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利用快速定性评估和主题分析方法,在 COVID-19 期间,与难民、移民和移民社区的人一起确定和分享有希望的病例调查和接触者追踪实践。

Utilizing rapid qualitative assessment and thematic analysis methods to identify and share promising case investigation and contact tracing practices with people in refugee, immigrant, and migrant communities during COVID-19.

机构信息

Center for Global Health and Social Responsibility, University of Minnesota, Minneapolis, MN, United States.

Department of Pediatrics, University of Washington, Seattle, WA, United States.

出版信息

Front Public Health. 2024 Jul 3;12:1359145. doi: 10.3389/fpubh.2024.1359145. eCollection 2024.

Abstract

In the early months of the COVID-19 pandemic The National Resource Center for Refugees, Immigrants and Migrants (NRC-RIM) was established. NRC-RIM initially sought to rapidly identify promising case investigation and contact tracing (CICT) practices within refugee, immigrant, and migrant communities. Between September 2020 and April 2021, the team conducted 60 interviews with individuals from cross-sector organizations (i.e., public health, health systems, community experts/organizations) working with refugee, immigrant and migrant communities in health and public health capacities related to COVID-19. The overarching aim was to identify and amplify innovative promising and best practices for CICT with refugee, immigrant, and migrant communities, including an exploration of barriers and facilitators. We utilized layered methods to rapidly assess, summarize and disseminate promising practices while simultaneously completing four thematic analyses including: (1) public health organizations; (2) health system organizations; (3) community leaders and organizations; and (4) vaccine planning and access across the three sectors. The primary objective of this article is to describe the project design, applied methods, and team science approach we utilized. We found that rapid identification and dissemination of promising practices, and barriers and facilitators for CICT with refugee, immigrant and migrant communities was feasible during a public health emergency. This approach was essential for identifying and widely sharing culturally and linguistically concordant public health practices.

摘要

在 COVID-19 大流行的早期,国家难民、移民和移民中心(NRC-RIM)成立。NRC-RIM 最初试图在难民、移民和移民社区内迅速确定有前途的案例调查和接触者追踪(CICT)做法。2020 年 9 月至 2021 年 4 月,该团队对从事与 COVID-19 相关健康和公共卫生工作的跨部门组织(即公共卫生、卫生系统、社区专家/组织)的个人进行了 60 次采访。总体目标是确定和放大 CICT 与难民、移民和移民社区的创新有前途和最佳实践,包括探索障碍和促进因素。我们利用分层方法快速评估、总结和传播有前途的做法,同时完成了包括以下四个主题分析:(1)公共卫生组织;(2)卫生系统组织;(3)社区领导人和组织;以及(4)三个部门的疫苗规划和获取。本文的主要目的是描述我们所采用的项目设计、应用方法和团队科学方法。我们发现,在公共卫生紧急情况下,快速识别和传播与难民、移民和移民社区的 CICT 有前途的做法、障碍和促进因素是可行的。这种方法对于确定和广泛分享文化和语言上一致的公共卫生做法至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a35/11252043/16f926f8ddbd/fpubh-12-1359145-g0001.jpg

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