通过知识和意识调查,吸引和告知尼日利亚阿达马瓦州游牧民的社区结核病干预
Stephen John1, Suraj Abdulkarim2, Thandi Katlholo3
1Janna Health Foundation, Yola 640231, Nigeria.
Tropical medicine and infectious disease
|August 28, 2024
概括
社区驱动的外展活动有效地在尼日利亚的游牧人口中发现了结核病 (TB) 和人类免疫缺陷病毒 (HIV) 病例. 知识,态度和实践调查为有针对性的干预提供了信息,改善了获得医疗服务的机会.
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
- 社区卫生干预措施 社区卫生干预
背景情况:
- 游牧人口面临着严重的健康差异,包括因隔离和有限的医疗保健机会而对结核病 (TB) 和人类免疫缺陷病毒 (HIV) 的脆弱性.
- 贫困和社会排斥加剧了这些流动社区的健康风险.
- 在尼日利亚的阿达马瓦进行了一项知识,态度和实践 (KAP) 调查,以了解与结核病相关的信仰和行为.
研究的目的:
- 在游牧人口中设计和实施社区驱动的结核病和艾滋病毒病例发现外展计划.
- 利用KAP调查结果有效地定制卫生干预措施.
- 改善孤立社区获得基本健康信息和服务的机会.
主要方法:
- 一项涉及适应WHO KAP调查的横截面研究对游牧个人进行了管理.
- 根据KAP调查结果开发了干预措施,重点关注社区的投入.
- 通过社区外展,实施了针对结核病和艾滋病毒的积极病例寻找策略.
主要成果:
- 只有32.1%的受访者了解结核病的原因,超过60%的人缺乏社区卫生设施.
- 电台和医疗保健工作者被确定为关键信息来源.
- 宣传工作导致61,891人进行结核病 (306人被诊断出结核病) 和4,489人进行艾滋病毒 (69人呈阳性) 查,所有这些都与治疗有关.
结论:
- 针对结核病和艾滋病毒病例发现,KAP调查对于设计基于证据的,社区驱动的干预措施至关重要.
- 有针对性的宣传策略可以成功地接触游牧人口并改善疾病检测.
- 社区参与对于应对脆弱和孤立群体的健康挑战至关重要.
相关概念视频
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