Improving tuberculosis case detection in underdeveloped multi-ethnic regions with high disease burden:a case study of integrated control program in China

作     者：Jun Li Xiao-Qiu Liu Shi-Wen Jiang Xue Li Fei Yu Yan Wang Yong Peng Xiao-Ming Gu Yan-Ni Sun Hui Zhang Li-Xia Wang Li Jun;Liu Xiao-Qiu;Jiang Shi-Wen;Li Xue;Yu Fei;Wang Yan;Peng Yong;Gu Xiao-Ming;Sun Yan-Ni;Zhang Hui;Wang Li-Xia

作者机构：Jockey School of Public Health and Primary CareChinese University of Hong KongHong KongChina National Center for TB Control and PreventionChina CDC0515155 Changbai RoadChangping DistrictBeijing 102206China Yining Center for Disease Control and PreventionYiliChina Yili Center for Disease Control and PreventionYiliChina Xinjiang Center for Disease Control and PreventionUrumqiChina World Health Organization Beijing OfficeBeijingChina 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2017年第6卷第1期

页      面：1343-1351页

核心收录：

学科分类：0502[文学-外国语言文学] 050201[文学-英语语言文学] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 05[文学] 1002[医学-临床医学] 1001[医学-基础医学(可授医学、理学学位)] 

基　　金：The project was supported by the China-WHO Biennial Collaborative Projects 2014-2015 and TB control programs in Xinjiang Uygur Autonomous Region 

主　　题：Tuberculosis TB control program Outreach education Household screening Case study/pilot Ethnic groups Aged/older people Xinjiang/China 

摘      要：Background:In the underdeveloped multi-ethnic regions of China,high tuberculosis(TB)burden and regional inequity in access to healthcare service increase the challenge of achieving the End TB *** all the provinces,the highest TB burden is reported in Xinjiang,where ethnic minorities and older people have suffered ***,current case-finding strategy is inadequate given the complex social determinants and suboptimal case detection ***,we developed an integrated TB control program to improve case detection and conducted a pilot in Xinjiang from 2014 to *** this case study,we summarized the activities and key *** also shared the experiences and challenges of implementing interventions and provided recommendations to inform the TB control program in the *** presentation:The pilot interventions were implemented in one selected town in Yining based on local TB control *** applying tailor-made educational materials,outreach TB educational activities were conducted in diverse *** 22 Masjids,the trained imams promoted TB education to the Muslims,covering 20,440 persontimes in 88 delivered preaching *** seven schools,1944 students were educated by the teachers and contributed to educating 6929 family *** the village communities,13,073 residents participated in household education and *** them,12,292 people aged under 65 years were investigated for suspicious pulmonary TB symptoms,where six TB patients were diagnosed out of 89 TB suspects;781 older people were mobilized for screening directly by chest X-ray,where 10 patients were diagnosed out of 692 *** healthcare system,multi-sectoral cooperation and multi-channel financing mechanism were the successful experiences of *** interventions were proved to be more effective than the previous performance:the number of TB suspects consulting doctors and patients detected increased by 50%and 26%,*** potentia