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打破结核病消除的障碍:一个新的社区主导的战略,在Senaapati区彻底改变了结核病例的发现和治疗支持 - - 马尼普尔的一个准实验性的前后研究协议
Arangba S1, Singh S2, Nagarajan K1
1ICMR-National Institute for Research in Tuberculosis, Chennai, India.
PloS one
|July 3, 2025
概括
参与马尼普尔的学生和妇女组织显著改善了结核病例的发现和治疗坚持. 这种由社区主导的方法为资源有限的环境提供了一种具有成本效益的模式,以打击结核病.
科学领域:
- 公共卫生 公共卫生
- 社区卫生干预措施 社区卫生干预
- 控制结核病的控制方法
背景情况:
- 印度面临着高结核病 (TB) 负担,每年有数百万病例被遗漏.
- 国家结核病根除计划 (NTEP) 采用活跃病例发现 (ACF) 活动,但资源限制在马尼普尔等州挑战实施.
研究的目的:
- 评估参与学生和妇女组织 (SAWOs) 对结核病例通知,治疗坚持和完成率在NTEP中的影响.
- 评估这次ACF在马尼普尔的干预措施的成本效益.
主要方法:
- 在马尼普尔的塞纳帕蒂区进行了一项准实验性的前后研究,涉及到增强的病例发现和ACF实施.
- 数据分析包括千平方测试,后勤回归和多层次后勤回归,以确定与干预影响和对混因素的控制相关的因素.
- 成本效益是使用每增加的质量调整寿命年增量成本效益比率来评估的.
主要成果:
- 该研究正在进行中,数据收集和分析正在进行中,以比较结核病例报告,治疗坚持以及干预前后的结果.
- 统计分析将确定影响干预影响的意义和因素.
结论:
- 提出了一个新的社区主导的模型,涉及SAWOs,以加强结核病例检测和治疗支持,与"END TB"战略保持一致.
- 这种以社区为基础的参与型研究模式强调了结核病控制的合作,包括敏感化,增强病例发现 (ECF),ACF和治疗支持.
- 该模型显示,在像马尼普尔这样的资源有限的环境中,有可能产生重大影响,为ACF实施和经济影响提供了洞察力.
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