Community Empowerment through Cadres in the Tuberculosis Program: A Scoping Review.

IF 1.6 4区医学 Q3 Medicine

Iranian Journal of Public Health Pub Date : 2025-07-01 DOI:10.18502/ijph.v54i7.19113

Agung Setiyadi, Uki Noviana, Eti Nurwening Sholikhah, Akhmadi, Hanim Mufarokhah

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引用次数: 0

Abstract

Background: Tuberculosis (TB) remains a global public health problem with high morbidity and mortality rates, especially in low- and middle-income countries. Community-based approaches, including empowerment of health cadres, have been recognized as a key strategy to improve the success of TB control programs. This review systematically identifies research that has been carried out to determine the contribution of cadres in tuberculosis control programs in various countries.

Methods: This scoping review used five electronic databases, namely PubMed, Scopus, Medline-Ebscohost, ProQuest, and Cochrane, to identify the contribution of cadres in TB programs. Article selection was based on PCC (Population, Concept, Context) criteria with a limitation of 2014-2024 and only English-language articles.

Results: Out of 793 initial articles, 20 articles met the eligibility criteria. Studies show that empowering cadres is effective in detecting TB cases, improving patient adherence to treatment, and overcoming stigma through culture-based education. However, challenges such as lack of training, incentives, and access to diagnostic tools often hinder cadre performance.

Conclusion: Health cadres play an important role in bridging the gap between formal health services and the community. With the support of structured training, resource allocation, and community empowerment, cadres can maximize their impact in TB control programs.

Abstract Image

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通过干部在结核病项目中的社区赋权：范围审查。

背景：结核病（TB）仍然是一个全球公共卫生问题，发病率和死亡率很高，特别是在低收入和中等收入国家。以社区为基础的方法，包括赋予卫生干部权力，已被认为是提高结核病控制规划成功程度的一项关键战略。本综述系统地确定了为确定干部在各国结核病控制规划中的贡献而开展的研究。方法：本综述使用了PubMed、Scopus、Medline-Ebscohost、ProQuest和Cochrane五个电子数据库来确定干部在结核病项目中的贡献。文章选择基于PCC （Population, Concept, Context）标准，限于2014-2024年，且仅限英文文章。结果：在793篇初始文献中，有20篇符合入选标准。研究表明，赋予干部权力在发现结核病病例、提高患者对治疗的依从性以及通过基于文化的教育克服耻辱感方面是有效的。然而，缺乏培训、激励和获得诊断工具等挑战往往会阻碍干部的绩效。结论：卫生干部在弥合正规卫生服务与社区之间的差距方面发挥着重要作用。在有组织的培训、资源分配和社区赋权的支持下，干部可以最大限度地发挥其在结核病控制规划中的影响力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Iranian Journal of Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.20

自引率

7.10%

发文量

审稿时长

2 months

期刊介绍： Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above mentioned research areas.