Adejumo Olusola Adedeji, Daniel Olusoji James, Adepoju Victor Abiola, Femi-Adebayo Toriola, Adebayo Bisola Ibironke, Airauhi Andrew Oseghae
Department of Community Health and Primary Health Care, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.
Department of Community Medicine and Primary Care, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
Niger Med J. 2020 Jan-Feb;61(1):37-41. doi: 10.4103/nmj.NMJ_108_19. Epub 2020 Mar 2.
Tuberculosis (TB) burden in Nigeria is a reflection of the challenges of TB control strategy in the country. This study explored the challenges encountered by the health workers in public and private TB treatment centers in Lagos, Nigeria.
In-depth interviews were held with 34 health workers providing TB services in private and public health facilities and the Lagos state Program Officer between October 1, 2016 and January 31, 2017. The transcripts were read severally and coded for qualitative data analysis. Themes were developed from coding.
Insufficient or lack of funds to track patients lost to follow-up, conduct home visits, collect drugs from the central stores, and shortage of laboratory reagents were some of the logistical challenges encountered by the health workers. There was shortage of health workers and some were yet to be trained resulting in work overload. This was situation aggravated by the frequent redeployment and health worker attrition in the public and private sector respectively.
The government need be proactive and show leadership by finding lasting solutions to the logistical and human resource challenges facing the LAgos State TB and Leprosy Program.
尼日利亚的结核病负担反映了该国结核病控制策略所面临的挑战。本研究探讨了尼日利亚拉各斯公立和私立结核病治疗中心的卫生工作者所遇到的挑战。
2016年10月1日至2017年1月31日期间，对在公立和私立卫生机构提供结核病服务的34名卫生工作者以及拉各斯州项目官员进行了深入访谈。对访谈记录进行了多次阅读，并编码以进行定性数据分析。通过编码形成主题。
资金不足或缺乏资金以追踪失访患者、进行家访、从中央仓库领取药品以及实验室试剂短缺是卫生工作者遇到的一些后勤挑战。卫生工作者短缺，一些人尚未接受培训，导致工作负担过重。公共部门和私营部门分别频繁的人员重新调配和卫生工作者流失使这种情况更加恶化。
政府需要积极主动并发挥领导作用，找到持久解决拉各斯州结核病和麻风病项目所面临的后勤和人力资源挑战的办法。
