未经评估:高结核病死亡率越来越被理解为卫生系统和社区不同问题的指标。社区对结核病的认识有限,有限的可及性和/或卫生服务的质量可能会阻碍生存。对结核病患者死亡的探索和分析可以导致对死亡发生的原因以及在特定情况下干预措施可能产生影响的更清晰和具体的理解。
UNASSIGNED:该研究旨在评估为什么人们在有效化疗时代死于活动性结核病。
UNASSIGNED:该研究于2020年10月至12月在ArbaMinch健康与人口监测系统(AM-HDSS)中通过应用现象学研究设计进行。共有27名死于结核病的家属,9名健康推广工作者(HEW)和8名在结核病诊所工作的医疗保健专业人员参加了公开深入访谈。共有130人参加了16个焦点小组讨论,其中包括从结核病中幸存下来的患者,宗教领袖,健康发展军(HAD)和HEW。足够的信息(饱和度)被认为是足够的样本量来创建预期的定性产品。所有采访和FGD都被录音,录音被立即转录。采用ATLASTI9软件对定性数据进行分析和处理。从数据集创建代码,然后通过识别其中的模式来创建主题。然后,生成的主题进行了比较,其中一些被拆分,合并,丢弃并在返回数据集后创建新的。最后,定义了主题,并为每个主题给出了一个简洁易懂的名称。
UNASSIGNED:对结核病有足够了解的运气被认为是导致死亡的原因。大多数时候,结核病患者低估并忽略了症状何时首次出现,并且不会将其与任何疾病联系起来。社区对事业的认识水平低,传输,治疗和预防在很大程度上促进了结核病的传播率和死亡。该研究发现了社区中的误解;他们更喜欢传统医学而不是科学方法。首先,他们尝试不同的草药来缓解疾病。最后,如果病情恶化,他们参观卫生机构。与会者提到了高昂的运输成本,寻求健康的不良行为,食物消费不足和缺乏结核病意识是治疗依从性低的原因。社区无法进入保健设施。他们中的大多数人表示,卫生设施太远了。在一些卫生机构,正确的剂量和组合药物未按时交付,据报告结核病诊断设施不足.
未经评估:治疗依从性差,缺乏结核病意识,污名,食物消费不足,不良的医疗保健寻求行为和无法进入医疗机构被确定为死亡的主要原因。为了防止结核病患者死亡,教育等所有部门,健康,农业应该致力于健康教育,基础设施,结核病患者的营养补充需求,照顾者和整个社区。
UNASSIGNED: High TB mortality is increasingly understood as an indicator of different problems in the health system and community. Limited awareness of TB in the community, restricted accessibility and/or quality of health services can hamper survival. Exploration and analysis of death among TB patients can lead to a clearer and specific understanding of why the deaths happened and where interventions are likely to make a difference in a specific context.
UNASSIGNED: The study aimed to assess why people die of active tuberculosis in the era of effective chemotherapy.
UNASSIGNED: The study was conducted from October to December 2020 in Arba Minch Health and Demographic Surveillance System (AM-HDSS) by applying phenomenological study design. A total of 27 family members of people who had died of TB, 9 health extension workers (HEW) and 8 health care professionals working in TB clinics were participated in open in-depth interview. A total of 130 individuals participated in 16 focus group discussion which composed of patient survived from TB, religious leader, health development army (HAD) and HEWs. Adequacy of information (saturation) was considered as an adequate sample size to create the intended qualitative product. All the interviews and FGD were tape recorded and recordings were transcribed immediately. ATLAS TI 9 software was used to analyse and process qualitative data. From data set codes were created then by identifying pattern among them themes were created. Then, generated themes were compared and some of them were split, combined, discarded and new ones created after returning to data set. Finally, themes were defined and a concise and easily understandable name was given for each theme.
UNASSIGNED: Luck of sufficient knowledge about TB was considered to be a reason for cause of death. Most of the time, TB patients underestimate and ignore when the symptoms first emerge and will not relate it with any diseases. The low level of community awareness about the cause, transmission, treatment and prevention highly contributed to increased transmission rate and death due to TB. The study identified misconceptions in the community; they prefer traditional medicine to the scientific way. First, they try different herbal medicine to get relief from their illness. At the end, if the disease is getting worse, they visit health facilities. Participants mentioned high transportation cost, poor health seeking behaviours, inadequate food consumption and lack of TB awareness as reasons for low treatment adherence. The health facilities were inaccessible for the community. Most of them indicated that health facilities were too far to reach. In some health institution, right amount and combination of medication were not delivery on time and Diagnostic facilities for TB were reported to be inadequate.
UNASSIGNED: Poor treatment adherence, lack of TB awareness, stigma, inadequate food consumption, poor health care seeking behaviour and inaccessibility of health facility were identified as major reasons for death. To prevent death of TB patients all sectors such as education, health, and agriculture should work to address health education, infrastructures, nutritional supplementation needs of TB patients, caregivers and the community as a whole.