将基于3HP的结核病预防治疗纳入津巴布韦的快速艾滋病治疗模式:从试点研究中获得的经验
Munyaradzi P Mapingure1, Jennifer M Zech2, Yael Hirsch-Moverman2,3
1ICAP Zimbabwe, Harare, Zimbabwe.
Journal of the International AIDS Society
|June 20, 2023
概括
通过快速跟踪模式将结核病预防治疗 (TPT) 整合到艾滋病毒护理中,证明对津巴布韦艾滋病毒感染者来说是可行的和可以接受的. 这种方法,结合一致的访问和电话支持,成功地提高了TPT完成率.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 艾滋病毒/艾滋病管理
背景情况:
- 结核病 (TB) 是艾滋病毒感染者 (PLHIV) 的主要死亡原因.
- 结核病预防治疗 (TPT) 对艾滋病毒计划至关重要,但覆盖率仍然不够理想.
- 津巴布韦的快速通道 (FT) 模式为PLHIV提供了差异化的服务,包括多个月的抗逆转录病毒药物分配.
研究的目的:
- 评估在津巴布韦为PLHIV提供3个月的TPT (3HP) 的可行性和可接受性,使用FT模型.
- 评估TPT和艾滋病毒护理访问的整合,多个月的3HP发行,以及基于电话的坚持支持.
主要方法:
- 一项试点研究涉及50名在津巴布韦城市的FT模型中注册的PLHIV.
- 参与者获得了为期3个月的3HP供应以及基于电话的遵守监测和支持.
- 进行了基线和3个月的调查,医疗记录审查和提供者采访.
主要成果:
- 96%的参与者在13-16周内完成了3HP疗程.
- 在综合护理,多个月的分发和电话支持方面报告了高满意度.
- 药丸负担和耐受性是较小的挑战;没有参与者希望更频繁的诊所访问.
结论:
- FT模型是向津巴布韦的PLHIV提供TPT的可行和可接受的策略.
- 将TPT和艾滋病毒访问对齐,加上多个月的分发和远程支持,提高了TPT的完成.
- 扩大这种综合方法具有显著的潜力,可以改善津巴布韦的TPT覆盖率.
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