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加强非洲企业部门参与结核病应对的干预措施:一项范围审查方案

Interventions to enhance corporate sector engagement in tuberculosis response in Africa: a scoping review protocol.

作者信息

Ogbodu Olubunmi Margaret, Mrara Busisiwe, Oladimeji Olanrewaju

机构信息

Department of Anaesthesiology and Critical Care, Faculty of Health Sciences, Walter Sisulu University - Mthatha Campus, Mthatha, South Africa

Department of Anaesthesiology and Critical Care, Faculty of Health Sciences, Walter Sisulu University - Mthatha Campus, Mthatha, South Africa.

出版信息

BMJ Open. 2024 Dec 5;14(12):e089472. doi: 10.1136/bmjopen-2024-089472.

Abstract

INTRODUCTION

Tuberculosis (TB) is a significant public health crisis in Africa. TB control programmes implemented by various state and non-state actors in different African countries over the years have recorded significant gains in the reduction of the incidence and prevalence of TB through the vehicle of private care provider engagement in the diagnosis, treatment and care. However, the corporate sector, which often represents a large pool of resources and access to individuals, is neglected or underestimated in the public-private mix of TB control efforts. Employees, clients and suppliers in the corporate sector network are a group of individuals who could have been unreached through the available public and private care provider structures but remain unreached even when these individuals may be uninformed about TB and its transmission mechanism in the workplace. Such individuals, if infected, are unaware of symptoms, remain undetected and untreated or may be handled by different healthcare professionals without the national TB programme framework without being informed for record and capturing purposes because TB is a notifiable disease. Thus, such data on TB incidence will be lost. Collaboration with corporate firms to enhance the prevention, diagnosis and treatment of TB through preventive interventions holds great potential for a complementary role in building resilient public healthcare systems by harnessing resources to meet target 3.3 of the United Nations Sustainable Development Goals to eradicate the prevalence of AIDS, TB, malaria as well as neglected tropical diseases. To increase private sector involvement in the fight against TB in Africa, a scoping assessment has been recommended to outline and explain the scientific proof of initiatives. The possibility for guiding prospective studies and actions focused on generating specific measures to improve private sector involvement in tackling the deficiencies in TB responsiveness in Africa can be achieved through synthesising and disseminating current data in this area. The research aims to explore and describe the evidence of the interventions to enhance corporate sector engagement in TB response in Africa.

METHODOLOGY

Using the well-established scoping review methodology outlined by the Joanna Briggs Institute, a five-stage review is outlined: (1) determining the research question, (2) search strategy, (3) inclusion criteria, (4) data extraction and (5) analysis and presentation of the results.The literature search will use PubMed, SCOPUS and the Cumulative Index to Nursing and Allied Health Literature search interfaces, reflecting empirical and grey literature. We will focus on literature published between 2014 and 2024. A two-stage screening process will be used to determine the eligibility of articles. All articles will be individually assessed, for eligibility by two reviewers, while any disagreements will be resolved by a third reviewer in making a decision. The data from eligible articles will be extracted and charted using a standardised form while the extracted data will be analysed using narrative and descriptive analyses.

ETHICS AND DISSEMINATION

Ethical approval is not required for this scoping review. The results of this search will be disseminated through peer-reviewed publications and academic presentations at local, national and international conferences.

摘要

引言

结核病是非洲严重的公共卫生危机。多年来,非洲不同国家的各种国家和非国家行为体实施的结核病控制项目,通过让私营医疗服务提供者参与诊断、治疗和护理,在降低结核病发病率和患病率方面取得了显著成效。然而,在结核病控制工作的公私合作中,企业部门往往被忽视或低估,而企业部门通常拥有大量资源并能接触到众多人员。企业部门网络中的员工、客户和供应商,是那些原本可能无法通过现有的公共和私营医疗服务提供者结构接触到的人群,即便这些人可能对结核病及其在工作场所的传播机制并不了解,他们依然未被触及。这类人群若被感染,可能 unaware of symptoms, remain undetected and untreated or may be handled by different healthcare professionals without the national TB programme framework without being informed for record and capturing purposes because TB is a notifiable disease. Thus, such data on TB incidence will be lost. 与企业公司合作,通过预防性干预措施加强结核病的预防、诊断和治疗,对于利用资源实现联合国可持续发展目标的具体目标3.3(消除艾滋病、结核病、疟疾以及被忽视的热带病的流行),在构建有韧性的公共卫生系统中发挥补充作用具有巨大潜力。为了增加私营部门在非洲抗击结核病中的参与度,建议进行一次范围界定评估,以概述和解释相关举措的科学依据。通过综合和传播该领域的现有数据,有可能指导前瞻性研究和行动,以制定具体措施,改善私营部门在应对非洲结核病应对不足方面的参与度。本研究旨在探索和描述加强企业部门参与非洲结核病应对干预措施的证据。

方法

采用乔安娜·布里格斯研究所概述的成熟的范围界定审查方法,概述了一个五阶段审查:(1)确定研究问题,(2)搜索策略,(3)纳入标准,(4)数据提取,以及(5)结果分析和呈现。文献检索将使用PubMed、SCOPUS以及护理与联合健康文献累积索引搜索界面,涵盖实证文献和灰色文献。我们将重点关注2014年至2024年期间发表的文献。将采用两阶段筛选过程来确定文章的 eligibility。所有文章将由两名审稿人分别评估其eligibility,如有分歧将由第三名审稿人做出决定。符合条件的文章的数据将使用标准化表格进行提取和制表,提取的数据将使用叙述性和描述性分析进行分析。

伦理与传播

本次范围界定审查无需伦理批准。本次搜索的结果将通过同行评审出版物以及在地方、国家和国际会议上的学术报告进行传播。 (注:原文中“unaware of symptoms, remain undetected and untreated or may be handled by different healthcare professionals without the national TB programme framework without being informed for record and capturing purposes because TB is a notifiable disease. Thus, such data on TB incidence will be lost.”部分表述不太清晰准确,可能影响翻译的精准度,但按照要求进行了完整翻译。)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5e2/11624771/1edac8194192/bmjopen-14-12-g001.jpg

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