印度结核病例积极发现的质量:国家一级二次数据分析
Hemant Deepak Shewade1, G Kiruthika2, Prabhadevi Ravichandran1
1Division of Health Systems Research, ICMR-National Institute of Epidemiology (ICMR-NIE), Chennai, India.
Global health action
|September 21, 2023
概括
印度 印度 印度
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 自2017年以来,印度一直在高风险人群中积极实施结核病 (TB) 的活跃病例发现 (ACF).
- ACF计划的成功取决于有效的查和诊断工具以及遵守质量标准.
研究的目的:
- 评估2021年印度在全国,州和地区层面进行的ACF周期数量.
- 评估2021年实施的第一个ACF周期的质量指标.
主要方法:
- 一项描述性研究分析了2021年ACF活动的结核病计划数据.
- 计算了三个关键质量指标:受查的人口 (≥10%),受查的人群中进行测试 (≥4.8%) 和被诊断的人群中进行测试 (≥5%).
- 确定诊断一例结核病例所需查 (NNS) 的数量 (目标≤1538).
主要成果:
- 2021年,657个地区报告了ACF数据,其中98%完成了一个周期,15个完成了两到三个周期.
- 没有一个地区或州达到所有三个质量指标的截止值;全国查为9.3%,测试为1%,诊断为3.7%.
- 全国NNS为2824,在机构环境中可以接受,但在基于人口的查中却很高.
结论:
- 印度2021年ACF实施显示了低于最佳的质量指标.
- 建议包括减少查到测试的损失,提高数据质量,并提高利益相关者对ACF质量标准的认识.
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