{"id":46917,"date":"2026-02-18T14:36:31","date_gmt":"2026-02-18T14:36:31","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=46917"},"modified":"2026-02-18T14:36:31","modified_gmt":"2026-02-18T14:36:31","slug":"optimising-hepatitis-c-surveillance-for-women-who-inject-drugs","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/optimising-hepatitis-c-surveillance-for-women-who-inject-drugs\/","title":{"rendered":"Uyu\u015fturucu enjekte eden kad\u0131nlar i\u00e7in Hepatit C taramas\u0131n\u0131n optimize edilmesi"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/46917\/#module-1\" class=\"anchor\"><span class=\"hidden\">Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1>Uyu\u015fturucu enjekte eden kad\u0131nlar i\u00e7in Hepatit C taramas\u0131n\u0131n optimize edilmesi<\/h1>\n<h2>Finansman<\/h2>\n<p>NHS Bristol, North Somerset ve South Gloucestershire ICB Ara\u015ft\u0131rma Kapasitesi Fonu.<\/p>\n<h2>Sorun nedir?<\/h2>\n<p>ICB&#039;nin e\u015fitsizliklerle m\u00fccadele, hastal\u0131klar\u0131 \u00f6nleme ve insanlar\u0131 daha erken tedavi etme \u00f6ncelikleriyle uyumlu olarak, bu \u00e7al\u0131\u015fma, enfeksiyon ve yeniden enfeksiyon riski y\u00fcksek olan uyu\u015fturucu enjekte eden kad\u0131nlar i\u00e7in hepatit C takip testlerine odaklanmaktad\u0131r.<\/p>\n<p>Hepatit C, tedavi edilmedi\u011fi takdirde ciddi karaci\u011fer hasar\u0131na, kansere ve erken \u00f6l\u00fcme neden olabilir, ancak iyile\u015ftirilebilir bir hastal\u0131kt\u0131r. Son on y\u0131lda, Birle\u015fik Krall\u0131k, uyu\u015fturucu enjekte eden ki\u015filer (hepatit C vir\u00fcs\u00fcnden etkilenen ana grup) i\u00e7in test ve tedavi \u00e7al\u0131\u015fmalar\u0131n\u0131 art\u0131rm\u0131\u015ft\u0131r. Uyu\u015fturucu enjekte eden ve hepatit C tedavisi g\u00f6rm\u00fc\u015f ki\u015filerin, yeniden enfeksiyonu kontrol etmek i\u00e7in y\u0131ll\u0131k test yapt\u0131rmalar\u0131 ve gerekti\u011finde yeniden tedavi g\u00f6rmeleri \u00f6nerilmektedir. Bununla birlikte, kan\u0131tlar bu rutin takibin ilk y\u0131ldan sonra (hem erkekler hem de kad\u0131nlar i\u00e7in) nadiren yap\u0131ld\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. Bu devam eden \u00e7al\u0131\u015fman\u0131n amac\u0131, takip test m\u00fcdahalelerini optimize etmek i\u00e7in \u00f6neriler geli\u015ftirmektir. Bug\u00fcne kadar, odak noktam\u0131z genel olarak uyu\u015fturucu enjekte eden ki\u015filer olmu\u015ftur. Bununla birlikte, kan\u0131tlar kad\u0131nlar\u0131n orant\u0131s\u0131z bir \u015fekilde daha y\u00fcksek hepatit C enfeksiyonu riskiyle kar\u015f\u0131 kar\u015f\u0131ya oldu\u011funu ve erkeklere k\u0131yasla topluluk uyu\u015fturucu ve alkol hizmetlerine ve zarar azaltma deste\u011fine eri\u015fimde ek engellerle kar\u015f\u0131la\u015ft\u0131\u011f\u0131n\u0131 g\u00f6stermektedir.<\/p>\n<h2>Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/h2>\n<p>Bu fon, m\u00fcdahalenin kad\u0131nlar\u0131n \u00f6zel ihtiya\u00e7lar\u0131na ve deneyimlerine g\u00f6re uyarlanmas\u0131n\u0131 sa\u011flamak i\u00e7in gerekli hasta ve kamu kat\u0131l\u0131m\u0131 (PPI) faaliyetlerini destekleyecektir. Bu, \u00fc\u00e7 temel bile\u015fen arac\u0131l\u0131\u011f\u0131yla ger\u00e7ekle\u015ftirilecektir:<\/p>\n<ol>\n<li>Uyu\u015fturucu enjekte eden kad\u0131nlarla &quot;sesli d\u00fc\u015f\u00fcnme&quot; g\u00f6r\u00fc\u015fmeleri yaparak m\u00fcdahalenin kullan\u0131labilirli\u011fini\/kabul edilebilirli\u011fini\/uygulanabilirli\u011fini test edece\u011fiz ve takip test yakla\u015f\u0131m\u0131n\u0131 iyile\u015ftirip optimize edece\u011fiz. M\u00fcdahale planlar\u0131n\u0131 test etmek, revize etmek ve her geri bildirim turunun anlaml\u0131 iyile\u015ftirmelere katk\u0131da bulunmas\u0131n\u0131 sa\u011flamak i\u00e7in yinelemeli d\u00f6ng\u00fclerde en fazla on g\u00f6r\u00fc\u015fme ger\u00e7ekle\u015ftirilecektir.<\/li>\n<li>Uyu\u015fturucu kullanan kad\u0131nlara destek veren hizmet sa\u011flay\u0131c\u0131larla ve bu konuda deneyim sahibi kad\u0131nlarla uzman panelleri d\u00fczenleyece\u011fiz. Bu paneller, m\u00fcdahalenin, gen\u00e7 kad\u0131nlar, hapis ge\u00e7mi\u015fi olan kad\u0131nlar, hamile veya bebek sahibi kad\u0131nlar ve seks sekt\u00f6r\u00fcnde \u00e7al\u0131\u015fan kad\u0131nlar da dahil olmak \u00fczere, hepatit C&#039;nin yeniden bula\u015fma riski en y\u00fcksek olan kad\u0131n alt gruplar\u0131n\u0131n ihtiya\u00e7lar\u0131n\u0131 kar\u015f\u0131lad\u0131\u011f\u0131ndan emin olmak i\u00e7in m\u00fcdahaleyi g\u00f6zden ge\u00e7irecek ve iyile\u015ftirecektir.<\/li>\n<li>Bu fon, randomize kontroll\u00fc \u00e7al\u0131\u015fmalar i\u00e7in kat\u0131l\u0131mc\u0131 bulmaya odaklanarak, bir deneme \u00f6nerisi geli\u015ftirmek ve ara\u015ft\u0131rma y\u00f6ntemleri e\u011fitimini tamamlamak i\u00e7in \u00f6zel bir zaman sa\u011flayacakt\u0131r.<\/li>\n<\/ol>\n<h2>Bu nas\u0131l ba\u015far\u0131lacak?<\/h2>\n<p>Bristol Klinik Ara\u015ft\u0131rma Birimi&#039;nin yard\u0131m\u0131yla ve Birle\u015fik Krall\u0131k Sa\u011fl\u0131k G\u00fcvenli\u011fi Ajans\u0131 ve \u0130sko\u00e7ya Halk Sa\u011fl\u0131\u011f\u0131 Kurumu&#039;ndaki meslekta\u015flar\u0131m\u0131zla (NIHR HPRU EBS ekibimiz arac\u0131l\u0131\u011f\u0131yla) i\u015f birli\u011fi yaparak, optimize etti\u011fimiz takip test yakla\u015f\u0131m\u0131n\u0131n etkinli\u011fini test etmek ve bu yakla\u015f\u0131m\u0131n ama\u00e7lanan sonu\u00e7lar\u0131 verip vermedi\u011fini belirlemek i\u00e7in bir \u00e7al\u0131\u015fma tasarlayaca\u011f\u0131z. Bu sonu\u00e7lar \u015funlar olacakt\u0131r:<\/p>\n<ul>\n<li>Y\u0131ll\u0131k takip test oranlar\u0131n\u0131n art\u0131r\u0131lmas\u0131 (ve bunun i\u00e7inde takip edilen erkek\/kad\u0131n oranlar\u0131n\u0131n ve bunun uyu\u015fturucu enjekte eden ki\u015filerin n\u00fcfusuyla nas\u0131l ili\u015fkili oldu\u011funun incelenmesi).<\/li>\n<li>Y\u0131ll\u0131k takip testleri ve tedaviye ba\u015flama oranlar\u0131 arac\u0131l\u0131\u011f\u0131yla yeniden enfeksiyonun tespiti, bu yakla\u015f\u0131m\u0131n \u0130ngiltere&#039;de elde edilen mikro bakteri eliminasyon seviyelerini korumak i\u00e7in uygulanabilir ve maliyet etkin bir y\u00f6ntem olup olmad\u0131\u011f\u0131n\u0131 anlamay\u0131 ama\u00e7lamaktad\u0131r.<\/li>\n<\/ul>\n<p>M\u00fcdahalenin nas\u0131l uyguland\u0131\u011f\u0131n\u0131 ve ki\u015filerin takip deneyimlerini (yeniden enfeksiyon ve yeniden tedavi deneyimleri de dahil olmak \u00fczere) anlamak i\u00e7in hizmet sa\u011flay\u0131c\u0131lardan ve uyu\u015fturucu enjekte eden ki\u015filerden nitel veriler toplayaca\u011f\u0131z. Bu \u00f6neri kapsam\u0131nda, veri toplamay\u0131 kolayla\u015ft\u0131ran veya birlikte kolayla\u015ft\u0131ran akran ara\u015ft\u0131rmac\u0131lar\u0131n toplanan veriler \u00fczerindeki etkisini incelemek i\u00e7in metodolojik bir alt \u00e7al\u0131\u015fma da yer alacakt\u0131r.<\/p>\n<h2>Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/h2>\n<p>Bu ara\u015ft\u0131rma, Bristol \u00dcniversitesi&#039;nde ara\u015ft\u0131rma g\u00f6revlisi olan Dr. Hannah Family taraf\u0131ndan y\u00fcr\u00fct\u00fclmektedir.<\/p>\n<h2>Daha fazla bilgi<\/h2>\n<p>Daha fazla bilgi almak veya bu projeye dahil olmak i\u00e7in l\u00fctfen e-posta g\u00f6nderin.\u00a0<a href=\"mailto:bnssg.research@nhs.net\"><strong>bnssg.research@nhs.net<\/strong><\/a>.<\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>ICB&#039;nin e\u015fitsizliklerle m\u00fccadele, hastal\u0131klar\u0131 \u00f6nleme ve insanlar\u0131 daha erken tedavi etme \u00f6ncelikleriyle uyumlu olarak, bu \u00e7al\u0131\u015fma, enfeksiyon ve yeniden enfeksiyon riski y\u00fcksek olan uyu\u015fturucu enjekte eden kad\u0131nlar i\u00e7in hepatit C takip testlerine odaklanmaktad\u0131r.<\/p>","protected":false},"author":16,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-46917","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/46917","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=46917"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/46917\/revisions"}],"predecessor-version":[{"id":46920,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/46917\/revisions\/46920"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=46917"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=46917"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}