在乌干达中部的瓦基索地区分发B型肝炎预防服务
Tonny Ssekamatte1, John Bosco Isunju1, Aisha Nalugya1
1Department of Disease Control and Environmental Health, School of Public Health, College of Health Science, Makerere University, Kampala, Uganda.
PLOS global public health
|September 22, 2023
概括
包括疫苗接种和检测在内的乙型肝炎预防服务在乌干达很少.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 乙型肝炎病毒 (HBV) 感染是全球主要的健康问题,特别是在低收入和中等收入国家.
- 公平获得HBV预防服务,如检测和疫苗接种,是一个持续的挑战.
- 关于HBV服务的分布的有限证据阻碍了增加获取机会的努力.
研究的目的:
- 评估乌干达瓦基索区的HBV预防服务的可用性和分布情况.
- 确定与提供HBV疫苗接种和检测相关的因素.
- 为改善HBV服务可访问性提供证据.
主要方法:
- 一项横截面研究调查了瓦基索区55家医疗保健机构 (HCF).
- 通过电子问卷收集数据,并使用STATA 14.0.0进行分析.
- 使用ArcGIS (版本10.1) 的地理空间绘图可视化服务分发.
主要成果:
- 只有27.3%的HCF接种了乙型肝炎疫苗,60%的人提供了测试.
- 疫苗和测试服务的可用性与HCF水平,位置和所有权相关.
- 服务集中在坎帕拉附近的城市地区,这表明分布不理想.
结论:
- 在瓦基索区的HCF中,B型肝炎预防服务分布不充分.
- 迫切需要将疫苗接种和检测服务扩展到农村,公共和私人非营利设施.
- 需要有针对性的干预措施,以确保在乌干达获得平等的HBV预防.
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