与传统治疗师合作,增加西非塞内加尔的艾滋病毒检测
Noelle A Benzekri1,2, Jacques F Sambou3, Yaya Diedhiou4
1Department of Medicine, Division of Allergy and Infectious Diseases.
AIDS (London, England)
|September 26, 2025
概括
塞内加尔的传统治疗师成功地为1284人进行了HIV快速诊断测试. 这项计划实现了100%的转诊和71.7%的诊所呈现,增加了艾滋病毒检测和护理联系.
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
- 全球健康 全球健康
背景情况:
- 艾滋病毒检测和与护理联系仍然是许多地区的关键挑战.
- 让社区医疗保健提供者,如传统治疗师参与,可以改善获得基本医疗服务的机会.
- 塞内加尔面临着持续的艾滋病毒流行,需要创新的测试和转诊策略.
研究的目的:
- 实施和评估由塞内加尔传统治疗师管理的新型HIV快速诊断测试和转诊系统.
- 评估将传统治疗师纳入艾滋病毒检测和护理途径的可行性和可接受性.
- 确定该系统在增加艾滋病毒检测采用率和与临床护理联系方面的有效性.
主要方法:
- 招募了20名传统治疗师,并接受了HIV快速诊断测试的培训.
- 共有1284人通过传统治疗师网络接受了测试,没有拒绝.
- 收集了测试采用,阳性率,转诊完成,临床陈述和ART启动的数据.
主要成果:
- 在1284名测试人员中,53人 (4.1%) 呈阳性艾滋病毒检测结果.
- 所有53名阳性患者都被转诊,38名 (71.7%) 接受护理.
- 在那些提出的人中,31人 (81.6%) 确诊为艾滋病毒阳性,并开始抗逆转录病毒治疗 (ART).
结论:
- 在塞内加尔,传统的治疗师管理的艾滋病毒检测和转诊系统是可以接受和可行的策略.
- 这种创新方法显著提高了艾滋病毒检测覆盖率,并改善了与护理和治疗启动的联系.
- 将传统治疗师纳入艾滋病毒服务有望加强资源有限的环境中的公共卫生干预措施.
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