A structured community engagement strategy to support uptake of TB active case-finding

被引：3
|
作者：
Galea, J. T. [1 ,2 ,3 ]
Puma, D. [4 ]
Tzelios, C. [3 ]
Valdivia, H. [4 ]
Millones, A. K. [4 ]
Jimenez, J. [4 ]
Brooks, M. B. [3 ,5 ]
Yuen, C. M. [3 ,5 ,6 ]
Lecca, L. [3 ,4 ]
Becerra, M. C. [3 ,5 ]
Keshavjee, S. [3 ,5 ,6 ]
机构：
[1] Univ S Florida, Sch Social Work, Tampa, FL 33620 USA
[2] Univ S Florida, Coll Publ Hlth, Tampa, FL 33620 USA
[3] Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA 02115 USA
[4] Socios Salud Sucursal Peru, Lima, Peru
[5] Harvard Med Sch, Ctr Global Hlth Delivery, Boston, MA 02115 USA
[6] Brigham & Womens Hosp, Div Global Hlth Equ, 75 Francis St, Boston, MA 02115 USA
来源：
PUBLIC HEALTH ACTION | 2022年 / 12卷 / 01期
关键词：
TB testing; social networking; South America; DRUG-RESISTANCE; TUBERCULOSIS; INTERVENTION; BEHAVIOR;
D O I：
10.5588/pha.21.0059
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
BACKGROUND: In Lima, Peru, a mobile TB screening program ("TB Movil") was implemented in high TB prevalence districts to increase TB screening. Community engagement activities to promote TB Movil were simultaneously conducted. OBJECTIVE: To describe a structured, theory-driven community engagement strategy to support the uptake of TB Movil. METHODS: We adapted Popular Opinion Leader (POL), an evidence-based social networking intervention previously used in Peru to promote HIV testing, for TB Movil. Community health workers, women who run soup kitchens, and motorcycle taxi drivers served as "popular opinion leaders" who disseminated information about TB Movil in everyday conversations, aided by a multi-media campaign. Performance indicators of POL included the number/characteristics of persons screened; number of multimedia elements; and proportion of persons with abnormal radiographs hearing about TB Movil before attending. RESULTS: Between February 2019 and January 2020, 63,899 people attended the TB Movil program at 210 sites; 60.1% were female. The multimedia campaign included 36 videos, 16 audio vignettes, flyers, posters, community murals and "jingles." Among attendees receiving an abnormal chest X-ray suggestive of TB, 48% (6,935/14,563) reported hearing about TB Movil before attending. CONCLUSIONS: POL promotes the uptake of TB Movil and should be considered as a strategy for increasing TB screening uptake.
引用
收藏
页码：18 / 23
页数：6
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