社区卫生工作者在全球终结结核病努力中做出贡献的机会。
Opportunities for community health workers to contribute to global efforts to end tuberculosis.
机构信息
Department of Medicine, Section of Infectious Diseases, Boston University School of Medicine, Boston, MA, USA.
Department of Internal Medicine, Section of Infectious Diseases, Yale School of Medicine, AIDS Program, New Haven, CT, USA.
出版信息
Glob Public Health. 2020 Mar;15(3):474-484. doi: 10.1080/17441692.2019.1663361. Epub 2019 Sep 13.
Abstract
Tuberculosis (TB) has emerged as the leading infectious cause of death globally. New paradigms are needed to reduce TB rates and mortality. Programs harnessing the potential of community health workers (CHWs) to enhance TB prevention and care have shown great promise. In this perspective article, we review the history of CHW-based efforts to prevent and treat TB, present evidence illustrating the effectiveness of CHWs across the entire cascade of TB care, and outline additional opportunities for CHWs to address challenges particular to the TB pandemic. Despite many promising studies, knowledge gaps persist and we suggest an agenda for future research on the role of CHWs in TB prevention and care.
摘要
结核病（TB）已成为全球主要的传染病死因。需要新的模式来降低结核病发病率和死亡率。利用社区卫生工作者（CHWs）的潜力来加强结核病预防和护理的项目显示出巨大的潜力。在这篇观点文章中，我们回顾了基于 CHW 的预防和治疗结核病的努力的历史，介绍了说明 CHWs 在整个结核病护理环节的有效性的证据，并概述了 CHWs 应对结核病大流行特定挑战的额外机会。尽管有许多有前途的研究，但仍存在知识空白，我们为 CHWs 在结核病预防和护理中的作用的未来研究提出了一个议程。
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