改善结核病服务的基于社区的方法:从印度一个高结核病负担的弱势社区的干预前和干预后调查中得到的观察
Jyothi Bhat1,2, Ravendra Kumar Sharma3, Rajiv Yadav4
1ICMR-National Institute of Research in Tribal Health, Jabalpur, Madhya Pradesh, India bhatdr@gmail.com.
Thorax
|October 26, 2024
概括
社区志愿者通过积极寻找病例和社会动员,减少了撒哈拉部落的结核病 (TB) 患病率. 这种创新方法在印度高负担人口中显著降低了结核病率.
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:
- 在印度Madhya Pradesh的Saharia部落中发现了高结核病 (TB) 患病率.
- 由于结核病负担集中在这个特定的部落人口中,存在着重大的公共卫生挑战.
研究的目的:
- 实施和评估旨在改善结核病例发现的社区干预措施.
- 评估针对性干预措施对降低撒哈拉部落的结核病患病率的影响.
主要方法:
- 一个基于社区的干预研究,利用干预前和干预后的调查设计.
- 村庄结核病志愿者通过倡导,沟通和社会动员 (ACSM) 活动进行了活跃病例检测.
主要成果:
- 结核病患病率显著下降,从每10万人口中的1357人减少到752人 (p<0.001).
- 该干预表明,在研究区域内,结核病发病率有可测量的减少.
结论:
- 创新的,以社区为基础的策略对于高流行环境中有效控制结核病至关重要.
- 当地志愿者和ACSM活动的参与在提高结核病例发现和减少疾病负担方面被证明是有效的.
关键词:
结核病是一种疾病.相关概念视频
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