Accès ouvert déclaré 2025 article

Care for adolescents with drug-susceptible pulmonary tuberculosis in Lima, Peru: a qualitative assessment

D. Arango, Chelsie Cintron, Catherine B Beckhorn, Milagros Wong, Liz C. Senador, Elmer Altamirano, Leonid W. Lecca, Silvia S. Chiang

1Citations signalées, ce qui n’est pas une note de qualité

5Institutions déclarées

2Pays d’affiliation déclarés

Rattachement africain : us, pe. Niveau de preuve : code pays fourni par la source.

Le résumé fourni par la source

OBJECTIVE: To identify the barriers and facilitators of adolescent-friendly tuberculosis (TB) services among adolescents with drug-susceptible TB (DS-TB), as defined by the WHO's Adolescent-Friendly Services (AFS) framework, in Lima, Peru. DESIGN: We conducted in-depth interviews using semistructured interview guides. Data were analysed using the framework method, in which themes were mapped onto four of the five dimensions of care in the WHO's AFS framework: accessibility, acceptability, appropriateness and effectiveness. SETTING: 32 public health centres operated by the Peruvian Ministry of Health in Lima from August 2018 to May 2019. PARTICIPANTS: In-depth interviews were conducted with 34 adolescents who completed or were lost to follow-up from treatment for DS pulmonary TB disease in the preceding 12 months, their primary caregiver during treatment and 15 nurses or nurse technicians who had at least 6 months of experience supervising TB treatment. RESULTS: We found significant barriers to adolescent-friendly TB care, including facility-based directly observed therapy, lack of functioning X-ray machines, staffing shortage of psychologists and nutritionists and inadequate educational support. However, several facilitators of adolescent-friendly care were identified: free TB care, convenient locations of health centres and strong emotional support from providers. CONCLUSION: Improvements are needed to make TB care in Lima more accessible, acceptable, appropriate and effective for adolescents, a population with unique needs. The WHO AFS framework is a useful tool to examine the quality of TB services for adolescents.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.

Le contrôle bibliographique ouvert

DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.

Titre Crossref: Care for adolescents with drug-susceptible pulmonary tuberculosis in Lima, Peru: a qualitative assessment
Date Crossref: 01/03/2025
Éditeur: BMJ
Type: journal-article

Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.

Où se fait cette recherche

Rhode Island Department of Health pays non établi dans la notice
Organisme public
Brown University Global Health Initiative pays non établi dans la notice
Université ou école supérieure
EsSALUD pays non établi dans la notice
Institution
Harvard Global Health Institute pays non établi dans la notice
Université ou école supérieure
Rhode Island Hospital Center for International Health Research pays non établi dans la notice
Établissement de santé
Socios En Salud Sucursal Peru pays non établi dans la notice
Institution
Harvard Medical School Department of Global Health & Social Medicine pays non établi dans la notice
Institution

Rhode Island Department of Health, Global Health Initiative — Brown University et EsSALUD, avec 4 autres affiliations.

Une affiliation ne permet pas de déduire la nationalité d’un auteur.

Les sujets associés

Tuberculosis Research and EpidemiologyHealthcare Facilities Design and SustainabilityPneumonia and Respiratory Infections

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