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马格里布中部地区应对新冠疫情的策略。对卫生专业人员认知的定性研究。

Counter-COVID- 19 pandemic strategy in the Maghreb Central. Qualitative study of the perceptions of health professionals.

作者信息

Ben Abdelaziz Ahmed, Benzarti Sofien, Achouri Mohamed Yacine, Nouira Sarra, Mlouki Imen, Yahia Faten, Ben Abdelaziz Asma, Barhoumi Tarek, Quessar Asmaa, Ben Salem Kamel

出版信息

Tunis Med. 2020 Apr;98(4):266-282.

PMID:32395789
Abstract

CONTEXT

The Maghreb Central, like all the countries of the world, was strongly mobilized (governments, ministries of health, population, civil society) in the response against COVID-19, immediately after the registration of the first cases on its territory (end of February, beginning of March) and according to pre-established control strategies.

OBJECTIVES

Describe the perceptions of health professionals in the Central Maghreb (Tunisia, Algeria and Morocco) as to the Strengths/Opportunities and Weaknesses/Threats of the national response plans against COVID-19, during the first weeks of their execution, and report their proposals for optimizing the performance of control strategies.

METHODS

This is a qualitative study of the perceptions of health professionals in the Maghreb Central regarding their experience of the first six weeks of fighting the COVID-19 pandemic. The data was collected using the "Delphi" technique in one turn, based on an electronic form such as "Google Form", developed according to SWOT analysis. The respondents' verbatim was grouped into homogeneous groups of items, the occurrence of which was subsequently measured.

RESULTS

A total of 382 health professionals from the Maghreb Central participated in this study, with a median age of 37 years and a median professional tenure of 10 years. The major force of the Maghreb response strategies, the most shared by the respondents, was the performance of the human resources mobilized (doctors, biologists, nurses, etc.) who succeeded in quickly learning from the international epidemiological expertise accumulated in Asia and in Europe. The fight against COVID-19 in the Central Maghreb was confronted with the general and chronic fragility of the national health systems and the low support of the general population for the recommendations of the steering committees of response, threatening the capacity of the Maghreb to confront new epidemics.

CONCLUSION

The success of the national response plans against COVID-19 and of possible epidemics or pandemics in the Central Maghreb, is strongly attributed to the commitment of health professionals and to community participation, necessitating the launch of assistant motivation programs. and development of health personnel and mobilization and loyalty of civil society.

摘要

背景

与世界上所有国家一样,马格里布中部地区(政府、卫生部、人口部门、民间社会)在其境内首次出现病例(2月底、3月初)后,立即根据预先制定的防控策略,积极投入到抗击新冠疫情的行动中。

目的

描述马格里布中部地区(突尼斯、阿尔及利亚和摩洛哥)的卫生专业人员在国家新冠疫情应对计划执行的最初几周内,对其优势/机遇以及劣势/威胁的看法,并报告他们关于优化防控策略绩效的建议。

方法

这是一项关于马格里布中部地区卫生专业人员对其抗击新冠疫情头六周经历的看法的定性研究。数据是通过“德尔菲”技术一次性收集的,基于一份根据SWOT分析开发的电子表格(如“谷歌表格”)。受访者的逐字记录被分组为同类项目组,随后对其出现情况进行衡量。

结果

共有382名来自马格里布中部地区的卫生专业人员参与了这项研究,中位年龄为37岁,中位专业任期为10年。受访者最为认同的马格里布应对策略的主要力量,是所动员的人力资源(医生、生物学家、护士等)的表现,他们成功地迅速借鉴了在亚洲和欧洲积累的国际流行病学专业知识。马格里布中部地区抗击新冠疫情面临着国家卫生系统普遍而长期的脆弱性,以及普通民众对应对指导委员会建议的支持度较低的问题,这威胁到马格里布应对新疫情的能力。

结论

马格里布中部地区国家新冠疫情应对计划以及可能发生的疫情或大流行的成功,很大程度上归功于卫生专业人员的奉献和社区参与,因此有必要启动辅助激励计划,发展卫生人员,并动员民间社会并使其保持忠诚。

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