دورية أكاديمية
Multimethod evaluation of health services integration for neglected tropical diseases requiring case management in Liberia
| العنوان: | Multimethod evaluation of health services integration for neglected tropical diseases requiring case management in Liberia |
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| المؤلفون: | Laura Dean, Mark Taylor, Sally Theobald, Zeela Zaizay, Karsor K. Kollie, Lent Jones, Otis Kpadeh, Gartee Nallo, Darwosu Borbor, Maneesh Phillip, Tiawanlyn G Godwin-Akpan, Deborah Fulamuso Mensah, Anna Wickenden, Jewel T Kollie, Emerson Rogers, Martyn Stewart |
| المصدر: | BMJ Global Health, Vol 9, Iss 1 (2024) |
| بيانات النشر: | BMJ Publishing Group, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine (General) LCC:Infectious and parasitic diseases |
| مصطلحات موضوعية: | Medicine (General), R5-920, Infectious and parasitic diseases, RC109-216 |
| الوصف: | Introduction The WHO neglected tropical disease (NTD) roadmap stresses the importance of integrating NTDs requiring case management (CM) within the health system. The NTDs programme of Liberia is among the first to implement an integrated approach and evaluate its impact.Methods A retrospective study of three of five CM-NTD-endemic counties that implemented the integrated approach was compared with cluster-matched counties with non-integrated CM-NTD. We compared trends in CM-NTD integrated versus non-integrated county clusters. We conducted a pre-post comparison of WHO high-level outcomes using data collected during intervention years compared with baseline in control counties. Changes in health outcomes, effect sizes for different diseases and rate ratios with statistically significant differences were determined. Complementary qualitative research explored CM-NTD stakeholders’ perceptions, analysed through the framework approach, which is a transparent, multistage approach for qualitative thematic interdisciplinary data analysis.Results The detection rates for all diseases combined improved significantly in the intervention compared with the control clusters. Besides leprosy, detection rates improved with large effects, over fourfold increase with statistically significant effects for individual diseases (p |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2023-0125 2059-7908 |
| Relation: | https://gh.bmj.com/content/9/1/e012599.full; https://doaj.org/toc/2059-7908 |
| DOI: | 10.1136/bmjgh-2023-012599 |
| URL الوصول: | https://doaj.org/article/f780047bb8764a79bc2bfe4887cad313 |
| رقم الأكسشن: | edsdoj.f780047bb8764a79bc2bfe4887cad313 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 20230125 20597908 |
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| DOI: | 10.1136/bmjgh-2023-012599 |