从全球C型肝炎消除计划中吸取的教训
Senad Handanagic1, Shaun Shadaker1, Jan Drobeniuc1
1Centers for Disease Control and Prevention, Division of Viral Hepatitis, Atlanta, Georgia, USA.
The Journal of infectious diseases
|September 22, 2023
概括
分散和集成模型显著增加了格鲁吉亚,卢旺达和尼日利亚的C型肝炎病毒 (HCV) 测试准入. 这些策略对于实现到2030年全球消除HCV的目标至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 全球健康 全球健康
背景情况:
- 世界卫生组织制定了2030年消除型肝炎病毒 (HCV) 作为公共卫生威胁的目标.
- 尽管取得了进展,但在2020年,全球只有23%的HCV感染被诊断出来,这突显了测试和护理准入方面的关键差距.
- 分散和集成的医疗保健模式为克服检测障碍提供了一个有希望的方法.
研究的目的:
- 检查去中心化和集成模型如何改善全球卫生计划中对HCV检测的准入.
- 突出在格鲁吉亚,卢旺达和尼日利亚实施的成功策略,用于HCV检测和与护理联系.
- 为实现2030年HCV消除目标的未来战略提供信息.
主要方法:
- 分析格鲁吉亚,卢旺达和尼日利亚的C型肝炎计划数据和策略.
- 专注于实施去中心化测试和综合服务交付模式.
- 包括特定的测试技术,如HCV核心抗原和医疗点 (POC) HCVRNA测试.
主要成果:
- 格鲁吉亚通过简化测试和POC利用实现了高查率 (80%的成年人) 和治疗启动.
- 卢旺达实现了查目标,并通过迅速分散和整合HCV服务,开始治疗.
- 尼日利亚的近POC综合测试方法扩大了HCV病毒性检测的访问,使得同一天的测试和治疗启动.
结论:
- 分散和集成的HCV检测模型有效地增加了获得护理的机会和联系.
- 在格鲁吉亚,卢旺达和尼日利亚成功实施,为其他旨在消除HCV的国家提供了宝贵的见解.
- 这些战略对于实现2030年全球型肝炎消除目标至关重要.
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