CHF International, Nairobi, Kenya.
PLoS One. 2010 Aug 26;5(8):e12435. doi: 10.1371/journal.pone.0012435.
Integrated disease prevention in low resource settings can increase coverage, equity and efficiency in controlling high burden infectious diseases. A public-private partnership with the Ministry of Health, CDC, Vestergaard Frandsen and CHF International implemented a one-week integrated multi-disease prevention campaign.
Residents of Lurambi, Western Kenya were eligible for participation. The aim was to offer services to at least 80% of those aged 15-49. 31 temporary sites in strategically dispersed locations offered: HIV counseling and testing, 60 male condoms, an insecticide-treated bednet, a household water filter for women or an individual filter for men, and for those testing positive, a 3-month supply of cotrimoxazole and referral for follow-up care and treatment.
Over 7 days, 47,311 people attended the campaign with a 96% uptake of the multi-disease preventive package. Of these, 99.7% were tested for HIV (87% in the target 15-49 age group); 80% had previously never tested. 4% of those tested were positive, 61% were women (5% of women and 3% of men), 6% had median CD4 counts of 541 cell/µL (IQR; 356, 754). 386 certified counselors attended to an average 17 participants per day, consistent with recommended national figures for mass campaigns. Among women, HIV infection varied by age, and was more likely with an ended marriage (e.g. widowed vs. never married, OR.3.91; 95% CI. 2.87-5.34), and lack of occupation. In men, quantitatively stronger relationships were found (e.g. widowed vs. never married, OR.7.0; 95% CI. 3.5-13.9). Always using condoms with a non-steady partner was more common among HIV-infected women participants who knew their status compared to those who did not (OR.5.4 95% CI. 2.3-12.8).
Through integrated campaigns it is feasible to efficiently cover large proportions of eligible adults in rural underserved communities with multiple disease preventive services simultaneously achieving various national and international health development goals.
在资源匮乏的环境中进行综合疾病预防可以提高高负担传染病控制的覆盖率、公平性和效率。一个与卫生部、疾控中心、Vestergaard Frandsen 和国际援外合作署合作的公私合作伙伴关系实施了为期一周的综合多疾病预防运动。
西部肯尼亚卢兰比的居民有资格参加。目的是为至少 80%的 15-49 岁人群提供服务。在战略性分散的 31 个临时地点提供：艾滋病毒咨询和检测、60 个男性 condom、一个经过杀虫剂处理的蚊帐、一个家用水过滤器（供妇女使用）或一个个人过滤器（供男子使用），以及对检测呈阳性的人提供三个月的磺胺甲恶唑供应，并转介进行后续护理和治疗。
在七天内，有 47311 人参加了该运动，多疾病预防套餐的吸收率达到 96%。其中，99.7%接受了艾滋病毒检测（目标人群 15-49 岁年龄组的 87%）；80%的人以前从未接受过检测。检测呈阳性的人占 4%，61%是女性（5%的女性和 3%的男性），6%的人的中位数 CD4 计数为 541 个细胞/µL（中位数；356、754）。386 名认证顾问每天平均接待 17 名参与者，与全国大规模运动的推荐数字一致。在女性中，艾滋病毒感染情况因年龄而异，与已婚（如丧偶与从未结婚相比，OR.3.91；95% CI. 2.87-5.34）和无职业有关。在男性中，发现了更强的定量关系（如丧偶与从未结婚相比，OR.7.0；95% CI. 3.5-13.9）。与不知道自己状况的艾滋病毒感染女性参与者相比，知道自己状况的参与者更常见的是与非稳定伴侣始终使用 condom（OR.5.4；95% CI. 2.3-12.8）。
通过综合运动，可以有效地为农村服务不足社区的大部分符合条件的成年人同时提供多种疾病预防服务，从而实现各种国家和国际卫生发展目标。
