一项支持结核病主动病例发现推广的结构化社区参与策略。
A structured community engagement strategy to support uptake of TB active case-finding.
作者信息
Galea J T, Puma D, Tzelios C, Valdivia H, Millones A K, Jiménez J, Brooks M B, Yuen C M, Lecca L, Becerra M C, Keshavjee S
机构信息
School of Social Work, University of South Florida, Tampa, FL.
College of Public Health, University of South Florida, Tampa, FL.
出版信息
Public Health Action. 2022 Mar 21;12(1):18-23. doi: 10.5588/pha.21.0059.
BACKGROUND
In Lima, Peru, a mobile TB screening program ("TB Móvil") was implemented in high TB prevalence districts to increase TB screening. Community engagement activities to promote TB Móvil were simultaneously conducted.
OBJECTIVE
To describe a structured, theory-driven community engagement strategy to support the uptake of TB Móvil.
METHODS
We adapted Popular Opinion Leader (POL), an evidence-based social networking intervention previously used in Peru to promote HIV testing, for TB Móvil. Community health workers, women who run soup kitchens, and motorcycle taxi drivers served as "popular opinion leaders" who disseminated information about TB Móvil in everyday conversations, aided by a multi-media campaign. Performance indicators of POL included the number/characteristics of persons screened; number of multimedia elements; and proportion of persons with abnormal radiographs hearing about TB Móvil before attending.
RESULTS
Between February 2019 and January 2020, 63,899 people attended the TB Móvil program at 210 sites; 60.1% were female. The multimedia campaign included 36 videos, 16 audio vignettes, flyers, posters, community murals and "jingles." Among attendees receiving an abnormal chest X-ray suggestive of TB, 48% (6,935/14,563) reported hearing about TB Móvil before attending.
CONCLUSIONS
POL promotes the uptake of TB Móvil and should be considered as a strategy for increasing TB screening uptake.
背景
在秘鲁利马，为提高结核病筛查率，在结核病高流行地区实施了一项移动结核病筛查项目（“TB Móvil”）。同时开展了促进TB Móvil的社区参与活动。
目的
描述一种结构化的、理论驱动的社区参与策略，以支持TB Móvil的推广。
方法
我们对“大众意见领袖”（POL）进行了调整，这是一种基于证据的社交网络干预措施，此前在秘鲁用于促进艾滋病毒检测，现应用于TB Móvil。社区卫生工作者、经营施粥处的女性和摩托车出租车司机充当“大众意见领袖”，在多媒体宣传活动的协助下，在日常对话中传播有关TB Móvil的信息。POL的绩效指标包括筛查人数/特征；多媒体元素数量；以及胸部X光片异常者在就诊前听说TB Móvil的比例。
结果
2019年2月至2020年1月期间，210个地点的63899人参加了TB Móvil项目；60.1%为女性。多媒体宣传活动包括36个视频、16个音频片段、传单、海报、社区壁画和“短歌”。在接受胸部X光检查异常提示患有结核病的参与者中，48%（6935/14563）报告在就诊前听说过TB Móvil。
结论
POL促进了TB Móvil的推广，应被视为提高结核病筛查率的一种策略。
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