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在乌干达,为面临结核病风险的个人提供社会保护联系计划的可行性
Grace Nanyunja1, Jillian L Kadota2, Catherine Namale1
1Uganda Tuberculosis Implementation Research Consortium, Kampala, Uganda.
PLOS global public health
|December 8, 2023
概括
大多数对结核病 (TB) 进行评估的成年人有资格获得社会保护. 乌干达的一项试点计划显示,查和转诊是可行的,但低入学率凸显了结核病患者获得社会保护的挑战.
科学领域:
- 公共卫生 公共卫生
- 社会政策 社会政策 社会政策
- 传染病研究 传染病研究
背景情况:
- 社会保护干预措施可以显著提升全球结核病 (TB) 目标.
- 将社会保护与结核病服务相结合,可以解决健康的社会经济决定因素.
- 乌干达现有的政府支持的社会保护计划为弱势群体提供了潜在的好处.
研究的目的:
- 试行一个查和联系计划,将接受结核病评估的成年人纳入社会保护计划.
- 评估结核病患者与乌干达社会保护服务联系的可行性.
- 确定结核病受影响个人的社会保护入学障碍和促进因素.
主要方法:
- 在2021年5月至12月期间,在乌干达的四个社区卫生中心 (HC) 进行了试点干预.
- 卫生中心的工作人员对成年人进行了结核病诊断评估,以评估社会保护资格.
- 符合条件的个人被转介到社区发展办公室 (CDO) 提供便利的联系支持,并使用程序数据和干预后调查追踪结果.
主要成果:
- 在对结核病进行评估的855人中,655人 (76%) 符合社会保护的条件.
- 虽然有386人 (61%) 报告给CDO,但最终只有122人 (32%) 登记,占符合条件的个人中的19%.
- 招生的主要障碍包括CDO的运营挑战和人力资源的缺乏,77%寻求入学的人没有被录取.
结论:
- 大多数寻求结核病评估的成年人有资格获得社会保护,并对此感兴趣.
- 从卫生中心到社会保护服务的便利联系是可行的,但招生仍然是一个重大挑战.
- 进一步的研究对于制定改善结核病受影响人口获得社会保护的战略至关重要.
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