Local government stewardship for TB elimination in Kerala, India.

IF 1.3 Q4 RESPIRATORY SYSTEM

Public Health Action Pub Date : 2023-03-21 DOI:10.5588/pha.22.0037

P S Rakesh, S Nair, R Kamala, M S Manu, S K Mrithunjayan, M J Valamparampil, V Raman Kutty, R Sadanandan

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引用次数: 1

Abstract

Setting: The southern Indian state of Kerala has implemented 'Kerala Tuberculosis Elimination Mission' as 'People's Movement against TB' under the stewardship of local governments (LGs). The state has been certified by the Government of India for being on track to attain the UN Sustainable Development Goals related to TB elimination.

Objective: To document the role of LG stewardship in the successful implementation of the TB elimination activities in Kerala.

Design: 1) Key informant interviews with four state officials, 2) desk review of available documents, 3) in-depth interviews with seven LG leaders, three mid-level programme managers and three health department field staff.

Results: LG involvement led to the establishment of solutions based on local problems, enhanced outreach of services to the socially vulnerable individuals, improved treatment support to patients with TB, increased community ownership of TB elimination activities, reduced TB-related stigma and social determinants being addressed. Institutional mechanisms such as LG TB elimination task forces, formal guidance in planning interventions and appreciation of their performance in the form of awards were facilitators for LG involvement.

Conclusion: LG stewardship can accelerate TB elimination. A good plan for engagement and institutional mechanisms are crucial for LG involvement.

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印度喀拉拉邦地方政府对消除结核病的管理。

背景:印度南部喀拉拉邦在地方政府(LGs)的领导下实施了“喀拉拉邦消除结核病任务”，作为“抗击结核病的人民运动”。该邦已获得印度政府的认证，证明该邦有望实现与消除结核病有关的联合国可持续发展目标。目的:记录LG管理在喀拉拉邦成功实施结核病消除活动中的作用。设计:1)与4名州政府官员进行关键信息提供者访谈，2)对现有文件进行案头审查，3)与7名LG领导、3名中层方案管理人员和3名卫生部门现场工作人员进行深入访谈。结果:LG的参与导致了基于当地问题的解决方案的建立，加强了对社会弱势群体的服务延伸，改善了对结核病患者的治疗支持，增加了社区对结核病消除活动的所有权，减少了与结核病相关的耻辱和社会决定因素。制度机制，如LG结核病消除工作组，在规划干预措施方面的正式指导以及以奖励形式对其表现的赞赏，是LG参与的促进因素。结论:LG管理可促进结核病的消除。良好的参与计划和制度机制对LG的参与至关重要。

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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Public Health Action RESPIRATORY SYSTEM-

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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.