دورية أكاديمية
Tuberculosis care cascade for the indigenous population in Colombia: an operational research study
| العنوان: | Tuberculosis care cascade for the indigenous population in Colombia: an operational research study |
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| المؤلفون: | Jhon Edwin Polanco-Pasaje, Iader Rodríguez-Márquez, Kelly Yoana Tello-Hoyos, Pilar Torres-Pereda, Bertha Leonor Guzmán-Salazar, Freddy Pérez |
| المصدر: | Revista Panamericana de Salud Pública, Vol 45, Iss 20, Pp 1-9 (2021) |
| بيانات النشر: | Pan American Health Organization, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Medicine LCC:Arctic medicine. Tropical medicine LCC:Public aspects of medicine |
| مصطلحات موضوعية: | tuberculosis, indigenous population, health services, indigenous, health care quality, access, and evaluation, colombia, Medicine, Arctic medicine. Tropical medicine, RC955-962, Public aspects of medicine, RA1-1270 |
| الوصف: | Objective. Construct and evaluate the care cascade for pulmonary tuberculosis in the indigenous population of the department of Cauca (Colombia) and identify existing gaps. Methods. Mixed-methods sequential explanatory design. In the first phase, the pulmonary tuberculosis care cascade for the indigenous population of Cauca was evaluated. Data were obtained from secondary sources and all cases diagnosed from 1 January 2016 to 31 December 2017 were included. In the second phase, semi-structured interviews were done with nine program coordinators and 11 nursing auxiliaries to explain identified gaps. Absolute and percentage values were estimated for each of the steps and gaps in the care cascade. Quantitative and qualitative results were triangulated. Results. In 2016 and 2017, an estimated 202 patients with respiratory symptoms were expected to be positive and 106 cases of pulmonary tuberculosis were reported among the indigenous population of the department of Cauca. A gap of 47.5% was found for diagnosis, since only 52.5% of subjects were diagnosed in health services. This gap was explained by poor quality of samples and flawed smear techniques; flaws in correct identification of patients with respiratory symptoms; limited access to diagnostic methods, such as culture and molecular tests; and limited training and high turnover of personnel in health service provider institutions. Conclusions. The tuberculosis control program should focus actions on bridging the gap in case detection in the indigenous population. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English Spanish; Castilian Portuguese |
| تدمد: | 1020-4989 1680-5348 |
| Relation: | https://iris.paho.org/handle/10665.2/53281; https://doaj.org/toc/1020-4989; https://doaj.org/toc/1680-5348 |
| DOI: | 10.26633/RPSP.2021.20 |
| URL الوصول: | https://doaj.org/article/e22db0a37e224d50ad16e989b2986986 |
| رقم الأكسشن: | edsdoj.22db0a37e224d50ad16e989b2986986 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 10204989 16805348 |
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| DOI: | 10.26633/RPSP.2021.20 |