Global Health Activities in Developing Countries to Combat Non-Communicable Chron

开普敦大学申请补充资金，以评估社区卫生工作者在四个国家的社区筛查心血管疾病方面的使用情况。社区卫生工作者(CHWS)将在南非、孟加拉国、危地马拉和墨西哥的社区环境中使用非基于实验室的风险评估工具来识别心血管疾病(CVD)的高危人群。该风险工具是在美国人群中开发的，并在南非的几个队列中进行了良好的测试，它使用年龄、性别、BMI、血压、吸烟状况和糖尿病(DM)病史来计算发生心血管疾病的绝对风险分数。然后，将比较CHW生成的风险分数与训练有素的卫生专业人员生成的风险分数的一致性。如果两套评分之间的百分比一致性存在显著重叠，这将表明，诸如社区卫生工作者等低级别卫生工作者可以得到充分的培训，以筛查和识别那些心血管疾病高危人群。还将评估社区卫生诊所将高危患者转介给训练有素的卫生专业人员的模式。最后，将评估CHW知识水平和关于心血管疾病及其风险因素的知识保留情况。这是南非、孟加拉国、危地马拉和美墨边境的COE之间的合作

The University of Cape Town applied for supplemental funding in order evaluate the use of Community Health Workers (CHW) in screening for CVD in communities located in four countries. The Community Health Workers (CHWs) will use a non-lab based risk assessment tool to identify persons at high risk for Cardiovascular Disease (CVD) in community settings in South Africa, Bangladesh, Guatemala, and Mexico. The risk tool, developed in the US population and tested with good performance in several South African cohorts, uses age, gender, BMI, blood pressure, smoking status, and history of diabetes mellitus (DM) to calculate an absolute risk score for developing CVD. The CHW-generated risk scores will then be compared for agreement to risk scores generated by a trained health professional. If there is significant overlap in the percent agreement between the two sets of scores, it will demonstrate that low-level health workers such as CHWs can be adequately trained to screen for, and identify, those at high risk for CVD. The referral pattern for high-risk patients from CHWs to a trained health professional at a community health clinic will also be assessed. Finally, CHW knowledge levels and retention of knowledge about CVD and its risk factors will be evaluated. This is a collaboration among the COEs in South Africa, Bangladesh, Guatemala and the US-Mexico Border