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目的:为马拉维国家结核病控制规划(NTP)发展对局部地区适用的贫穷测量指标,通过建立现有结核病人的社会-经济学结构图,以评价不同社会-经济学群组对结核病服务的利用程度。设计:通过对1998年马拉维综合家庭调查的数据进行回归分析,建立关于贫穷的定量测量替代指标。通过对利隆圭城区贫民区和非贫民区进行关于贫穷的定量评价,以建立社会-经济学状态的关键指标。采用定量和定性指标对参与横断面研究的179名结核病人进行社会-经济学状态的评价。结果:贫穷的替代测量指标和定性指标显示了相似的对病人贫穷状态评价的能力。利用定量和定性指标对病人进行贫穷评价的贫穷率分别是78%和70%。地理分析显示60%的病人来自非贫民区,只有15%(26/139)来自贫民区。结论:本研究建立了利用贫穷替代测量指标和定性指标监测结核病服务利用可及性的策略。这对于发展循证的贫民优先的公平结核病服务而言,是关键的第一步。
Objectives: To develop measures of poverty applicable to localized areas for the National Tuberculosis Control Program (NTP) in Malawi by establishing a socio-economic structure chart of existing TB patients to evaluate the effectiveness of different socio-economic groups in serving TB Degree of utilization. Design: Establish a proxy for quantitative measurement of poverty through regression analysis of data from the 1998 Malawi Family Survey. A quantitative assessment of poverty was conducted in slums and non-slums in urban Lilongwe to establish key indicators of socio-economic status. 179 quantitative and qualitative indicators were used to evaluate the socio-economic status of 179 tuberculosis patients who participated in the cross-sectional study. Outcomes: Poverty alternative measures and qualitative indicators show similar abilities to assess the patient’s poverty status. The poverty rates for the evaluation of patients using quantitative and qualitative indicators are 78% and 70%, respectively. Geographic analysis showed that 60% of the patients came from non-slum areas and only 15% (26/139) came from slum areas. Conclusion: This study established a strategy of using poverty instead of measurement and qualitative indicators to monitor the availability of TB services. This is a crucial first step in developing an evidence-based, poor and priority TB service.