优化沙眼病例调查,消除沙眼这一公共卫生问题

IF 2.8 4区 医学 Q2 INFECTIOUS DISEASES Tropical Medicine and Infectious Disease Pub Date : 2024-07-11 DOI:10.3390/tropicalmed9070157
Joy Shu'aibu, Grace Ajege, C. Mpyet, M. Dejene, S. Isiyaku, A. Tafida, Michaela Kelly, Innocent Emereuwa, Paul Courtright
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引用次数: 0

摘要

背景:随着国家沙眼计划加大力度减轻沙眼性倒睫(TT)的负担,TT 病例的发现和转诊成为公共卫生计划的关键组成部分。我们的研究旨在探索发现、转诊和管理 TT 病例的最有效和最高效的方法。方法:这是一项前瞻性描述性研究,利用了常规项目数据和原始数据收集。这项研究比较了尼日利亚卡诺州三个不同地方政府辖区(LGAs)发现 TT 病例的四种不同方法。每个研究的 LGA 被划分为四个子单位,以适应四种不同的方法。结果在四种病例调查方法中,参加外展活动的人数为 4795 人,这一数字差异很大,仅采用挨家挨户调查方法的人数和比例最小(403 人,0.26%),而采用城镇传话人调查方法的人数和比例最大(1901 人,0.99%)。尽管如此,在外展活动中发现的 TT 病例中,采用逐户寻找病例的比例最高(32.5%),而采用城镇传话员的比例最低(10.3%)。在所有方法中,发现的 TT 女性患者(53%-70%)和接受手术的女性患者(79%-85%)均多于男性患者。逐户寻找 TT 病例的平均项目支出与逐户寻找 TT 病例的方法相似(5.4-6.3 美元),而使用城镇宣讲员时,平均项目支出是逐户寻找 TT 病例的 3.5 倍(每发现一个 TT 病例花费 21.5 美元)。讨论:本研究发现,挨家挨户寻找 TT 病例的方法是最有效的方法,TT 病例的发现率也最高。纳入其他眼部状况和/或视力检测的结果类似,但需要更多人员和成本。
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Optimizing Trichiasis Case Finding to Attain the Elimination of Trachoma as a Public Health Problem
Background: As national trachoma programmes increase efforts to reduce the burden of trachomatous trichiasis (TT), TT case finding and referral are critical public health programme components. Our research aimed to explore the most effective and efficient approaches to finding, referring, and managing TT cases. Methods: This was a prospective descriptive study, utilizing both routine programme data and primary data collection. This study compared four different approaches to finding TT cases across three different local government areas (LGAs) in Kano State, Nigeria. Each of the study LGAs was divided into four sub-units to accommodate the four different approaches. Results: The number of outreach attendees was 4795 across the four case finding approaches, and this varied hugely, with the smallest number and proportion (403, 0.26%) in settings only employing house-to-house case finding and the largest number and proportion (1901, 0.99%) when town criers were used. That said, the proportion of TT cases among people presenting at outreach was highest (32.5%) when house-to-house case finding was used and lowest (10.3%) when town criers were used. More female TT patients were found (53–70%) and had surgery (79–85%) compared to male cases, across all approaches. The average project expenditure for finding one TT case was similar for approaches that included house-to-house case finding (USD 5.4–6.3), while it was 3.5 times higher (USD 21.5 per TT case found) when town criers were used. Discussion: This study found that the house-to-house TT case finding approaches were the most efficient method with the highest yield of TT cases. Including other eye condition and/or vision testing yielded similar results but required more personnel and cost.
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来源期刊
Tropical Medicine and Infectious Disease
Tropical Medicine and Infectious Disease Medicine-Public Health, Environmental and Occupational Health
CiteScore
3.90
自引率
10.30%
发文量
353
审稿时长
11 weeks
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