Access to tuberculosis care in South Africa during the COVID-19 pandemic: A scoping review.

IF 1.7 Q4 PRIMARY HEALTH CARE
Kayla Appel, Faeez Nackerdien, Carmen S Christian
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引用次数: 0

Abstract

Background:  Tuberculosis (TB) remains a major public health issue in South Africa, a high-burden TB country. The coronavirus disease 2019 (COVID-19) pandemic has exacerbated challenges in accessing essential TB services. This scoping review explores how access to TB care was impacted during the pandemic.

Aim:  This research aimed to review original studies on access to TB care in South Africa during the COVID-19 pandemic using a scoping review methodology.

Method:  A scoping review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Scoping Reviews (PRISMA-ScR) guidelines. Five databases were systematically searched for original peer-reviewed research published between 2020 and 2022. Data were extracted and synthesised using the Penchansky and Thomas framework of healthcare access.

Results:  Three studies met the inclusion criteria. The review identified significant disruptions in TB service delivery during the pandemic, including reduced diagnostic capacity, healthcare facility closures and economic barriers. Patients reported delayed diagnoses and increased stigma, while healthcare workers faced resource shortages and operational challenges.

Conclusion:  The COVID-19 pandemic has exacerbated pre-existing barriers to TB care in South Africa, highlighting critical gaps in healthcare delivery. This review provides insights into the challenges faced and emphasises the need for resilient health systems to sustain TB care during future health crises. Contribution: This article highlights the impact of the COVID-19 pandemic on TB care access in South Africa, identifying key barriers across healthcare access dimensions and offering recommendations to improve TB care delivery during public health emergencies.

COVID-19大流行期间南非结核病护理的可及性:范围审查
背景:结核病(TB)仍然是南非这个结核病高负担国家的一个主要公共卫生问题。2019年冠状病毒病(COVID-19)大流行加剧了获得基本结核病服务方面的挑战。本范围审查探讨了大流行期间如何影响获得结核病治疗。目的:本研究旨在使用范围审查方法回顾2019冠状病毒病大流行期间南非结核病治疗可及性的原始研究。方法:采用系统评价首选报告项目和范围评价荟萃分析(PRISMA-ScR)指南进行范围评价。系统地检索了五个数据库,检索了2020年至2022年间发表的同行评审的原始研究。使用Penchansky和Thomas医疗保健获取框架提取和合成数据。结果:3项研究符合纳入标准。审查确定了大流行期间结核病服务提供的严重中断,包括诊断能力下降、卫生保健设施关闭和经济障碍。患者报告诊断延迟和耻辱增加,而卫生保健工作者面临资源短缺和业务挑战。结论:2019冠状病毒病大流行加剧了南非结核病治疗方面原有的障碍,凸显了医疗服务方面的严重差距。本综述提供了对面临的挑战的见解,并强调需要有复原力的卫生系统在未来的卫生危机中维持结核病护理。贡献:本文重点介绍了2019冠状病毒病大流行对南非结核病治疗可及性的影响,确定了医疗可及性各方面的主要障碍,并提出了在突发公共卫生事件期间改善结核病治疗提供的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
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