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莱索托农村社区卫生工作者对糖尿病和高血压查和诊断的可行性和可接受性:混合方法试点研究

Thabo Ishmael Lejone^1,2, Felix Gerber^1,2,3, Ravi Gupta⁴

¹Division of Clinical Epidemiology, Department of Clinical Research, University Hospital Basel, Basel, Switzerland.

Annals of global health

|September 18, 2025

概括

莱索托的社区卫生工作者在试点项目中成功地对90%以上的符合条件的成年人进行了高血压和糖尿病查. 这种以家庭为基础的方法被证明是可行的和可接受的,为更广泛的非传染性疾病 (NCD) 服务铺平了道路.

科学领域:

全球健康全球健康
公共卫生公共卫生
非传染性疾病 (NCD) 是一种非传染性疾病.

背景情况:

社区卫生工作者 (CHW) 对非洲的医疗保健提供至关重要,但往往缺乏非传染性疾病 (NCD) 服务.
莱索托建立的乡村卫生工作者计划目前不包括NCD查或诊断.
这项研究解决了社区卫生倡议中NCD护理的差距.

研究的目的:

在莱索托农村地区评估CHW主导的家庭查和诊断高血压和糖尿病的可行性和可接受性.
评估将非传染性疾病服务纳入现有社区卫生工作者计划的潜力.

主要方法:

一项混合方法试点研究,涉及莱索托农村的10个热电厂.
从2022年3月到2023年12月,为高血压 (自动化BP) 和糖尿病 (毛细血管血糖) 进行门对门查.
定性采访10名有目的抽样参与者,以评估接受度.

主要成果:

招募了1811名参与者;高达90%的查覆盖率实现了高血压 (91.5%) 和糖尿病 (98%的符合条件).
确定的高发病率:高血压26.9%,糖尿病5.3%,禁食葡萄糖受损3%.
所有接受采访的参与者都表示,他们对CHW主导的NCD查有很高的接受度和赞赏.

结论:

在莱索托农村,高血压和糖尿病的CHW查和诊断是可行的,并且非常可接受的.
>90%的查覆盖率表明了该模型在NCD管理方面的潜力.
结果支持扩大CHW领导的NCD计划和在各种环境中进一步研究.

关键词:

社区卫生工作者社区卫生工作者糖尿病糖尿病患者糖尿病患者基于家庭的家庭.这种高血压,高血压.慢性非传染性疾病是非传染性疾病.查检查查检查查检查查检查

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