Kuchuloria T, Akhvlediani T, Akhvlediani N
Georgian Research and Education Group (GREG), Tbilisi, Georgia.
Georgian Med News. 2016 Sep(258):76-80.
This root cause analysis concerns the conflict in the Eastern Ukraine and its impact on healthcare delivery in the context of treating internally displaced persons (IDPs). Inadequate treatment of tuberculosis (TB) was selected as a major topic for intervention planning in conflict areas in Ukraine. With respect to treating TB among IDPs, rapid diagnosis and adequate nutrition and shelter are important components of care and disease control. The DOT, supported by trained primary healthcare providers equipped with rapid MDR TB diagnostic capacities, need to provide appropriate shelter and nutrition to IDPs. In addition to active disease management, this paper discusses the important role of ongoing project monitoring and communicating evaluation findings with all the major stakeholders shaping the national TB strategy in Ukraine. A comprehensive strategy is essential for successful transitioning and re-structuring of TB healthcare delivery both during after conflict resolution.
本次根本原因分析涉及乌克兰东部冲突及其在治疗境内流离失所者背景下对医疗服务的影响。在乌克兰冲突地区，结核病治疗不足被选为干预规划的主要议题。对于治疗境内流离失所者中的结核病而言，快速诊断以及充足的营养和住所是护理及疾病控制的重要组成部分。在具备快速耐多药结核病诊断能力的经过培训的初级医疗服务提供者的支持下，直接观察治疗短程疗法需要为境内流离失所者提供适当的住所和营养。除了积极的疾病管理外，本文还讨论了持续项目监测以及与塑造乌克兰国家结核病战略的所有主要利益相关者交流评估结果的重要作用。无论是在冲突解决期间还是之后，全面的战略对于结核病医疗服务的成功转型和重组都至关重要。
