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寻找失踪的许多人:通过积极的病例发现和社区方法改善卡吉阿多县的结核病护理
Gianfranco Morino1, Caleb Mike Mulongo2, Paolo Cattaneo3
1World Friends Onlus, Nairobi, Kenya.
BMC public health
|January 10, 2024
概括
抗击结核病的意识,传统和创新 (ATI TB) 项目通过整合活跃病例发现和GeneXpert技术,改善了卡吉阿多县的结核病护理. 自我转诊在识别阳性结核病例方面比发现活跃病例更有效.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 加强卫生系统 加强卫生系统
背景情况:
- 结核病 (TB) 仍然是全球卫生优先事项,在获得护理方面存在重大差异,特别是在非正式定居点的人口中.
- 抗击结核病的意识,传统和创新 (ATI TB) 项目旨在解决肯尼亚卡吉阿多县的这些不平等问题.
研究的目的:
- 评估ATI结核病项目的对卡吉阿多县结核病护理的影响.
- 确定从项目干预中学到的实施经验教训,包括积极案例发现 (ACF) 和GeneXpert技术.
主要方法:
- 采用混合方法方法,将定量数据的回顾性队列分析与关键信息人采访的定性数据相结合.
- 使用R软件分析了定量数据,使用Taguette进行了定性数据的主题分析.
主要成果:
- 男人占据了假定病例的少数,但确诊结核病例的多数 (59.3%).
- 大多数确诊的结核病例 (70%) 是15-44岁,25-34岁年龄组的发病率高峰.
- 自我转诊 (53%) 在识别阳性结核病例方面比发现活跃病例 (47%) 更成功,尽管ACF产生了61%的推定病例.
结论:
- 维持结核病治疗成果需要持续培养卫生工作者的能力,针对弱势群体进行有针对性的查,以及开展战略合作.
- 增加政府和合作伙伴对结核病护理的预算优先级和对健康社会决定因素的投资对于长期成功至关重要.
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