关键词: Disease surveillance Emergency response Infection prevention and control Preparedness

来  源:   DOI:10.1016/j.heliyon.2024.e31953   PDF(Pubmed)

Abstract:
UNASSIGNED: Recent disease outbreaks underscore the importance of robust disease surveillance and infection prevention and control (IPC) programmes to bolster Africa\'s public health response system. Yet, available evidence shows extensive gaps in the emergency response capacity of faith-based healthcare providers on the continent. Accordingly, this study examines the IPC and surveillance strategies adopted by a faith-based healthcare provider and the challenges encountered during Marburg Virus Disease outbreak (MVD) in Ghana.
UNASSIGNED: We collected data from 15 clinical and nonclinical health workers from the Christian Health Association of Ghana (CHAG) and the Ghana Health Service (GHS). Data was collected through online interviews to examine two pillars of the WHO COVID-19 SPRP-AFR (2021) framework. We analyzed the data using Braun and Clarke\'s thematic analysis.
UNASSIGNED: The facility performed creditably well with contact tracing and other quarantine protocols during MVD outbreak in Ghana. However, it also encountered several challenges in the enforcement of IPC protocols, including human resource constraints, the lack of decontamination equipment, and limited infrastructure, among others. Given these limitations, we assessed that the facility cannot handle major outbreaks.
UNASSIGNED: Due to numerous infectious disease outbreaks in Sub-Saharan Africa in recent years, the government of Ghana and faith-based healthcare providers must resource their facilities with the relevant equipment and qualified human resources against future disease outbreaks.
摘要:
最近的疾病爆发强调了强有力的疾病监测和感染预防和控制(IPC)计划对加强非洲公共卫生应对系统的重要性。然而,现有证据表明,非洲大陆基于信仰的医疗保健提供者的应急能力存在巨大差距。因此,这项研究调查了基于信仰的医疗保健提供者采用的IPC和监测策略,以及加纳马尔堡病毒病爆发(MVD)期间遇到的挑战.
我们收集了来自加纳基督教健康协会(CHAG)和加纳卫生服务局(GHS)的15名临床和非临床卫生工作者的数据。数据是通过在线访谈收集的,以检查WHOCOVID-19SPRP-AFR(2021)框架的两个支柱。我们使用Braun和Clarke的主题分析来分析数据。
在加纳MVD爆发期间,该设施在接触者追踪和其他隔离协议方面表现良好。然而,它在执行IPC协议方面也遇到了一些挑战,包括人力资源限制,缺乏净化设备,和有限的基础设施,在其他人中。鉴于这些限制,我们评估该设施无法应对重大疫情。
由于近年来撒哈拉以南非洲爆发了许多传染病,加纳政府和基于信仰的医疗保健提供者必须为其设施提供相关设备和合格的人力资源,以应对未来的疾病暴发。
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