Хайме Байона
Хайме Байона Гарсия - перуанский врач, который фокусируется на общественном здравоохранении, и он стал специалистом по изучению эпидемиологии туберкулеза . Он также известен своими тематическими исследованиями по ВИЧ/СПИДу в Перу и других развивающихся странах. [ 1 ] Доктор Байона также работал над тем, как должны улучшаться системы общественного здравоохранения, с точки зрения предоставления наилучшего подхода, чтобы помочь больным, которые не могут позволить себе здравоохранение. [ 1 ]
Участие в Перу
[ редактировать ]В 1994 году доктор Байона был завербован в Перу, чтобы стать директором Socios En Salud (SES); Сестрая организация партнеров в области здравоохранения (PIH), которая началась в Лиме, Перу, для лечения туберкулеза (MDR-TB) и ВИЧ/СПИДа устойчивости с множественной лекарственной резистентом (MDR-TB) и для оказания медицинской помощи бедным, кто живет в условиях ограниченного ресурса Полем [ 2 ] Как только доктор Байона стал директором SES, ему пришлось управлять большой группой из 150 человек и растущего персонала работников общественного здравоохранения, а также в курсе грантов NIH ( Национальные институты здравоохранения ). [ 2 ]
Демонстрация усилий MDR-TB в Перу
[ редактировать ]Доктор Байона вместе с доктором Джимом Юн Ким и доктором Полом Фармером угрожало работали над расширением лечения MDR-TB в Перу, но перуанское правительство остановить или покинуть страну. [ 3 ] Они знали, что было бы важно построить прочные отношения с перуанским правительством, если они собираются лечить пациентов с MDR-TB в соответствии с государственной политикой. [ 3 ] Community health workers under Dr. Bayona continued to observe their patients regardless of the Peruvian government's warning.[4] Community health workers gave emotional support and observed patients taking their medications.[3] Community health workers noted any side effects the patients had and reported the information to doctors so appropriate changes could be made. Patients were asked to be on medications for longer periods if necessary.[4] Fifty patients were cured by community health workers under Dr. Bayona.[3] The cure rate reached above 80 percent.[3] Dr. Bayona, Dr. Kim, and Dr. Farmer convinced the Peruvian government, along with the World Health Organization, to reconsider the usage of these medications for MDR-TB and they reformed their policies.[3]
In 1996, Dr. Bayona asked the Ministry of Health of Peru (MINSA) to provide second-line drugs for a group of ten patients to treat MDR-TB.[5] MINSA is a branch of the Peruvian government. Dr. Bayona was turned away because MINSA believed that instead of treating the disease, it should instead be prevented.[3] Costs for second-line drugs were costly, so a strategy for prevention of MDR-TB was the preferred option according to MINSA.[3] Farmer, Kim, and Bayona campaigned for second-line prescriptions through the course of a few gatherings. They orchestrated with MINSA and Pedro Guillermo Suárez, who is a physician and the director of the National TB Program (NTP).[5] Suárez was against treating MDR-TB patients due to the high costs and high probability of treatment failure. Dr. Bayona then traveled to the Cono Norte's hospital in 1996 to introduce himself to Felix Alcántara.[5] Dr. Alcántara is a pulmonologist at the Cono Norte's hospital and was on board to help with tuberculosis management due to his beliefs that the NTP treatments were not working.[5] According to Dr. Kim, "Jaime was absolutely committed to these patients—to make sure these patients would get on treatment, and he was navigating incredibly tricky political waters".[5] Dr. Bayona continued to work with MINSA to change their approach and bring together other organizational entities to collaborate. Again in 1996, Bayona organized a gathering with Suárez, Alcántara, and others from the local medical clinic in Peru. For the first time, an agreement was finalized between SES, the Peruvian NTP, and PIH which took into account the treatment of 10 MDR-TB patients to begin their work.[5] Throughout testing, treatment for MDR-TB relied on the development of the drug susceptibility.[6] Dr. Bayona received approval for SES to gain access to two adjoining zones that the Cono Norte's hospital supported. Permission was also given to treat more individuals within these two zones.[5]
References
[edit]- ^ Jump up to: a b "Jaime Bayona | Global Health and Social Medicine". ghsm.hms.harvard.edu. Harvard Medical School. 24 October 2019. Retrieved 23 November 2020.
- ^ Jump up to: a b "Jaime Bayona". salzburgglobal.org. Salzburg Global Seminar. Retrieved 23 November 2020.
- ^ Jump up to: a b c d e f g h Ferreyra, Carlos (25 March 2016). "The lessons of Carabayllo: Making tough choices in the fight against TB". World Bank. Retrieved 23 November 2020 – via Medium.
- ^ Jump up to: a b Mitnick, Carole; Bayona, Jaime; Palacios, Eda; Shin, Sonya; Furin, Jennifer; Alcántara, Felix; Sánchez, Epifanio; Sarria, Madeleny; Becerra, Mercedes; Fawzi, Mary C. Smith; Kapiga, Saidi; Neuberg, Donna; Maguire, James H.; Kim, Jim Yong; Farmer, Paul (9 January 2003). "Community-Based Therapy for Multidrug-Resistant Tuberculosis in Lima, Peru". The New England Journal of Medicine. 348 (2): 119–128. doi:10.1056/NEJMoa022928. PMID 12519922.
- ^ Jump up to: a b c d e f g Rosenberg, Julie; Rhatigan, Joseph (April 2011). "Multidrug-Resistant Tuberculosis Treatment in Peru" (PDF). Global Health Delivery Project. Retrieved 20 December 2020.
- ^ Gandhi, Neel R.; Nunn, Paul; Dheda, Keertan; Schaaf, H. Simon; Zignol, Matteo; van Soolingen, Dick; Jensen, Paul; Bayona, Jaime (22 May 2010). "Multidrug-resistant and extensively drug-resistant tuberculosis: a threat to global control of tuberculosis" (PDF). The Lancet. 375 (9728): 1830–1843. doi:10.1016/S0140-6736(10)60410-2. PMID 20488523. S2CID 22351782. Retrieved 20 December 2020.