在受冲突影响的人群中提供全面的结核病护理
M K Wakjira1, D Jerene2, D H Dano1
1USG Eliminate TB Project, Management Sciences for Health, Addis Ababa, Ethiopia.
概括
在埃塞俄比亚受冲突影响地区发现的基于外展的活跃结核病 (TB) 病例显著增加了检测率. 这一战略对于应对国内流离失所人口中的结核病传播至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 埃塞俄比亚面临着严重的国内流离失所危机,截至2022年2月,已有456万流离失所者.
- 冲突使385万人 (84%) 流离失所,严重限制了获得基于设施的结核病 (TB) 护理的机会.
- 流离失所人口中未经治疗的结核病构成社区传播的重大风险,需要有针对性的干预策略.
研究的目的:
- 评估在受冲突影响地区基于外展活动发现活跃结核病例的有效性.
- 确定这种方法是否可以减轻冲突对获得设施结核病护理的影响.
主要方法:
- 从受冲突影响的人口中选了199398人,包括那些在过渡站点和机构中的人员.
- 在这些高风险环境中利用外展策略发现活跃的结核病例.
主要成果:
- 检测到10,585例可能的结核病例和353例细菌学证实的肺结核病例.
- 在受冲突影响的群体和监狱囚犯中,结核病产量比全国估计高出九倍.
- 在脆弱的,因冲突而流离失所的人群中确定了高结核病患病率.
结论:
- 基于外展的活跃结核病例发现在识别受冲突影响的人口中的结核病例方面非常有效.
- 针对流离失所和制度化群体是控制埃塞俄比亚结核病传播的关键.
- 该战略提供了一种可行的解决方案,以克服因冲突而造成的结核病治疗接入障碍.
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