一个定量和定性方案评估一个案例领域有针对性的干预措施,以减少在刚果民主共和国东部霍乱
Kelly Endres1, Alain Mwishingo2, Elizabeth Thomas1
1Department of International Health, Program in Global Disease Epidemiology and Control, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
International journal of environmental research and public health
|January 22, 2024
概括
针对病例区域的向干预措施 (CATIs) 在改善水,环境卫生和卫生 (WASH) 行为以预防霍乱方面取得了有限的成功. 有效的霍乱控制计划需要加强社区参与和量身定制的方法.
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
- 水,环境卫生和卫生 (WASH)
背景情况:
- 靠近霍乱患者的人面临感染风险较高.
- 针对病例领域的有针对性的干预措施 (CATIs) 旨在通过改善WASH行为来减少霍乱传播.
- 关于CATI在促进WASH行为方面的有效性的证据仍然有限.
研究的目的:
- 评估CATI在改善刚果民主共和国的WASH行为方面的有效性和实施.
- 确定在霍乱流行环境中成功实施CATI的障碍和促进因素.
主要方法:
- 刚果民主共和国东部农村和城市的混合方法项目评估.
- 量化组成部分:在CATI和控制区域进行家庭结构化观察和随机检查.
- 定性组成部分:与CATI接受者,非接受者和实施者进行半结构面试.
主要成果:
- 在CATI和对照区域 (1%与2%对比) 洗手率低,肥的流行率较低.
- 在CATI家庭中片的存在增加 (75%对0%),但在两个组的储存水中自由的度较低 (11%对6%).
- 实施者报告说,肥供应不足和社区不信任;接收者对的使用知识不佳,希望社区领导参与.
结论:
- 目前实施的CATIs对改善霍乱预防关键的WASH行为的影响有限.
- 资源不足,社区不信任和知识不足阻碍了CATI的有效性.
- 未来的CATI计划需要加强社区参与,量身定制的方法和改进的供应链管理,以对霍乱控制产生可持续的影响.
更多相关视频
09:39Determination of Tolerable Fatty Acids and Cholera Toxin Concentrations Using Human Intestinal Epithelial Cells and BALB/c Mouse Macrophages
Published on: May 30, 2013
10.0K
09:02A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
Published on: June 7, 2017
19.2K
相关概念视频
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
01:17Cochran's Q Test
Cochran's Q Test is a nonparametric statistical test used to determine if there are potential differences in the outcomes of three or more related groups on a binary (yes/no) or dichotomous outcome. It is essentially an extension of the McNemar Test, which is limited to two related samples - Cochran's Q test can handle three or more related samples, making it more versatile in scenarios where subjects are measured under multiple conditions. The test statistic follows a Chi-Square distribution,...
01:30Community Based Intervention
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
01:23Investigation of Disease Outbreaks
Multistate foodborne outbreaks pose significant public health risks and require meticulous investigation to identify sources and implement control measures. The Centers for Disease Control and Prevention (CDC) utilizes a dynamic seven-step process for these investigations, integrating data from laboratories, interviews, and environmental assessments to protect public health.Outbreak Detection: The detection of multistate outbreaks typically begins with PulseNet, the CDC's national laboratory...
01:25Cholera
Cholera is an acute gastrointestinal disease caused by the Gram-negative bacterium Vibrio cholerae. It is transmitted primarily via the fecal-oral route through the ingestion of contaminated water or food.Vibrio cholerae is a motile, Gram-negative bacterium of the family Vibrionaceae, primarily associated with waterborne outbreaks in areas with inadequate sanitation. Although over 200 serogroups of V. cholerae exist, only O1 and O139 are responsible for epidemic cholera. The O1 serogroup,...