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Scrutinising delay in leprosy diagnosis in Colombia: perceptions and experiences by leprosy health professionals.
Duighuisen, Heleen Neeltje Willemijn; Fastenau, Anil; Eslava Albarracin, Daniel Gonzalo; Ortuño-Gutiérrez, Nimer; Penna, Srilekha; Kamenshchikova, Alena.
Afiliação
  • Duighuisen HNW; Department of Health, Ethics and Society, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
  • Fastenau A; German Leprosy and Tuberculosis Relief Association (GLRA/DAHW), Bogotá, Colombia.
  • Eslava Albarracin DG; Department of Health, Ethics and Society, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
  • Ortuño-Gutiérrez N; Department of Global Health, Institute of Public Health and Nursing Research, University of Bremen, Germany.
  • Penna S; German Leprosy and Tuberculosis Relief Association (GLRA/DAHW), HQ, Wuerzburg, Germany.
  • Kamenshchikova A; Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany.
Glob Public Health ; 19(1): 2354777, 2024 01.
Article em En | MEDLINE | ID: mdl-38794800
ABSTRACT
Leprosy is an infectious neglected tropical disease, which can cause irreversible disabilities if not diagnosed in time. Colombia continues to show high rates of leprosy-related disability, mainly due to a delay in diagnosis. Limited knowledge is available that explains this delay, therefore our study aimed to explore the perceptions and experiences of leprosy health professionals with the delay in leprosy diagnosis in the Cesar and Valle del Cauca departments, Colombia. Nine semi-structured expert interviews with leprosy health professionals were conducted in May-June 2023 in Colombia. Thematic analysis was performed to analyse the interview results. Our analysis highlighted that the main reasons for delay at the health system-level included accessibility issues to obtain a diagnosis, lack of expertise by health staff, and barriers related to the organisation of the care pathway. Individual - and community-level factors included a lack of leprosy awareness among the general population and leprosy-related stigma. Diagnostic delay consists of a fluid interplay of various factors. Structural changes within the health system, such as organising integral leprosy care centres and highlighting leprosy in the medical curriculum, as well as awareness-related interventions among the general population, might help reducing diagnostic delays.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Entrevistas como Assunto / Pessoal de Saúde / Pesquisa Qualitativa / Diagnóstico Tardio / Hanseníase Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Colombia Idioma: En Revista: Glob Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Holanda País de publicação: Reino Unido
Texto completo
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Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Entrevistas como Assunto / Pessoal de Saúde / Pesquisa Qualitativa / Diagnóstico Tardio / Hanseníase Limite: Adult / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Colombia Idioma: En Revista: Glob Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Holanda País de publicação: Reino Unido