Stanford Jevetta, Biba Alma, Khubchandani Jagdish, Webb Fern, Rathore Mobeen H
College of Medicine-Jacksonville, University of Florida, Jacksonville, FL 32209, USA.
Department of Nutrition and Health Science, Ball State University, Muncie, IN 47306, USA.
J Epidemiol Glob Health. 2016 Dec;6(4):277-284. doi: 10.1016/j.jegh.2016.06.003. Epub 2016 Jun 30.
To improve early identification and linkage to treatment and preventive services for hepatitis B virus (HBV) in persons born in countries with intermediate or high (>2%) HBV prevalence, the University of Florida Center for HIV/AIDS Research, Education, and Services (UF CARES) employed community-engaged strategies to implement the Hepatitis B Awareness and Service Linkage (HBASL) program. In this brief report, we present a summary of program components, challenges, and successes. Faith and community-based networks were established to improve HBV testing and screening and to increase foreign born nationals (FBNs) access to HBV care. A total of 1516 FBNs were tested and screened for hepatitis B. The majority were females (50.4%), Asians (62.8%), non-Hispanic (87.2%), and they also received post-test counseling (54.8%). Noted program advantages included the development of community networks and outreach to a large population of FBNs. The major challenges were institutional delays, pressures related to meeting program deliverables, and diversity within FBNs populations. Community health workers in the United States can replicate this program in their respective communities and ensure success by maintaining a strong community presence, establishing partnerships and linkage processes, developing a sustainability plan, and ensuring the presence of dedicated program staff.
为改善出生在乙肝病毒（HBV）流行率中等或较高（>2%）国家的人群中乙肝病毒的早期识别以及与治疗和预防服务的联系，佛罗里达大学艾滋病毒/艾滋病研究、教育和服务中心（UF CARES）采用社区参与策略来实施乙肝认知与服务联系（HBASL）项目。在本简要报告中，我们总结了项目组成部分、挑战和成功之处。建立了基于信仰和社区的网络，以改善乙肝病毒检测和筛查，并增加外国出生国民（FBNs）获得乙肝病毒护理的机会。共有1516名外国出生国民接受了乙肝检测和筛查。大多数为女性（50.4%）、亚洲人（62.8%）、非西班牙裔（87.2%），并且他们还接受了检测后咨询（54.8%）。该项目的显著优势包括社区网络的发展以及对大量外国出生国民的外展服务。主要挑战包括机构延误、与完成项目交付成果相关的压力以及外国出生国民群体内部的多样性。美国的社区卫生工作者可以在各自社区复制该项目，并通过保持强大的社区影响力、建立伙伴关系和联系流程、制定可持续性计划以及确保有专门的项目工作人员来确保项目成功。
