在高风险人群和偏远地区实施COVID-19自我检测试点研究:结果和经验教训
Elena Marbán-Castro1, Vladimer Getia2, Maia Alkhazashvili2
1FIND, Geneva, Switzerland.
BMC public health
|February 17, 2024
概括
在格鲁吉亚的医疗机构和学校每周进行COVID-19自我测试,表明参与者的意愿和满意度很高. 这一战略有效地扩大了社区层面的查,并通过将自我测试纳入国家计划,改善了疫情防控.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 针对SARS-CoV-2 (COVID-19) 自检的快速抗原检测测试对于疫情控制和社区查至关重要.
- 在低收入和中等收入国家实施COVID-19自我检测落后于高收入国家.
- 为医疗保健工作人员和学校工作人员探索了一种每周的COVID-19自我测试模型.
研究的目的:
- 为医疗机构和学校确定和完善每周的COVID-19自我测试模型.
- 评估将自我测试纳入格鲁吉亚国家计划中的可行性和影响.
- 评估参与者对自我测试结果的意愿,满意度和报告.
主要方法:
- 在格鲁吉亚的5个医疗保健中心和24所学校进行的混合方法,观察前性研究 (2022年6月至12月).
- 将COVID-19自我检测纳入高风险群体的国家强制性检测计划.
- 每周将自我测试分发给工作人员,然后分发给家庭成员;通过在线调查和采访收集的数据.
主要成果:
- 观察到高参与者愿意进行自我测试 (高达99%) 和报告结果 (高达98%).
- 每周向国家数据库报告测试结果的数量一直很高.
- 报告了622个COVID-19阳性结果,将601名个人 (参与者和家庭成员) 与护理联系起来.
- 定性数据显示,由于方便性,易用性和感知到的安全性,人们的满意度很高.
结论:
- 通过工作场所和次要家庭分配的自我测试策略是基于证据的.
- 自我测试的意愿在实施后增加,增强了对大流行病的准备.
- 学习的经验可以为公共卫生计划中自我护理策略的运营引入和扩展提供信息.
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