在喀麦隆的差异化护理模式中评估型肝炎的自我检测:可行性,可接受性和与关键和优先人群的护理联系
Hedgar Plessy Mboussam1, Stéphane Brice Seukam Kouenkap1, Gutenberg Tchikangni1
1Association Camerounaise pour le Marketing Social (ACMS), Yaoundé, Cameroon.
PLOS global public health
|December 15, 2025
概括
在喀麦隆,C型肝炎病毒自我检测 (HCVST) 是非常可行的和可接受的,显著增加了风险人群中检测吸收和与护理的联系. 这种方法可以指导在资源有限的环境中扩展HCV服务.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 型肝炎病毒 (HCV) 感染是一个全球性的健康问题,特别是在资源有限的地区,查和治疗覆盖率不足.
- 肝炎C病毒自我检测 (HCVST) 是一个有希望的策略,可以提高对HCV的诊断和护理的机会.
- 评估HCVST的可行性和可接受性对于其成功实施至关重要.
研究的目的:
- 评估C型肝炎病毒自我检测 (HCVST) 在喀麦隆不同风险人群中可行性和可接受性.
- 评估针对特定人群量身定制的不同HCVST服务提供模式.
- 确定在HCVST后与护理和治疗结果的联系.
主要方法:
- 一项前性研究涉及2653名成年人 (≥21岁) 在喀麦隆的四个不同的HCVST服务模式.
- 参与者提供了基于血液或口服液体的自我测试套件,可选择现场/场外和辅助/无辅助测试.
- 收集的数据包括接受率,易用性,满意度,结果解释挑战,以及与确认性测试和治疗的联系.
主要成果:
- HCVST的接受率高 (99.7%) 和易于使用 (91.7%),大多数参与者更喜欢无助的家庭测试.
- 总体HCV血清流行率为4.4%,在慢性病诊所 (12.2%) 观察到的最高率.
- 在那些具有反应性结果的人群中,观察到与确认测试 (93.2%) 和治疗开始 (98.6%) 的高度联系,达到74.6%的治愈率.
结论:
- 型肝炎病毒自我检测 (HCVST) 是一个高度可接受和可行的干预措施,用于扩大喀麦隆的HCV检测和护理参与.
- 差异化,特定于人群的传递模型是实施HCVST的有效方法.
- 这些发现支持扩大HCVST以改善资源有限的环境中的HCV护理级联结果.
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