organisation (NGO) involved in TB-related activities in Ghana. Observations were utilised to complement the study. Data were analysed inductively. Respondents identified the following as being constraints to TB control: clinical complication, bottlenecks in funding administration, quality of physical infrastructure, competition for attention and funding, unsatisfactory coordination between TB and HIV control programmes, a poor public-private partnership, and weak monitoring and evaluation of interventions. This paper provides evidence of some key barriers to TB control. The barriers, as reported, were generally health system-based. Although this list of barriers is not exhaustive, it would be useful to take them into account when planning for TB control, thus adopting a more rounded approach to TB management in the country. As well as that, further studies should be done to explore patients’ views on health service-related barriers to TB control.
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影响因子：
15.8
作者：
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通讯作者：
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DOI：
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发表时间：
2005-11-01
影响因子：
2.2
作者：
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通讯作者：
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