Community surveillance of COVID-19 by village health volunteers, Thailand.
Community surveillance of COVID-19 by village health volunteers, Thailand.
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泰国乡村卫生志愿者对Covid-19的社区监视。
DOI：
10.2471/blt.20.274308
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发表时间：
2021-05-01
影响因子：
11.1
通讯作者：
Nakahara S
中科院分区：
文献类型：
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作者：
Kaweenuttayanon N;Pattanarattanamolee R;Sorncha N;Nakahara S
为控制2019冠状病毒病（COVID-19）的日益蔓延，泰国政府于二零二零年三月二十二日强制关闭曼谷的公共及商业区域。因此，2020年4月期间大量失业工人返回家乡，增加了病毒在全国传播的风险。由于预计失业工人会大规模流动，泰国政府培训现有的乡村卫生志愿者，以识别COVID-19的症状并教育社区成员。省卫生局组建了由这些志愿者组成的COVID-19监测小组，以识别来自高风险地区的返回者，鼓励自我隔离14天，并监测和报告任何相关症状的发展。尽管最近为实现可持续发展目标的具体目标，保健工作人员队伍有了显著扩大，但泰国农村地区仍然缺乏专业保健人员。为了弥补这一点，初级保健系统包括训练有素的乡村保健志愿人员，他们向社区提供基本保健。2020年3月至4月，乡村健康志愿者走访了1400多万户家庭。截至2020年7月13日，志愿者识别并监测了809，911名返回者，并将总计3，346名有症状的患者转介至医院。及时动员泰国值得信赖的乡村卫生志愿者，他们在传染病监测方面受过教育并具有丰富经验，使该国能够对COVID-19大流行做出强有力的反应。该病毒最初被控制，没有使用昂贵的全国范围的封锁或广泛的测试。
To control the increasing spread of coronavirus disease 2019 (COVID-19), the government of Thailand enforced the closure of public and business areas in Bangkok on 22 March 2020. As a result, large numbers of unemployed workers returned to their hometowns during April 2020, increasing the risk of spreading the virus across the entire country. In anticipation of the large-scale movement of unemployed workers, the Thai government trained existing village health volunteers to recognize the symptoms of COVID-19 and educate members of their communities. Provincial health offices assembled COVID-19 surveillance teams of these volunteers to identify returnees from high-risk areas, encourage self-quarantine for 14 days, and monitor and report the development of any relevant symptoms. Despite a significant and recent expansion of the health-care workforce to meet sustainable development goal targets, there still exists a shortage of professional health personnel in rural areas of Thailand. To compensate for this, the primary health-care system includes trained village health volunteers who provide basic health care to their communities. Village health volunteers visited more than 14 million households during March and April 2020. Volunteers identified and monitored 809 911 returnees, and referred a total of 3346 symptomatic patients to hospitals by 13 July 2020. The timely mobilization of Thailand’s trusted village health volunteers, educated and experienced in infectious disease surveillance, enabled the robust response of the country to the COVID-19 pandemic. The virus was initially contained without the use of a costly country-wide lockdown or widespread testing.