Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.
Rapid implementation of an integrated large-scale HIV counseling and testing, malaria, and diarrhea prevention campaign in rural Kenya.
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DOI：
10.1371/journal.pone.0012435
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发表时间：
2010-08-26
期刊：
影响因子：
3.7
通讯作者：
Mermin J
中科院分区：
文献类型：
--
作者：
Lugada E;Millar D;Haskew J;Grabowsky M;Garg N;Vestergaard M;Kahn JG;Muraguri N;Mermin J
在低资源环境中进行综合疾病预防，可以提高控制高负担传染病的覆盖面、公平性和效率。与卫生部、疾病预防控制中心、Vestergaard Frandsen和国际合作建房基金会建立了公私伙伴关系，开展了为期一周的多种疾病综合预防运动。肯尼亚西部Lurambi的居民有资格参加。目标是为至少80%的15-49岁人口提供服务。在战略上分散的地点提供了31个临时地点：艾滋病毒咨询和检测、60个男用避孕套、一顶经杀虫剂处理的蚊帐、一个妇女用家庭滤水器或一个男子用个人滤水器，对检测呈阳性的人，提供3个月的复方新诺明，并转诊接受后续护理和治疗。在7天的时间里，有47，311人参加了该运动，96%的人接受了多种疾病预防包。其中，99.7%的人接受了艾滋病毒检测（15-49岁目标年龄组中的87%）; 80%的人以前从未接受过检测。4%的受试者为阳性，61%为女性（5%为女性，3%为男性），6%的受试者的中位CD 4计数为541个细胞/微升（IQR; 356，754）。386名认证咨询师平均每天为17名参与者提供服务，这与建议的全国群众运动数字一致。在女性中，艾滋病毒感染因年龄而异，并且更可能与结束婚姻（例如丧偶与从未结婚，OR. 3. 91; 95% CI）。2.87-5.34），以及缺乏职业。在男性中，发现了数量上更强的关系（例如，丧偶与从未结婚，OR. 7. 0; 95% CI。3.5-13.9）。与不稳定的伴侣一起使用避孕套在知道自己状况的HIV感染女性参与者中比那些不知道的人更常见（OR.5.4 95%CI）。2.3-12.8）。通过开展综合运动，可以有效地为服务不足的农村社区的大部分合格成年人提供多种疾病预防服务，同时实现各种国家和国际卫生发展目标。
Integrated disease prevention in low resource settings can increase coverage, equity and efficiency in controlling high burden infectious diseases. A public-private partnership with the Ministry of Health, CDC, Vestergaard Frandsen and CHF International implemented a one-week integrated multi-disease prevention campaign. Residents of Lurambi, Western Kenya were eligible for participation. The aim was to offer services to at least 80% of those aged 15–49. 31 temporary sites in strategically dispersed locations offered: HIV counseling and testing, 60 male condoms, an insecticide-treated bednet, a household water filter for women or an individual filter for men, and for those testing positive, a 3-month supply of cotrimoxazole and referral for follow-up care and treatment. Over 7 days, 47,311 people attended the campaign with a 96% uptake of the multi-disease preventive package. Of these, 99.7% were tested for HIV (87% in the target 15–49 age group); 80% had previously never tested. 4% of those tested were positive, 61% were women (5% of women and 3% of men), 6% had median CD4 counts of 541 cell/µL (IQR; 356, 754). 386 certified counselors attended to an average 17 participants per day, consistent with recommended national figures for mass campaigns. Among women, HIV infection varied by age, and was more likely with an ended marriage (e.g. widowed vs. never married, OR.3.91; 95% CI. 2.87–5.34), and lack of occupation. In men, quantitatively stronger relationships were found (e.g. widowed vs. never married, OR.7.0; 95% CI. 3.5–13.9). Always using condoms with a non-steady partner was more common among HIV-infected women participants who knew their status compared to those who did not (OR.5.4 95% CI. 2.3–12.8). Through integrated campaigns it is feasible to efficiently cover large proportions of eligible adults in rural underserved communities with multiple disease preventive services simultaneously achieving various national and international health development goals.
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DOI：
10.4269/ajtmh.2005.73.1151
发表时间：
2005-12-01
影响因子：
3.3
作者：
Adazu, K;Lindblade, KA;Slutsker, L
通讯作者：
Slutsker, L
影响因子：
168.9
作者：
Sachs, JD;McArthur, JW
通讯作者：
McArthur, JW
DOI：
10.1016/s0035-9203(00)90103-2
发表时间：
2000-07-01
影响因子：
2.2
作者：
Howard, SC;Omumbo, J;Snow, RW
通讯作者：
Snow, RW
DOI：
10.1080/0960312031000102877
发表时间：
2003-06-01
影响因子：
3.2
作者：
Quick, R
通讯作者：
Quick, R
影响因子：
3.3
作者：
Matovu, JKB;Kigozi, G;Gray, RH
通讯作者：
Gray, RH