远程评估STH计划覆盖范围:印度DeWorm3研究的经验
Kumudha Aruldas1, Rohan Michael Ramesh1, William E Oswald2,3
1The Wellcome Trust Research Laboratory, Division of Gastrointestinal Sciences, Christian Medical College, Vellore, India.
PLoS neglected tropical diseases
|November 16, 2023
概括
为了评估大规模药物管理覆盖率,手机调查的家庭数量较少,参与率较低,尤其是女性. 解决参与偏见和性别包容等问题对于优化这种方法至关重要.
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:
- 在DeWorm3试验中,对土壤传播的虫进行了社区范围的大规模药物管理 (cMDA) 的评估.
- 覆盖评估调查 (CES) 传统上使用面对面的方法来验证cMDA治疗.
- 在COVID-19限制期间,印度试行了一种基于手机的CES.
研究的目的:
- 评估使用基于手机的覆盖率评估调查 (CES) 的可行性和挑战.
- 为了比较基于电话的CES与传统的面对面的CES的有效性.
主要方法:
- 与调查实施者进行了两个焦点小组讨论.
- 对调查参与数据的分析,比较电话和面对面的CES.
主要成果:
- 基于电话的CES仅达到56%的家庭,而面对面的CES只有89%.
- 在基于电话的CES中观察到女性参与率较低 (66%vs94%) 和更多的代理响应 (51%vs21%).
- 挑战包括错误的电话号码,未回答的电话,以及难以获得详细的家庭信息.
结论:
- 基于电话的CES显示了评估治疗覆盖率的潜力,但需要改进方法.
- 优化的主要领域包括解决参与偏见和确保性别包容性.
- 提高响应质量对于基于电话的覆盖率评估的可靠性至关重要.
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