关键词: Lassa fever Sierra Leone communication strategies community engagement diagnostic challenges health system response healthcare professionals mortality

来  源:   DOI:10.2147/RMHP.S455254   PDF(Pubmed)

Abstract:
UNASSIGNED: Lassa fever is a critical public health issue in Sierra Leone that demands appropriate health system responses and interventions to mitigate infections and reduce mortality.
UNASSIGNED: A qualitative study was conducted to delve into healthcare workers\' experiences with Lassa fever management and interventions across diverse healthcare settings in Sierra Leone, including the Eastern Province and Freetown\'s Directorate of Health Security and Emergency (DHSE). Engaging ten key informants through purposive sampling, the study employed NVivo version 10 for a detailed thematic analysis using Query and Coding to systematically identify, classify, and organize key themes regarding knowledge, diagnostics, management roles, and community impact.
UNASSIGNED: The findings indicate a well-informed healthcare workforce but highlight gaps in early detection, diagnostic accuracy, and procedural standardization. Concerns were raised about the potential overestimation of disease incidence due to improved diagnostics, suggesting a historical under-detection of Lassa fever. The analysis underscores the need for a multifaceted management approach, emphasizing international collaboration and culturally sensitive community engagement to effectively tackle the disease. A significant concern identified is the high mortality rate resulting from delayed referrals and communication challenges within the health system, leading to actionable recommendations for enhancing Lassa fever response strategies. The study\'s thematic analysis provides a nuanced understanding of the challenges and areas for improvement, emphasizing the critical role of healthcare professionals in combating Lassa fever.
UNASSIGNED: Combating Lassa fever in Sierra Leone demands an integrative strategy that extends beyond medical interventions to encompass educational and infrastructural enhancements. This research pays homage to the commitment of healthcare professionals, underscoring the importance of sustained support and recognition of their essential contributions to advancing Lassa fever management and interventions.
摘要:
拉萨热是塞拉利昂一个严重的公共卫生问题,需要采取适当的卫生系统应对措施和干预措施来减轻感染和降低死亡率。
进行了一项定性研究,以深入研究医疗工作者在塞拉利昂不同医疗机构中进行拉沙热管理和干预的经验。包括东部省和弗里敦卫生安全和紧急情况局(DHSE)。通过目的性抽样吸引十个关键线人,该研究采用NVivo版本10,使用查询和编码进行详细的主题分析,以系统地识别,分类,并组织有关知识的关键主题,诊断,管理角色,和社区影响。
研究结果表明,医护队伍消息灵通,但突出了早期发现的差距,诊断准确性,程序标准化。由于诊断方法的改进,人们对疾病发病率的潜在高估提出了担忧,表明历史上对拉萨热的检测不足。分析强调需要多方面的管理方法,强调国际合作和对文化敏感的社区参与,以有效地应对这一疾病。确定的一个重大关切是,由于延迟转诊和卫生系统内的沟通挑战,死亡率很高,为加强拉萨热应对策略提供可行的建议。该研究的主题分析提供了对挑战和改进领域的细致入微的理解,强调医疗保健专业人员在对抗拉沙热中的关键作用。
打击塞拉利昂的拉萨热需要一个综合战略,该战略超越医疗干预措施,涵盖教育和基础设施的增强。这项研究向医疗保健专业人员的承诺致敬,强调持续支持和承认其对推进拉萨热管理和干预措施的重要贡献的重要性。
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