Tesfaye Dagne Weldemarium* Muluneh Getachew

目的：【摘 要】：背景： 【摘 要】：背景：健康推广计划旨在为埃塞俄比亚农村社区服务，在提高计划生育、产前护理、产后护理、生育准备、 出生后立即开始母乳喂养和艾滋病毒检测的利用率方面带来了重大变化。关于结核病（TB）的预防和控制，TB患者认为 他们从HEW那里了解到了TB，一些患者表示，如果没有HEW的工作，他们不可能被诊断出来。HEW侧重于社区教育、嫌 疑人识别、将嫌疑人转介至医疗机构、支持坚持治疗、找回缺席者和追踪接触者。目的：本次审查的目的是评估埃塞俄比 亚卫生推广工作者在预防和控制结核病方面的作用。方法：通过PubMed、谷歌学术和Science Direct数据库进行计算机系 统搜索。在根据标题、摘要和消除冗余对文章的相关性进行审查后，本次审查包括了五篇文章。提交给原文章的研究，检 查HEW对结核病预防的贡献的研究，在埃塞俄比亚进行的研究；以英语撰写的研究被纳入综述。结果：HEW发现了大量 有结核病症状的人群，这是结核病预防和消除策略的基础。卫生推广工作人员不仅确定了新患者，还确定了复治者（违约 者），他们是多药耐药结核病（MDR-TB）的主要成因。从HEW确定的结核病嫌疑人中，发现大多数人对该疾病呈阳性。 卫生推广工作人员仍然是确定结核嫌疑人并将患者转诊到卫生设施的卫生工作人员。他们也是与结核病相关的社区健康教 育者的来源。

卫生推广工作者；肺结核；埃塞俄比亚

[1] H. B. Ethiopia’s health extension program: Improving health through community involvement. MEDICC Rev. 2011;13:46. [2] Bounkhel M, Thibault L. Scalarization of Tangential Regularity of Set-Valued Mappings. Set-Valued Anal. 1999; 7 (1): 33–53. [3] Karim AM, Admassu K, Schellenberg J, Alemu H, Getachew N, Ameha A, et al. Effect of Ethiopia’s Health Extension Program on Maternal and Newborn Health Care Practices in 101 Rural Districts: A Dose-Response Study. PLoS One. 2013; 8 (6). [4] Datiko DG, Lindtjørn B. Health extension workers improve tuberculosis case detection and treatment success in southern Ethiopia: A community randomized trial. PLoS One. 2009;4 (5). [5] Yassin MA, Datiko DG, Tulloch O, Markos P, Aschalew M, Shargie EB, et al. Innovative Community-Based Approaches Doubled Tuberculosis Case Notification and Improve Treatment Outcome in Southern Ethiopia. PLoS One. 2013; 8 (5): 1–8. [6] Kasaeva T, Floyd K, Anderson L, Baddeley A. Global tuberculosis report 2018. Geneva: World Health Organization; 2018. [Internet]. WHO Publication. 2018. 174 p. Available from: http://apps.who.int/iris. [7] Global tuberculosis report 2017. Geneva: World Health Organization; 2017. [8] Global tuberculosis report 2016. Geneva: World Health Organization; 2016. [9] Global tuberculosis report 2015. Geneva: World Health Organization; 2015. [10] Global tuberculosis report 2014. Geneva: World Health Organization; 2014. [11] Tiemersma EW, Collins D, Hof S Van Den. Summary report Costs faced by (multidrug resistant) tuberculosis patients during diagnosis and treatment: report from a pilot study in Ethiopia , Indonesia and Kazakhstan. 2014; February(February 2014): 1–7. [12] Suganthi P, Chadha VK, Ahmed J, Umadevi G, Kumar P, Srivastava R, et al. Health seeking and knowledge about tuberculosis among persons with pulmonary symptoms and tuberculosis cases in Bangalore slums. Int J Tuberc Lung Dis. 2008; 12 (11): 1268–73. [13] de Cuevas RMA, Lawson L, Al-Sonboli N, Al-Aghbari N, Arbide I, Sherchand JB, et al. Patients direct costs to undergo TB diagnosis. Infect Dis Poverty [Internet]. 2016; 5 (1). Available from: http://dx.doi.org/10.1186/s40249-016-0117-x. [14] FMOH. Federal ministry of health Ethiopia TB,Leprosy,HIV prevention and control programme. 2008. [15] Datiko DG, Yassin MA, Theobald SJ, Blok L, Suvanand S, Creswell J, et al. Health extension workers improve tuberculosis case finding and treatment outcome in Ethiopia: a large-scale implementation study. BMJ Glob Heal [Internet]. 2017; 2 (4): e000390. Available from: http://gh.bmj.com/lookup/doi/10.1136/bmjgh-2017-000390. [16] Datiko DG, Lindtjørn B. Health extension workers improve tuberculosis case detection and treatment success in southern Ethiopia: A community randomized trial. PLoS One. 2009; 4 (5). [17] Getnet F, Hashi A, Mohamud S, Mowlid H, Klinkenberg E. Low contribution of health extension workers in identification of persons with presumptive pulmonary tuberculosis in Ethiopian Somali Region pastoralists. BMC Health ServRes. 2017; 17 (1): 1–9. [18] Fekadu L, Hanson C, Osberg M, Makayova J, Mingkwan P, Chin D. Increasing Access to Tuberculosis Services in Ethiopia: Findings from a Patient-Pathway Analysis. J Infect Dis. 2017; 216 (Suppl 7): S696–701. [19] Yassin MA, Datiko DG, Tulloch O, Markos P, Aschalew M, Shargie EB, et al. Innovative Community-Based Approaches Doubled Tuberculosis Case Notification and Improve Treatment Outcome in Southern Ethiopia. PLoS One. 2013; 8 (5): 1–8.

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