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在卢旺达农村社区卫生工作者中,围绕疫情和COVID-19的知识和实践:一个横截面混合方法研究
Anne Niyigena1, Naome Nyirahabimana1, Vincent Cubaka1
1Partners in Health, Inshuti Mu Buzima, PO Box 3432, KG9 Avenue 46, Remera, Kigali, Rwanda.
The Pan African medical journal
|August 7, 2023
概括
卢旺达的社区卫生工作者展示了良好的COVID-19预防实践,但存在知识差距和误解. 需要增加对培训和信息系统的投资,以支持这些至关重要的卫生工作者.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 社区卫生工作者 (CHW) 对于疫情的准备和应对至关重要.
- 有效的CHW性能依赖于准确的疾病知识和实践采用.
- 了解关于卢旺达COVID-19的CHW知识和实践至关重要.
研究的目的:
- 探索卢旺达医疗保健中心的普遍疫情知识.
- 评估卢旺达医疗保健中心的COVID-19知识和预防实践.
- 识别医疗保健工作者培训和信息方面的差距.
主要方法:
- 卢旺达农村的跨截面多方法研究.
- 通过电话进行定量调查 (N=292) 和定性访谈 (N=24).
- 三个CHW框架的分层简单随机抽样.
主要成果:
- 培训率较低:19.2%的培训是针对疫情爆发的准备.
- 戴口罩 (98%),洗手 (95%) 和保持社交距离 (89%) 的高度采用.
- 对传播 (98%) 和无症状传播 (91%) 的高度了解,但对疾病严重程度的误解 (例如,儿童的风险为48%) 是错误的.
- 在COVID-19知识和预防实践采用之间没有联系.
- 定性数据揭示了夸大COVID-19危险的误解.
结论:
- 关于疫情和COVID-19的CHW知识和培训存在重大差距.
- 尽管坚持良好实践,但关于疾病严重程度的误解仍然存在.
- 建议投资于CHW监督和信息系统.
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