A structured community engagement strategy to support uptake of TB active case-finding.

IF 1.3 Q4 RESPIRATORY SYSTEM Public Health Action Pub Date : 2022-03-21 DOI:10.5588/pha.21.0059

J T Galea, D Puma, C Tzelios, H Valdivia, A K Millones, J Jiménez, M B Brooks, C M Yuen, L Lecca, M C Becerra, S Keshavjee

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引用次数: 1

Abstract

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.

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有组织的社区参与战略，支持开展结核病主动病例发现工作。

背景:在秘鲁利马，在结核病高发地区实施了一项流动结核病筛查计划(“TB Móvil”)，以增加结核病筛查。同时开展社区参与活动，推广结核病Móvil。目的:描述一个结构化的，理论驱动的社区参与战略，以支持结核病Móvil的吸收。方法:我们改编了民意领袖(POL)，这是一种基于证据的社会网络干预措施，以前在秘鲁用于促进艾滋病毒检测，用于结核病Móvil。社区卫生工作者、经营施粥所的妇女和摩托车出租车司机成为“大众意见领袖”，在多媒体运动的帮助下，在日常对话中传播有关结核病Móvil的信息。POL的绩效指标包括筛选人员的数量/特征;多媒体元素的数量;x线片异常者在就诊前了解结核病Móvil的比例。结果:2019年2月至2020年1月期间，210个地点的63899人参加了结核病Móvil项目;60.1%为女性。这次多媒体宣传活动包括36个视频、16个音频短片、传单、海报、社区壁画和“广告歌”。在接受提示结核病的异常胸部x线检查的参与者中，48%(6,935/14,563)报告在参加之前听说过结核病Móvil。结论:POL促进结核病的吸收Móvil，应考虑作为增加结核病筛查吸收的策略。

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Public Health Action RESPIRATORY SYSTEM-

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期刊介绍： Launched on 1 May 2011, Public Health Action (PHA) is an official publication of the International Union Against Tuberculosis and Lung Disease (The Union). It is an open access, online journal available world-wide to physicians, health workers, researchers, professors, students and decision-makers, including public health centres, medical, university and pharmaceutical libraries, hospitals, clinics, foundations and institutions. PHA is a peer-reviewed scholarly journal that actively encourages, communicates and reports new knowledge, dialogue and controversy in health systems and services for people in vulnerable and resource-limited communities — all topics that reflect the mission of The Union, Health solutions for the poor.