与传统医师合作,在乌干达早期发现瘟疫
Titus Apangu1, Gordian Candini1, Janet Abaru1
1Uganda Virus Research Institute, Arua, Uganda.
The American journal of tropical medicine and hygiene
|October 2, 2023
概括
在乌干达,吸引传统治疗师改善了患者转诊到正规医疗保健的情况. 这种合作有助于早期发现瘟疫等疾病和其他严重疾病.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医学人类学 医学人类学
背景情况:
- 在乌干达农村地区,传统医师往往是病人的第一个接触点,可能会推迟正式的医疗护理.
- 这种延迟可能会增加疾病的严重程度,死亡率,并阻碍流行病监测.
- 了解传统治疗师对瘟疫和医疗保健的看法对于综合健康战略至关重要.
研究的目的:
- 评估传统医生的知识,实践和对乌干达瘟疫的态度.
- 评估公共卫生外展计划的有效性,促进传统治疗师和正式医疗保健之间的合作.
- 改善早期检测和转诊患有类似瘟疫症状的患者.
主要方法:
- 在乌干达一个瘟疫流行地区,与11名传统治疗师进行了半结构化采访.
- 从2010年至2019年实施了一项涉及65名传统治疗师的公共卫生外展计划.
- 追踪了从传统治疗师到当地卫生中心的患者转诊情况.
主要成果:
- 大多数传统医师对瘟疫传播和症状有很好的了解,并愿意转诊患者.
- 该外展计划涉及65名治疗师,导致788名患者转诊到卫生中心.
- 常见的诊断包括疟疾 (37%) 和呼吸道感染 (23%);确认了一例风瘟疫.
结论:
- 宣传计划可以建立信任,改善传统治疗师和正式医疗保健系统之间的沟通.
- 加强合作有助于更早地发现瘟疫和其他传染病的病例并进行干预.
- 加强传统和正式医疗保健之间的联系对于农村环境中的公共卫生至关重要.
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