在尼日利亚阿布贾使用去中心化测试模型在社会和临床弱势群体中接受COVID-19自我测试; 一项实施研究的混合方法分析
Elvis Efe Isere1, John Samson Bimba1, Yasmin Dunkley2
1Zankli Research Centre, Bingham University, Karu, Nigeria.
PLOS global public health
|January 12, 2026
概括
尼日利亚的分散COVID-19测试,使用社区药房和药店,增加弱势群体的获取. 观察到自我测试模型的接受度很高,这表明它们在未来的流行病反应中具有实用性.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 诊断测试对于管理传染病爆发至关重要,但由于依赖集中RT-PCR站点,尼日利亚在COVID-19期间的访问受到限制.
- 国家COVID-19测试战略旨在通过为弱势群体引入分散的自我测试模型来改善访问.
研究的目的:
- 评估尼日利亚阿布贾的社会和临床弱势群体中分散的COVID-19测试的采用和可接受性,包括自我测试.
- 探索影响测试场所和方法偏好的因素.
主要方法:
- 在2022年10月至2023年5月期间,在初级卫生中心 (PHC),社区药房 (CP) 和专利药店 (PMS) 进行了一项混合方法研究.
- 抗原快速诊断测试 (Ag-RDT) 用于提供者提供的或自我测试. 后勤回归分析了吸收和接受度;深度采访 (IDI) 探索了偏好.
主要成果:
- 在接受测试的1,322名参与者中,大多数测试发生在PHC (53.5%),其次是PMS (25.9%) 和CP (20.7%).
- 在PMS使用者中,社会脆弱性更高,而与PHC相比,CP和PMS的临床脆弱性较低.
- 自我测试的可接受性很高 (93.4%在CP,92.1%在PMS). 信任,近距离,方便和负担能力推动了测试的普及,跨群体优先进行自我测试.
结论:
- 通过社区药房和专利药店进行分散的测试,有效地到达了社会弱势群体.
- 在这些环境中,自我测试的高可接受性表明它们有潜力在未来的流行病期间加强公平的诊断测试访问.
- 建议在未来的疫情应对策略中利用这些分散的销售点.
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