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在埃塞俄比亚切拉提实施一个“TB 村”的经验,针对的是牧民人口。

The experience of implementing a 'TB village' for a pastoralist population in Cherrati, Ethiopia.

机构信息

Medical Department, Médecins Sans Frontières, Operational Centre Brussels MSF-Luxembourg, Luxembourg.

出版信息

Int J Tuberc Lung Dis. 2011 Oct;15(10):1367-72. doi: 10.5588/ijtld.10.0751.

DOI:10.5588/ijtld.10.0751
PMID:22283897
Abstract

SETTING

In Cherrati District, Somali Regional State (SRS), Ethiopia, despite a high burden of tuberculosis (TB), TB control activities are virtually absent. The majority of the population is pastoralist with a mobile lifestyle. TB care and treatment were offered using a 'TB village' approach that included traditional style residential care, community empowerment and awareness raising, provision of essential social amenities and essential food and non-food items.

OBJECTIVE

To describe 1) key aspects of the implementation of the TB village approach, 2) TB treatment outcomes and 3) the lessons learnt during implementation.

DESIGN

Descriptive study.

RESULTS

A total of 297 patients entered the TB village between September 2006 and October 2008; 271 (91%) patients were treated successfully, nine (3%) defaulted and 13 (4%) died.

CONCLUSIONS

For pastoralist populations, a TB village approach may be effective for improving access to TB care, ensuring proper adherence to treatment and achieving good overall TB outcomes. The successes and challenges of this approach are discussed.

摘要

背景

在埃塞俄比亚索马里州的 Cherrati 区,尽管结核病(TB)负担沉重,但 TB 控制活动几乎不存在。大多数人口是牧民,生活方式流动。TB 护理和治疗采用“TB 村”方法提供,包括传统风格的住院护理、社区赋权和提高认识、提供基本社会便利设施以及基本食品和非食品物品。

目的

描述 1)实施 TB 村方法的关键方面,2)TB 治疗结果,以及 3)实施过程中获得的经验教训。

设计

描述性研究。

结果

2006 年 9 月至 2008 年 10 月期间,共有 297 名患者进入 TB 村;271 名(91%)患者成功治疗,9 名(3%)患者失访,13 名(4%)患者死亡。

结论

对于牧民群体而言,TB 村方法可能有助于改善 TB 护理的可及性,确保治疗的正确遵医嘱,并取得良好的总体 TB 结果。讨论了这种方法的成功和挑战。

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