Public Health Action最新文献_第5页

Lessons for TB from the COVID-19 response: qualitative data from Brazil, India and South Africa 从 COVID-19 应对措施中吸取的结核病教训：来自巴西、印度和南非的定性数据

IF 1.4

Public Health Action Pub Date : 2023-12-01 DOI: 10.5588/pha.23.0044

H. Myburgh, M. Kaur, P. Kaur, V. Santos, C. Almeida, G. Hoddinott, D. Wademan, P. V. M. Lakshmi, M. Osman, Sue-Ann Meehan, A. Hesseling, A. Purty, U. B. Singh, A. Trajman

{"title":"Lessons for TB from the COVID-19 response: qualitative data from Brazil, India and South Africa","authors":"H. Myburgh, M. Kaur, P. Kaur, V. Santos, C. Almeida, G. Hoddinott, D. Wademan, P. V. M. Lakshmi, M. Osman, Sue-Ann Meehan, A. Hesseling, A. Purty, U. B. Singh, A. Trajman","doi":"10.5588/pha.23.0044","DOIUrl":"https://doi.org/10.5588/pha.23.0044","url":null,"abstract":"BACKGROUND: Brazil, India and South Africa are among the top 30 high TB burden countries globally and experienced high rates of SARS-CoV-2 infection and mortality. The COVID-19 response in each country was unprecedented and complex, informed by distinct political, economic, social and health systems contexts. While COVID-19 responses have set back TB control efforts, they also hold lessons to inform future TB programming and services. METHODS: This was a qualitative exploratory study involving interviews with TB stakeholders (n = 76) in Brazil, India and South Africa 2 years into the COVID-19 pandemic. Interview transcripts were analysed using an inductive coding strategy. RESULTS: Political will – whether national or subnational – enabled implementation of widespread prevention measures during the COVID-19 response in each country and stimulated mobile and telehealth service delivery innovations. Participants in all three countries emphasised the importance of mobilising and engaging communities in public health responses and noted limited health education and information as barriers to implementing TB control efforts at the community level. CONCLUSIONS: Building political will and social mobilisation must become more central to TB programming. COVID-19 has shown this is possible. A similar level of investment and collaborative effort, if not greater, as that seen during the COVID-19 pandemic is needed for TB through multi-sectoral partnerships.","PeriodicalId":46239,"journal":{"name":"Public Health Action","volume":"113 3","pages":"162 - 168"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138609583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The importance of public participation in framing air pollution policy: outcome of a judicial review in New Delhi, India 公众参与制定空气污染政策的重要性：印度新德里司法审查的结果

IF 1.4

Public Health Action Pub Date : 2023-12-01 DOI: 10.5588/pha.23.0047

Raja Singh, Amar Gf, A. Frank

{"title":"The importance of public participation in framing air pollution policy: outcome of a judicial review in New Delhi, India","authors":"Raja Singh, Amar Gf, A. Frank","doi":"10.5588/pha.23.0047","DOIUrl":"https://doi.org/10.5588/pha.23.0047","url":null,"abstract":"SETTING: Air pollution, including particulate matter, causes health problems for residents of major cities around the world, including New Delhi, India. Public participation is important in framing policies related to such public health issues. OBJECTIVE: To study how the public’s comments on air pollution, which had been collected on the orders of the Indian Supreme Court, influenced air pollution policy in New Delhi. DESIGN: We filed a Right to Information Act, 2005 application with the Commission for Air Quality Management (CAQM) to obtain a copy of the comments. These were compiled and compared with key major areas identified in the policy released by the regulatory authority. RESULTS: There were a wide range of comments from experts, residents and resident associations. In total, 115 comments were compiled and studied, and several recurring themes were found to have been incorporated into the policy. This included the need to switch to green public transport and cycling, the use of alternative fuels and reduced agricultural crop residue burning. CONCLUSION: Our study revealed that the public and experts have indeed influenced the CAQM air pollution policy. This is important, as it highlights a democratic, inclusive and stakeholder-based approach. Nonetheless, a future concern lies in how this policy is translated into actionable regulations with effective implementation in the field.","PeriodicalId":46239,"journal":{"name":"Public Health Action","volume":"17 4","pages":"169 - 172"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138621048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health-seeking pathway of drug-resistant TB patients in Vadodara, India 印度瓦多达拉耐药结核病患者的就医途径

IF 1.4

Public Health Action Pub Date : 2023-12-01 DOI: 10.5588/pha.23.0019

Margi B. Sheth, Raj Appartment, Choksipark, K. Shringarpure, B. Modi, R. Damor, L. Manikam

{"title":"Health-seeking pathway of drug-resistant TB patients in Vadodara, India","authors":"Margi B. Sheth, Raj Appartment, Choksipark, K. Shringarpure, B. Modi, R. Damor, L. Manikam","doi":"10.5588/pha.23.0019","DOIUrl":"https://doi.org/10.5588/pha.23.0019","url":null,"abstract":"BACKGROUND: Health-seeking behaviour refers to patients’ choices regarding their preferred healthcare destination and the timing of seeking assistance for treatment. Patients with TB usually first approach the private sector and/or lose several months’ time in inappropriate diagnosis and treatment due to lack of awareness regarding the availability of standard treatment protocols. This can lead to poor outcomes such as drug-resistant TB (DR-TB) and/or death. METHODOLOGY: A cross-sectional study was conducted to examine the health-seeking pathway and delays in diagnosis and initiation of DR-TB treatment among patients registered with the DR-TB centre in Vadodara District (India). RESULTS: A total of 93 patients were enrolled in the study; the median age was 35 years (IQR 24–45). For the first visit, 59 (63%) patients chose a public healthcare facility, mainly because the facility was near their residence (n = 20, 21.5%). The median delay in reaching the first healthcare facility was 12 days (IQR 7.5–30). Delay in reaching second- and third-level care was respectively 25 days (IQR 9–68) and 16 days (IQR 4–67). CONCLUSION: Two-thirds of patients required visits to a second healthcare centre for diagnosis, while one third needed a third visit. The overall median delay for reaching the DR-TB centre was 60 days (IQR 26–122). The median duration from symptom onset to the first healthcare contact fell within the timeframe for screening symptoms in standard diagnosis.","PeriodicalId":46239,"journal":{"name":"Public Health Action","volume":" 118","pages":"155 - 161"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138613536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing the needs of people with extensively drug-resistant TB through pre-approval access to drugs and research 通过批准前获得药物和研究，满足广泛耐药结核病患者的需求

IF 1.4

Public Health Action Pub Date : 2023-12-01 DOI: 10.5588/pha.23.0033

J. Stillo, M. Frick, J. Galarza, S. Kondratyuk, A. Makone, L. McKenna, W. Vandevelde, P. Winarni, P. Agbassi

引用次数: 0

Socio-economic burden of TB and its impact on child contacts in The Gambia 冈比亚结核病的社会经济负担及其对儿童接触者的影响

IF 1.4

Public Health Action Pub Date : 2023-12-01 DOI: 10.5588/pha.23.0025

Denise Evans, Medical Abdou K Sillah, I. Devoid, J. J. Ndenkeh, G. Moonga, I. Loum, A. Touray, O. Owolabi, J. Sutherland, A. Rachow, O. Ivanova, B. Kampmann

{"title":"Socio-economic burden of TB and its impact on child contacts in The Gambia","authors":"Denise Evans, Medical Abdou K Sillah, I. Devoid, J. J. Ndenkeh, G. Moonga, I. Loum, A. Touray, O. Owolabi, J. Sutherland, A. Rachow, O. Ivanova, B. Kampmann","doi":"10.5588/pha.23.0025","DOIUrl":"https://doi.org/10.5588/pha.23.0025","url":null,"abstract":"OBJECTIVE: To determine the social impact of adult TB on child household contacts living in the Greater Banjul Area, The Gambia. METHODS: This was a prospective observational cohort study among adults (≥18 years) starting treatment for drug-susceptible pulmonary TB between June 2019 and July 2021 who reported having at least one child household contact. We collected data from 51 adults and 180 child contacts at the start of TB treatment (baseline) and again at 6 months of treatment. Participants were asked about expenses for school fees, healthcare, festivities and food security of child contacts. RESULTS: While school attendance of the child contacts remained largely unaffected, there was a significant drop in school performance at 6 months (P < 0.001). Furthermore, child contacts faced significant food insecurity in terms of food quantity and variety available, with up to a four-fold increase in some instances at 6 months compared to baseline (P < 0.001) CONCLUSION: Child contacts face a potential decline in school performance and risk of food insecurity. While a plethora of work is being undertaken to alleviate costs of care for TB patients, further emphasis is needed to ensure educational and social prosperity for child contacts, as adults with TB have socio-economic implications for the wider household.","PeriodicalId":46239,"journal":{"name":"Public Health Action","volume":"345 12","pages":"130 - 135"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138625930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A unique and colossal development in global health 全球卫生领域独一无二的巨大发展

IF 1.4

Public Health Action Pub Date : 2023-12-01 DOI: 10.5588/pha.23.0049

G. N. Kazi

引用次数: 0

Feasibility and acceptability of COVID-19 self-testing in the Philippines 菲律宾 COVID-19 自我检测的可行性和可接受性

IF 1.4

Public Health Action Pub Date : 2023-12-01 DOI: 10.5588/pha.23.0045

Sara Keller, E. U. Mallari, J. F. Febre, J. Timbol, R. Powers, R. R. Peregrino, A. Slyzkii, C. Mulder, M. V. Magno, I. Spruijt

引用次数: 0

Participation of private providers in the National TB Programme in South India 私营医疗机构参与印度南部的国家结核病防治计划

IF 1.4

Public Health Action Pub Date : 2023-12-01 DOI: 10.5588/pha.23.0032

Anand D Meundi, J. Richardus

{"title":"Participation of private providers in the National TB Programme in South India","authors":"Anand D Meundi, J. Richardus","doi":"10.5588/pha.23.0032","DOIUrl":"https://doi.org/10.5588/pha.23.0032","url":null,"abstract":"SETTING: India has the highest number of new TB cases worldwide. The participation of private providers (PPs) in the National TB Elimination Programme (NTEP) has remained suboptimal. OBJECTIVE: To explore the experiences, barriers and facilitators about their participation in the NTEP as perceived by PPs working in varied settings. DESIGN: Focus group discussions and in-depth interviews were used to engage PPs to obtain their views on participation in the NTEP. Framework and thematic content analysis was used to analyse qualitative data. RESULTS: Non-availability of a comprehensive range of diagnostics and lack of flexibility in the NTEP were barriers to participation in NTEP. PPs were predisposed to think that NTEP was for those who could not afford to purchase medications. Attitudes and previous experiences with NTEP made them sceptical about the NTEP regimen. Although more frequent interactions were sought with NTEP, some bitterness about previous interactions was perceived. CONCLUSION: Challenges identified by PPs for the NTEP include improvement of the quality of TB care, especially at the lower levels of care, availability of a comprehensive range of diagnostics, being friendly to PPs and patients, more frequent interactions with PPs, and more caring conversations with patients at NTEP centres.","PeriodicalId":46239,"journal":{"name":"Public Health Action","volume":" 22","pages":"142 - 147"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138612933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A single synthetic lipid antigen for improved serological diagnosis of Buruli ulcer 改进布路里溃疡血清学诊断的单一合成脂质抗原

IF 1.4

Public Health Action Pub Date : 2023-12-01 DOI: 10.5588/pha.23.0038

J. Hacking, V. V. Gwenin, R. J. Dacombe, M. S. Baird, M. Frimpong, R. O. Phillips, C. D. Gwenin

{"title":"A single synthetic lipid antigen for improved serological diagnosis of Buruli ulcer","authors":"J. Hacking, V. V. Gwenin, R. J. Dacombe, M. S. Baird, M. Frimpong, R. O. Phillips, C. D. Gwenin","doi":"10.5588/pha.23.0038","DOIUrl":"https://doi.org/10.5588/pha.23.0038","url":null,"abstract":"SETTING: The diagnosis of Buruli ulcer (BU) is frequently made by experienced health workers in rural regions. This leads to long turnaround times to confirm the diagnosis as it requires specialised laboratory infrastructure to perform confirmatory testing. BACKGROUND: Given the lack of success with protein antigens to detect BU in human sera, the aim of this study was to evaluate a range of single synthetic lipid antigens using an enzyme-linked immunosorbent assay (ELISA). The ELISA system used was initially developed to detect TB using single synthetic lipid antigens. METHODS: Thirty polymerase chain reaction (PCR) positive BU samples and 30 PCR-negative healthy contact samples collected from Asante Akim North and Ahafo Ano North Districts, Ghana, that are endemic for BU between 2013 and 2016 were used to evaluate the synthetic lipid antigen ELISA. A Quantikine ELISA was also conducted on a randomly blinded sub-set of 30 samples. RESULTS: The synthetic lipid ELISA evaluated here outperforms all other ELISA tests using protein antigens to detect BU to date and has shown potential as a fast (2 h) test for BU which may be adapted for use at the point of care. A sensitivity of 63% and specificity of 80% was observed for 30 BU-positive and 30 BU-negative samples, with significantly reduced interleukin-8 (IL-8) levels in a subset of patients with BU. CONCLUSION: A single lipid was shown for the first time to have the ability to distinguish between PCR-positive BU and negative sera using ELISA. The low lipid antibody load detected may be a result of immune suppression caused by the presence of mycolactone in patients with BU, given that levels of IL-8 were significantly reduced in patients with BU compared to the control serum samples.","PeriodicalId":46239,"journal":{"name":"Public Health Action","volume":" 5","pages":"173 - 178"},"PeriodicalIF":1.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138621112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

IF 1.4

Public Health Action Pub Date : 2023-09-21 DOI: 10.5588/pha.23.0021

E C Mendoza-Hisey, A Dier, N V Marquez, L V Bumanglag, S B A Cadiao, S F Guirgis

{"title":"Gender-related factors affecting access to TB services and treatment outcomes in the Philippines.","authors":"E C Mendoza-Hisey, A Dier, N V Marquez, L V Bumanglag, S B A Cadiao, S F Guirgis","doi":"10.5588/pha.23.0021","DOIUrl":"https://doi.org/10.5588/pha.23.0021","url":null,"abstract":"Setting: The Philippines is one of the countries with the highest TB burdens. While TB affects men and women differently, studies also show that gender affects people's experience of and access to healthcare. Men and women have usually assigned roles and responsibilities that affect their decisions and health-seeking behaviour.Objective: The gender analysis aimed to examine the relationship between gender and access to TB services and treatment outcomes according to five domains: cultural norms and beliefs; patterns of power and decision-making; gender roles and responsibilities; access to resources; laws and policies.Design: The team conducted 19 in-depth interviews and five focus group discussions with project staff, TB coordinators from healthcare facilities, representatives from the private and informal business sector and representatives from the Philippine Department of Health from August to November 2019.Results: Study findings indicated that men faced greater limitations than women in terms of accessing TB resources and services, which highlight the differences between genders in relation to health-seeking behaviours and ability to access healthcare.Conclusion: This demonstrates the importance of integrating a gender lens into the service provision set up, from screening to treating and monitoring, to ensure equitable health benefits for men, women, transgender and gender-diverse persons.","PeriodicalId":46239,"journal":{"name":"Public Health Action","volume":"13 3","pages":"107-111"},"PeriodicalIF":1.4,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10446658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0