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首页> 外文期刊>European Journal of Preventive Medicine >Key Considerations in Integrated HIV-TB Services in the Prevention of Mother-to-Child Transmission: A focus on a Tertiary Health Facility in Lagos, Nigeria
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Key Considerations in Integrated HIV-TB Services in the Prevention of Mother-to-Child Transmission: A focus on a Tertiary Health Facility in Lagos, Nigeria

机译：预防母婴传播艾滋病毒/结核病综合服务的主要考虑因素：以尼日利亚拉各斯的第三级医疗机构为重点

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The need to prevent vertical transmission of HIV to a new born and the imperativeness of instituting a functional integrated HIV and Tuberculosis (TB) services across health facilities will be a landmark public health intervention that will improve the quality of life of millions. This survey is a descriptive study in which respondents (HIV positive pregnant women enrolled for the prevention of mother to child transmission service) were purposively selected based on consent to participate across multiple points at the Lagos State University Teaching Hospital. The 27 respondents participated in the study. About 50% of the respondents were between 18-30 years old with majority having secondary school education or more. The respondents are mostly married and generally knowledgeable about the mode of transmission of HIV/AIDS, TB and antiretrovirals. The major considerations cited by the respondents include; care beyond hospital settings by community health workers (home care and visitation), counseling, health education and promotion, TB screening while "increased stigma & discrimination" and "fear of meeting known persons" were identified as possible disadvantages. The survey revealed and highlighted the key considerations in implementing HIV-TB integrated services into the PMTCT services. Improved training for health workers for effective management of the increased work burden is recommended.
机译：防止艾滋病毒垂直传播给新生儿的需求以及在整个卫生机构中建立功能性艾滋病毒和结核病综合服务的当务之急将是一项具有里程碑意义的公共卫生干预措施，它将改善数百万人的生活质量。这项调查是一项描述性研究，目的是根据同意参加拉各斯州立大学教学医院多个点的调查对象，有目的地选择受访者（为预防母婴传播服务而登记的HIV阳性孕妇）。 27名受访者参加了该研究。大约50％的受访者年龄在18至30岁之间，其中大多数人具有中学以上学历。受访者大多已婚，并且对艾滋病毒/艾滋病，结核病和抗逆转录病毒药物的传播方式普遍了解。受访者提到的主要考虑因素包括：社区卫生工作者在医院以外的地方进行护理（家庭护理和探望），咨询，健康教育和促进，结核病筛查，同时“增加的污名和歧视”和“与认识的人的恐惧”被确定为可能的不利条件。该调查揭示并强调了将艾滋病毒/结核病综合服务纳入PMTCT服务的主要考虑因素。建议加强对卫生工作者的培训，以有效管理增加的工作负担。

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