孟加拉国社区卫生工作者对结核病的控制
A M Chowdhury1, S Chowdhury, M N Islam
1BRAC, Dhaka, Bangladesh. red@amrbrac.bdmail.net
Lancet (London, England)
|July 19, 1997
概括
这就是BRAC.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 全球健康 全球健康
背景情况:
- 结核病 (TB) 在孟加拉国是一个重大的公共卫生挑战.
- 国家结核病控制工作在病例检测和治疗坚持方面面临挑战.
- 1984年,BRAC启动了一项基于社区的结核病控制计划,经历了多个阶段的发展.
研究的目的:
- 评估BRAC社区结核病控制计划的有效性.
- 评估病例检测率,治疗遵从性和患者的结果.
- 为了比较节目区域和非节目区域的结核病发病率.
主要方法:
- 分析了1992-1995年的计划数据,涵盖了12个月和8个月的治疗方案.
- 对不同阶段的治疗结果 (治愈,死亡,失败,默认,迁移,转诊) 的单独分析.
- 在随机选择的家庭中进行横截面调查,以确定结核病的流行率,并比较计划与非计划区域.
主要成果:
- 治疗接受率高:为期12个月的治疗方案90%和为期8个月的治疗方案100%
- 治愈率达到81.0% (12个月) 和85.9% (8个月).
- 计划区的结核病患病率是非计划区比较区的一半 (0.07对比0.15/100).
结论:
- BRAC结核病控制计划在高病例检测和治疗合规性方面取得了成功.
- 实现的治愈率超过85%,低退学率为3.1%.
- 该计划有效降低了结核病的患病率,表明至少成功检测到一半的现有病例.
关键词:
亚洲 亚洲 亚洲 亚洲孟加拉国 孟加拉国 孟加拉国 是一个传染性疾病控制和控制社区工作者 - - 女人提供医疗保健服务.发展中国家 发展中国家疾病 疾病 疾病药物 药物 药物 是一种药物.经济因素 经济因素卫生健康 卫生健康 卫生健康卫生工作人员 卫生工作人员卫生服务 卫生服务 卫生服务感染 感染 感染低收入人口 低收入人口非政府组织 非政府组织组织与管理 组织与管理组织 组织 组织 组织计划的有效性 计划的有效性项目评估 项目评估程序 程序 程序 程序社会阶级 社会阶级社会经济因素 社会经济因素社会经济地位 社会经济地位南亚 南亚亚洲 南亚亚洲治疗方法 治疗方法结核病 - - 预防和控制更多相关视频
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