背景:COVID-19大流行严重影响了许多低收入和中等收入国家(LMICs),比如秘鲁,压倒他们的卫生系统。SARS-CoV-2是导致COVID-19的病毒,已经提出了快速抗原检测自检,安全,负担得起的,和易于执行的方法,以改善在资源有限的人群中SARS-CoV-2的早期发现和监测,这些人群在获得医疗保健方面存在差距。
目的:本研究旨在探讨决策者对SARS-CoV-2自我测试的价值观和态度。
方法:2021年,我们在秘鲁的2个地区(城市利马和农村ValledelMantaro)进行了定性研究。目的抽样用于确定民间社会团体(RSC)的代表,卫生保健工作者(HCWs),和潜在的实施者(PI)充当信息提供者,其声音将为公众围绕自我测试的态度提供代理。
结果:总计,30名举报人参加了个人,半结构化访谈(SSIs)和29名举报人参加了5次焦点小组讨论(FGD)。自我测试被认为是增加秘鲁农村和城市公众接受测试的一种方法。结果显示,公众更喜欢基于唾液的自我测试,更喜欢在社区药房使用。此外,对于秘鲁的每个人口亚组,有关如何进行自检的信息应该是清楚的。测试应该是高质量和低成本的。健康知情的沟通策略也必须伴随着任何自我测试的引入。
结论:在秘鲁,决策者认为公众愿意接受SARS-CoV-2自检,使用安全,容易获得,和负担得起的。关于自检功能和说明的充分信息,以及使用后获得咨询和护理,必须通过秘鲁卫生部提供。
BACKGROUND: The COVID-19 pandemic heavily impacted many low- and middle-income countries (LMICs), such as Peru, overwhelming their health systems. Rapid antigen detection self-tests for SARS-CoV-2, the virus that causes COVID-19, have been proposed as a portable, safe, affordable, and easy-to-perform approach to improve early detection and surveillance of SARS-CoV-2 in resource-constrained populations where there are gaps in access to health care.
OBJECTIVE: This study aims to explore decision makers\' values and attitudes around SARS-CoV-2 self-testing.
METHODS: In 2021, we conducted a qualitative study in 2 areas of Peru (urban Lima and rural Valle del Mantaro). Purposive sampling was used to identify representatives of civil society groups (RSCs), health care workers (HCWs), and potential implementers (PIs) to act as informants whose voices would provide a proxy for the public\'s attitudes around self-testing.
RESULTS: In total, 30 informants participated in individual, semistructured interviews (SSIs) and 29 informants participated in 5 focus group discussions (FGDs). Self-tests were considered to represent an approach to increase access to testing that both the rural and urban public in Peru would accept. Results showed that the public would prefer saliva-based self-tests and would prefer to access them in their community pharmacies. In addition, information about how to perform a self-test should be clear for each population subgroup in Peru. The tests should be of high quality and low cost. Health-informed communication strategies must also accompany any introduction of self-testing.
CONCLUSIONS: In Peru, decision makers consider that the public would be willing to accept SARS-CoV-2 self-tests if they are accurate, safe to use, easily available, and affordable. Adequate information about the self-tests\' features and instructions, as well as about postuse access to counseling and care, must be made available through the Ministry of Health in Peru.