吸引私人提供者加强结核病检测和通报:结核病REACH支持项目的证据
Md Toufiq Rahman1, William A Wells2, Oriol Ramis3
1Innovations & Grants Team, Stop TB Partnership, Geneva, Switzerland. toufiqr@stoptb.org.
BMC public health
|February 19, 2025
概括
吸引私人提供者显著提高了结核病 (TB) 病例的发现. 结构化的私人提供者参与 (PPE) 对于改善结核病检测和将患者与治疗联系起来至关重要,有助于缩小缺失病例的差距.
科学领域:
- 公共卫生 公共卫生
- 传染病控制中的传染病控制
- 加强卫生系统 加强卫生系统
背景情况:
- 私人提供者通常是结核病 (TB) 患者的初始医疗保健联系人.
- 私人提供者提高结核病检测的潜力在很大程度上仍未得到充分利用.
- 不充分利用私人提供者阻碍了有效的结核病例发现.
研究的目的:
- 分析私人提供者参与 (PPE) 干预措施对结核病检测和通报的影响.
- 评估结核病REACH倡议在利用私人提供者发现结核病例方面的有效性.
- 评估结核病REACH计划的多个资金波中的个人防护设备的结果.
主要方法:
- 分析了35TBREACH项目的数据,涵盖了四个融资浪潮 (2018年5月至2022年3月).
- 包括对查人员的数据,诊断测试转诊,结核病诊断和治疗联系.
- 检查私人提供者映射,参与率和推活动.
主要成果:
- 超过1300万人进行了查,导致诊断出64456例结核病病例,其中97%与治疗有关.
- 私人提供者参与 (PPE) 项目为干预区域的结核病通知增加了25%.
- 20%的TB总通知归因于个人防护设备项目,这表明它们对病例发现有重大影响.
结论:
- 结构化和有针对性的私人提供者的参与有效地提高了结核病病例的发现.
- 个人防护设备的举措对于缩小"失踪"结核病例的差距至关重要.
- 更广泛地实施和扩大个人防护设备对于加强全球结核病应对措施至关重要.
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