超越结核病:以人为中心和基于权利的方法对家庭接触者进行查
Claire J Calderwood1, Collins Timire2, Constancia Mavodza3
1Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK; The Health Research Unit Zimbabwe, Biomedical Research and Training Institute, Harare, Zimbabwe.
结核病查必须超越感染检测,以解决受影响家庭的综合性脆弱性. 综合健康,社会和经济支持的整体方法对于消除结核病和减少贫困至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 患有结核病的家庭由于健康,心理社会和结构性决定因素的相互作用而表现出综合性脆弱性.
- 目前的结核查方法未能解决先前存在的风险 (例如,营养不良,慢性疾病) 和间接后果 (例如,生计损失).
- 这些因素延续了结核病流行,导致健康状况不佳,并增加了受影响个人的贫困.
研究的目的:
- 提出重新构想的结核病查策略,以满足受影响家庭的综合需求.
- 将个人及其权利放在结核病控制工作的中心,促进健康公平.
主要方法:
- 在结核病查期间提供综合服务的概念框架开发.
- 分析现有的结核查局限性及其对综合症脆弱性的影响.
主要成果:
- 将肺结核查重新想象为整体服务提供平台,可以减轻现有风险和间接后果.
- 这种以人为中心,以权利为基础,以公平为重点的方法可以推进全民健康覆盖.
结论:
- 将综合性服务纳入结核查是解决综合性脆弱性和打击贫困的关键.
- 成功实施需要强有力的领导,灵活的资金和创新的护理模式,以实现消除结核病的目标.
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