McGillivray J, Webb M, Jong M, Jong C
Innu Nation Health Commission, Sheshatshiu, Labrador, Canada.
Int J Circumpolar Health. 1998;57 Suppl 1:242-6.
The Tuberculosis Surveillance Project set out to gain community and health care worker support for and participation in the development and implementation of a tuberculosis control program which would address the high incidence of tuberculosis in Innu and Inuit communities in Labrador. The underlying principle of this project is that a tuberculosis control program must have the support of both the communities and the health care workers if it is to succeed. A three-person tuberculosis steering committee, with representation from the Innu Nation, the Labrador Inuit Association, and the Labrador Health Services Board, supervised initial tuberculosis data collection and analysis and workshop planning. Community Health Representatives, community physicians, and community nurses participated in a workshop to develop a tuberculosis protocol for the region. In addition, community tuberculosis control strategies were developed in workshops in each community in an effort to ensure community and health care worker support for the protocol and tuberculosis control in its broadest sense. This project illustrates how partnerships between communities and health care workers can be achieved. Future tuberculosis incidence rates will be used to evaluate the effectiveness of the partnership.
结核病监测项目旨在获得社区和医护人员对制定和实施结核病控制项目的支持与参与，该项目将应对拉布拉多地区因纽特人和伊努伊特人社区结核病高发的问题。该项目的基本原则是，结核病控制项目要取得成功，必须得到社区和医护人员双方的支持。一个由三人组成的结核病指导委员会，成员来自因纽特民族、拉布拉多因纽特协会和拉布拉多卫生服务委员会，负责监督初始结核病数据的收集与分析以及研讨会的规划。社区卫生代表、社区医生和社区护士参加了一个研讨会，以制定该地区的结核病防治方案。此外，还在每个社区的研讨会上制定了社区结核病控制策略，以确保社区和医护人员对该方案以及广义上的结核病控制给予支持。该项目展示了社区与医护人员之间如何建立伙伴关系。未来的结核病发病率将用于评估这种伙伴关系的成效。
