Access barriers and facilitators to implement mass drugs administration strategies for eliminating trachoma and geohelminthiasis in the department of Amazonas, Colombia
One of the most important pillars of action to achieve the elimination of trachoma and soil-transmitted helminth infections as a public health problem is the mass administration, at regular intervals, of azithromycin and anthielmintics, respectively, to a high proportion of the eligible population i...
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creator | Trujillo-Trujillo, Julián Zamora, Sara Milena Bernal Lizarazu, María Consuelo Torres Pérez, Myriam Leonor Bellido Cuéllar, Olga Esther Araque, Carol Viviana Pulido Martínez, Sonia Jaqueline Vargas Peláez, Claudia Marcela Rossi, Francisco Moyano Ariza, Luisa Fernanda Bernal Parra, Luz Mery |
description | One of the most important pillars of action to achieve the elimination of trachoma and soil-transmitted helminth infections as a public health problem is the mass administration, at regular intervals, of azithromycin and anthielmintics, respectively, to a high proportion of the eligible population in endemic areas.
The objective of the study was to identify access barriers and facilitators for achieving coverage goals in the mass drugs administration, azithromycin and albendazole, in the department of Amazonas, Colombia.
Implementation research was used, combining three types of qualitative research methodologies to collect information about access barriers and facilitators already described; These were individual and group interviews, focus group discussions and face-to-face intercultural dialogues. We design, validate and apply different instruments with questions adapted to the context and role of the participants, and recorded and transcribed the sessions and analyzed them in qualitative analysis software. We used the Consolidated Framework for Implementation Research (CFIR) to complement the above instrument questions, to guide data analysis, and apply the Consolidated Criteria for Reporting Qualitative Research (COREQ).
Records of 159 participants were included; 21 individual and 3 group interviews, 6 focus group discussions and 4 intercultural dialogues were carried out. 21 strong, 30 weak, 6 neutral barriers as well as 5 weak and 11 strong facilitators were identified. 62% of the strong barriers and 40% of the weak ones were concentrated in the "Outer Setting Domain". Only 16 facilitators were identified, 44% in the "Innovation" domain.
Multiple political, administrative, geographical, logistical and cultural access barriers, as well as external and internal migration of the population, explain low coverage in mass administration of azithromycin and albendazole. It is necessary to review them individually to implement an improvement plan that also recognizes the identified facilitators. |
doi_str_mv | 10.1371/journal.pone.0310143 |
format | Article |
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The objective of the study was to identify access barriers and facilitators for achieving coverage goals in the mass drugs administration, azithromycin and albendazole, in the department of Amazonas, Colombia.
Implementation research was used, combining three types of qualitative research methodologies to collect information about access barriers and facilitators already described; These were individual and group interviews, focus group discussions and face-to-face intercultural dialogues. We design, validate and apply different instruments with questions adapted to the context and role of the participants, and recorded and transcribed the sessions and analyzed them in qualitative analysis software. We used the Consolidated Framework for Implementation Research (CFIR) to complement the above instrument questions, to guide data analysis, and apply the Consolidated Criteria for Reporting Qualitative Research (COREQ).
Records of 159 participants were included; 21 individual and 3 group interviews, 6 focus group discussions and 4 intercultural dialogues were carried out. 21 strong, 30 weak, 6 neutral barriers as well as 5 weak and 11 strong facilitators were identified. 62% of the strong barriers and 40% of the weak ones were concentrated in the "Outer Setting Domain". Only 16 facilitators were identified, 44% in the "Innovation" domain.
Multiple political, administrative, geographical, logistical and cultural access barriers, as well as external and internal migration of the population, explain low coverage in mass administration of azithromycin and albendazole. It is necessary to review them individually to implement an improvement plan that also recognizes the identified facilitators.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0310143</identifier><identifier>PMID: 39661584</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject><![CDATA[Adolescent ; Adult ; Albendazole ; Albendazole - administration & dosage ; Albendazole - therapeutic use ; Anthelmintics - administration & dosage ; Anthelmintics - therapeutic use ; Anti-Bacterial Agents - administration & dosage ; Anti-Bacterial Agents - therapeutic use ; Azithromycin ; Azithromycin - administration & dosage ; Azithromycin - therapeutic use ; Beneficiaries ; Care and treatment ; Colombia - epidemiology ; Community ; Data analysis ; Diagnosis ; Disease Eradication - methods ; Drugs ; Female ; Focus Groups ; Health Services Accessibility ; Helminthiasis ; Helminthiasis - drug therapy ; Helminthiasis - epidemiology ; Helminthiasis - prevention & control ; Humans ; Internal migration ; Male ; Mass Drug Administration ; Medicine ; Medicine and Health Sciences ; Middle Aged ; Native peoples ; People and Places ; Population studies ; Public health ; Qualitative analysis ; Qualitative research ; Questions ; Research and Analysis Methods ; Research methodology ; Rural areas ; Social Sciences ; Trachoma ; Trachoma - drug therapy ; Trachoma - epidemiology ; Trachoma - prevention & control ; Young Adult]]></subject><ispartof>PloS one, 2024-12, Vol.19 (12), p.e0310143</ispartof><rights>Copyright: © 2024 Trujillo-Trujillo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Trujillo-Trujillo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Trujillo-Trujillo et al 2024 Trujillo-Trujillo et al</rights><rights>2024 Trujillo-Trujillo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0003-0739-5781</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633981/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11633981/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39661584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trujillo-Trujillo, Julián</creatorcontrib><creatorcontrib>Zamora, Sara Milena</creatorcontrib><creatorcontrib>Bernal Lizarazu, María Consuelo</creatorcontrib><creatorcontrib>Torres Pérez, Myriam Leonor</creatorcontrib><creatorcontrib>Bellido Cuéllar, Olga Esther</creatorcontrib><creatorcontrib>Araque, Carol Viviana</creatorcontrib><creatorcontrib>Pulido Martínez, Sonia Jaqueline</creatorcontrib><creatorcontrib>Vargas Peláez, Claudia Marcela</creatorcontrib><creatorcontrib>Rossi, Francisco</creatorcontrib><creatorcontrib>Moyano Ariza, Luisa Fernanda</creatorcontrib><creatorcontrib>Bernal Parra, Luz Mery</creatorcontrib><title>Access barriers and facilitators to implement mass drugs administration strategies for eliminating trachoma and geohelminthiasis in the department of Amazonas, Colombia</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>One of the most important pillars of action to achieve the elimination of trachoma and soil-transmitted helminth infections as a public health problem is the mass administration, at regular intervals, of azithromycin and anthielmintics, respectively, to a high proportion of the eligible population in endemic areas.
The objective of the study was to identify access barriers and facilitators for achieving coverage goals in the mass drugs administration, azithromycin and albendazole, in the department of Amazonas, Colombia.
Implementation research was used, combining three types of qualitative research methodologies to collect information about access barriers and facilitators already described; These were individual and group interviews, focus group discussions and face-to-face intercultural dialogues. We design, validate and apply different instruments with questions adapted to the context and role of the participants, and recorded and transcribed the sessions and analyzed them in qualitative analysis software. We used the Consolidated Framework for Implementation Research (CFIR) to complement the above instrument questions, to guide data analysis, and apply the Consolidated Criteria for Reporting Qualitative Research (COREQ).
Records of 159 participants were included; 21 individual and 3 group interviews, 6 focus group discussions and 4 intercultural dialogues were carried out. 21 strong, 30 weak, 6 neutral barriers as well as 5 weak and 11 strong facilitators were identified. 62% of the strong barriers and 40% of the weak ones were concentrated in the "Outer Setting Domain". Only 16 facilitators were identified, 44% in the "Innovation" domain.
Multiple political, administrative, geographical, logistical and cultural access barriers, as well as external and internal migration of the population, explain low coverage in mass administration of azithromycin and albendazole. It is necessary to review them individually to implement an improvement plan that also recognizes the identified facilitators.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Albendazole</subject><subject>Albendazole - administration & dosage</subject><subject>Albendazole - therapeutic use</subject><subject>Anthelmintics - administration & dosage</subject><subject>Anthelmintics - therapeutic use</subject><subject>Anti-Bacterial Agents - administration & dosage</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Azithromycin</subject><subject>Azithromycin - administration & dosage</subject><subject>Azithromycin - therapeutic use</subject><subject>Beneficiaries</subject><subject>Care and treatment</subject><subject>Colombia - epidemiology</subject><subject>Community</subject><subject>Data analysis</subject><subject>Diagnosis</subject><subject>Disease Eradication - methods</subject><subject>Drugs</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Health Services Accessibility</subject><subject>Helminthiasis</subject><subject>Helminthiasis - drug therapy</subject><subject>Helminthiasis - epidemiology</subject><subject>Helminthiasis - prevention & control</subject><subject>Humans</subject><subject>Internal migration</subject><subject>Male</subject><subject>Mass Drug Administration</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Native peoples</subject><subject>People and Places</subject><subject>Population studies</subject><subject>Public health</subject><subject>Qualitative analysis</subject><subject>Qualitative research</subject><subject>Questions</subject><subject>Research and Analysis Methods</subject><subject>Research methodology</subject><subject>Rural areas</subject><subject>Social Sciences</subject><subject>Trachoma</subject><subject>Trachoma - 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trujillo-Trujillo, Julián</au><au>Zamora, Sara Milena</au><au>Bernal Lizarazu, María Consuelo</au><au>Torres Pérez, Myriam Leonor</au><au>Bellido Cuéllar, Olga Esther</au><au>Araque, Carol Viviana</au><au>Pulido Martínez, Sonia Jaqueline</au><au>Vargas Peláez, Claudia Marcela</au><au>Rossi, Francisco</au><au>Moyano Ariza, Luisa Fernanda</au><au>Bernal Parra, Luz Mery</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Access barriers and facilitators to implement mass drugs administration strategies for eliminating trachoma and geohelminthiasis in the department of Amazonas, Colombia</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-12-11</date><risdate>2024</risdate><volume>19</volume><issue>12</issue><spage>e0310143</spage><pages>e0310143-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>One of the most important pillars of action to achieve the elimination of trachoma and soil-transmitted helminth infections as a public health problem is the mass administration, at regular intervals, of azithromycin and anthielmintics, respectively, to a high proportion of the eligible population in endemic areas.
The objective of the study was to identify access barriers and facilitators for achieving coverage goals in the mass drugs administration, azithromycin and albendazole, in the department of Amazonas, Colombia.
Implementation research was used, combining three types of qualitative research methodologies to collect information about access barriers and facilitators already described; These were individual and group interviews, focus group discussions and face-to-face intercultural dialogues. We design, validate and apply different instruments with questions adapted to the context and role of the participants, and recorded and transcribed the sessions and analyzed them in qualitative analysis software. We used the Consolidated Framework for Implementation Research (CFIR) to complement the above instrument questions, to guide data analysis, and apply the Consolidated Criteria for Reporting Qualitative Research (COREQ).
Records of 159 participants were included; 21 individual and 3 group interviews, 6 focus group discussions and 4 intercultural dialogues were carried out. 21 strong, 30 weak, 6 neutral barriers as well as 5 weak and 11 strong facilitators were identified. 62% of the strong barriers and 40% of the weak ones were concentrated in the "Outer Setting Domain". Only 16 facilitators were identified, 44% in the "Innovation" domain.
Multiple political, administrative, geographical, logistical and cultural access barriers, as well as external and internal migration of the population, explain low coverage in mass administration of azithromycin and albendazole. It is necessary to review them individually to implement an improvement plan that also recognizes the identified facilitators.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39661584</pmid><doi>10.1371/journal.pone.0310143</doi><tpages>e0310143</tpages><orcidid>https://orcid.org/0000-0003-0739-5781</orcidid><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1932-6203 |
ispartof | PloS one, 2024-12, Vol.19 (12), p.e0310143 |
issn | 1932-6203 1932-6203 |
language | eng |
recordid | cdi_plos_journals_3143229030 |
source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Public Library of Science (PLoS) Journals Open Access; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Adolescent Adult Albendazole Albendazole - administration & dosage Albendazole - therapeutic use Anthelmintics - administration & dosage Anthelmintics - therapeutic use Anti-Bacterial Agents - administration & dosage Anti-Bacterial Agents - therapeutic use Azithromycin Azithromycin - administration & dosage Azithromycin - therapeutic use Beneficiaries Care and treatment Colombia - epidemiology Community Data analysis Diagnosis Disease Eradication - methods Drugs Female Focus Groups Health Services Accessibility Helminthiasis Helminthiasis - drug therapy Helminthiasis - epidemiology Helminthiasis - prevention & control Humans Internal migration Male Mass Drug Administration Medicine Medicine and Health Sciences Middle Aged Native peoples People and Places Population studies Public health Qualitative analysis Qualitative research Questions Research and Analysis Methods Research methodology Rural areas Social Sciences Trachoma Trachoma - drug therapy Trachoma - epidemiology Trachoma - prevention & control Young Adult |
title | Access barriers and facilitators to implement mass drugs administration strategies for eliminating trachoma and geohelminthiasis in the department of Amazonas, Colombia |
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