Trial of the Trachoma Rapid Assessment methodology in The Gambia.

Trial of the Trachoma Rapid Assessment methodology in The Gambia.
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DOI:
10.1076/opep.8.2.73.4157
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发表时间:
2001-07-01
影响因子:
1.8
通讯作者:
Johnson, G J
Johnson, G J
中科院分区:
医学4区
文献类型:
--
作者:
Limburg, H;Bah, M;Johnson, G J

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目得:为了测试的有效性和重复性的一个新设计的沙眼快速评估(TRA)methodology.METHOD:从最初的TRA在20个村庄(TRA1)的结果进行了比较,与第二次验证TRA(TRA2)6周后,在13个村庄,随机选择了原来的20个,由不同的现场工作人员进行。TRA1和TRA2的调查结果进行了比较,所有13个villages.RESULTS的门到门的调查,整个人口的TRA1和TRA2的结果之间的变化和两个TRA的和门到门的调查结果之间有相当大的量。即使是指标,应该保持不变,如距离初级卫生中心或倒睫手术设施的距离,得分different.CONCLUSIONS:TRA的方法是易于使用,结果是快速可用。评分系统表明需要SAFE战略的哪些干预措施,并有助于确定优先事项。可能需要修改某些指标的定义,如厕所的提供和使用。在某些情况下,评分系统似乎夸大了实际调查结果之间的差异。同一村庄的两个TRA之间的一致性很低,测量实际情况的准确性值得怀疑。
PURPOSE: To test the validity and repeatability of a newly designed Trachoma Rapid Assessment (TRA) methodology.METHOD: Results from an initial TRA in 20 villages (TRA1) are compared with those of a second validation TRA (TRA2) after 6 weeks in 13 villages, randomly selected out of the original 20, conducted by different field staff. Findings of TRA1 and TRA2 are compared with those of a door-to-door survey of the entire population of all 13 villages.RESULTS: There is a considerable amount of variation between the results of TRA1 and TRA2 and between the results of both TRA's and the door-to-door survey. Even indicators that should have remained the same, like distance to Primary Health Centre or distance to trichiasis surgery facility, scored differently.CONCLUSIONS: The TRA methodology is easy to use and the results are quickly available. The scoring system indicates which intervention(s) of the SAFE strategy are needed and facilitates priority setting. The definition of some indicators, like availability and use of latrines, may need modification. In some cases, the scoring system seems to exaggerate differences between the actual findings. The consistency between two TRA's in the same village is low and the accuracy in measuring the actual situation is doubtful.