关于乌干达基图格姆地区两个子县的E型肝炎不同流行情况的社区概述:混合研究设计
Judith Aloyo1,2,3, Juliet Kiguli2, Christopher Garimoi Orach4
1Rhites-N, Acholi, Gulu City, Uganda.
BMC research notes
|July 29, 2024
概括
社区卫生和遵守控制措施对乌干达的E型肝炎患病率产生了重大影响. 与Kitgum Matidi相比,Mucwini的不良做法导致感染率更高,这凸显了社区参与疫情控制的必要性.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 2009年乌干达Kitgum地区的一次E型肝炎疫情感染了超过10,422人,造成166人死亡.
- 尽管采取了类似的控制措施,Mucwini分县的持续性肝炎E病例引发了进一步的调查.
研究的目的:
- 探索社区对Mucwini和Kitgum Matidi分县E型肝炎的不同流行情况的观点.
- 确定导致Mucwini持续传播E型肝炎的因素.
主要方法:
- 一个混合方法研究,结合了定性 (焦点小组,关键信息人采访) 和定量数据.
- 有目的地采样村卫生队,当地领导人和卫生工作者进行深入采访.
- 使用结构化指南进行面对面的采访,以收集有关E型肝炎流行因素的信息.
主要成果:
- 在Mucwini和Kitgum Matidi之间感染预防和控制实践的显著差异.
- 在Mucwini,遵守指导方针较低,地方议会和村卫生团队对津贴的争议加剧了这种情况,阻碍了疫情控制.
结论:
- 不良的个人和社区卫生,加上Mucwini的不遵守行为改变沟通,导致E型肝炎的流行率更高.
- 有效的流行病管理需要社区愿意采用控制指南,并迅速解决利益相关者的分歧.
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