ルワンダの見捨てられた熱帯病の持続可能性の強化:土壌から伝染するヘルミンチアシスとシストソミアシスに対する国内資金のサービスへのアクセスと利用の評価
Urbanus Kioko1,2, Eugene Ruberanziza3, Sam Macintosh3
1Axis Health Analytics, Nairobi, Kenya.
PLoS neglected tropical diseases
|August 29, 2025
まとめ
ルワンダでは,土壌から伝染するヘルミントやシストソミアシスの治療が手頃な価格で提供されています.
科学分野:
- 公衆衛生
- 軽視 さ れ て いる 熱帯 病
- 健康 経済
背景:
- 土壌から伝染するヘルミント (STH) とシストソミアシス (SCH) は,ルワンダを含むサハラ以南のアフリカで流行している見捨てられた熱帯病 (NTD) です.
- 国際資金の減少により,NTDプログラムに対する国内資金の評価が必要となる.
- この研究は,ルワンダのNTDサービスに対する国内資金提供を評価しています.
研究 の 目的:
- ルワンダのNTDプログラムに対する国内資金の規模,効率,効果を評価する.
- 持続可能なNTD資金の障壁と促進要因を特定する.
- 国内でのNTDの制御と排除の取り組みを強化する.
主な方法:
- ルワンダの4つの地区の24の保健センターの235人の患者を対象に実施された調査です.
- 低賃金公務員 (LPGW) の基準を家計の収入と支出と比較して評価した.
- 2023年8月〜9月に収集されたデータ,限られた二次データで補足され,記述的統計分析が使用されました.
主要な成果:
- メベンダゾール (メベンダゾール) は ストックアウト (100%の可用性) がなく,プラジクアンテル (PZQ) は 92%のストックアウトがあり,これは主にサプライチェーンの遅れによるものです.
- 統合失調症の診断は 最もアクセス不可能な検査でした
- サービス利用の平均総コスト: $0.72 (男性), $0.96 (女性);女性は男性より33%高いコストを負いました.
結論:
- STH/SCH治療はLPGWにとって手頃な価格ですが,女性はより高いアクセスコストに直面しています.
- 遅い払い戻しプロセスは,NTDサービスへの適時なアクセスと利用を妨げます.
- PZQのサプライチェーンと払い戻しのタイムラインの改善は,NTDプログラムの持続的な有効性にとって不可欠です.
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