Covid19 大流行对一个地区国家消除结核病计划运作方面的影响评估

Q3 Medicine

Indian Journal of Tuberculosis Pub Date : 2025-01-01 DOI:10.1016/j.ijtb.2024.05.012

Bansi Trivedi , Jigna Dave

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引用次数: 0

摘要

目的：印度占肺结核病例的四分之一以上。Covid - 19会影响结核病等健康状况。我们的目标是评估covid - 19对国家消除结核病规划的影响。方法对2020年4月至2020年9月在地区结核病中心登记的地区结核病官员、私人医生和结核病患者进行深度访谈。2019冠状病毒病期间的通报率来自巴夫纳加尔区结核病中心。在获得书面知情同意后，对所有访谈进行录音，用英语转录，并以代码和类别的形式进行分析。结果卫生保健提供者认为covid -19封锁、患者恐惧、交通困难、资源转移和对结核病的关注减少是covid -19大流行期间通报率低的原因。结论封锁对通报率有不利影响。在此测试期间，患者感到受到一线工作人员的适当监督，没有发出直接利益转移以获得营养支持和充足的药物供应。如果下一波covid - 19到来，远程医疗、通过社交媒体的认识、与其他机构的合作、双向筛查的实施、应对患者对covid - 19的恐惧、单独的结核病设施是上级当局的期望。未来的研究可以评估这些干预措施的可行性、影响和成本效益。

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Impact Assessment of Covid19 pandemic on operational aspect of national tuberculosis elimination program in Bhavnagar district

Purpose

India account more than one forth tuberculosis cases. Covid 19 affect health condition like tuberculosis. We aim to assess impact of covid 19 on National Tuberculosis Elimination Program.

Method

In depth interviews of district tuberculosis officer, private practitioner and tuberculosis patients (who registered in District Tuberculosis Centre during April 2020–September2020) were conducted in Bhavnagar district. Notification rate during covid 19 was obtained from District Tuberculosis Centre of Bhavnagar district. All interviews were audio-recorded after obtaining written informed consent, transcribed in English, and analyzed in the form of codes and categories.

Result

Health care providers perceived covid 19 lockdowns, fear among patients, difficult transportation, diversion of resources and reduced concerns towards tuberculosis were the reason for low notification during the COVID-19 pandemic.

Conclusion

COVID-19 lockdown had detrimental effects on notification rate. During such testing time patients felt proper supervision by front line worker, no issued in direct benefit transfer for nutrition support and adequate supply of medicine. Telemedicine, awareness through social media, collaboration with other agencies, bidirectional screening implementation, coping of covid 19 fear among patients, separate tuberculosis facility were the expectation from higher authority if next wave of covid 19 will come. Future studies can evaluate the feasibility, impact, and cost-effectiveness of such interventions.

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来源期刊

Indian Journal of Tuberculosis Medicine-Infectious Diseases

CiteScore

2.80

自引率

0.00%

发文量

103

期刊介绍： Indian Journal of Tuberculosis (IJTB) is an international peer-reviewed journal devoted to the specialty of tuberculosis and lung diseases and is published quarterly. IJTB publishes research on clinical, epidemiological, public health and social aspects of tuberculosis. The journal accepts original research articles, viewpoints, review articles, success stories, interesting case series and case reports on patients suffering from pulmonary, extra-pulmonary tuberculosis as well as other respiratory diseases, Radiology Forum, Short Communications, Book Reviews, abstracts, letters to the editor, editorials on topics of current interest etc. The articles published in IJTB are a key source of information on research in tuberculosis. The journal is indexed in Medline