阿富汗疟疾控制:进展和挑战
Jan Kolaczinski1, Kate Graham, Abdullah Fahim
1Disease Control and Vector Biology Unit, London School of Hygiene and Tropical Medicine, London, UK. jan.kolaczinski@lshtm.ac.uk
Lancet (London, England)
|April 27, 2005
概括
阿富汗的疟疾控制从政府计划转移到非政府组织主导的倡议. 计划将其纳入常规医疗保健,强调持续关注,直到疟疾得到控制.
科学领域:
- 公共卫生 公共卫生
- 热带医学 热带医学
- 加强卫生系统 加强卫生系统
背景情况:
- 由于政治不稳定和政府领导的垂直计划的下降,阿富汗的疟疾控制面临着挑战.
- 非政府组织 (NGO) 和联合国机构通过跨境行动提供了必要的疟疾诊断和治疗.
- 20世纪90年代初,最初的疟疾控制计划的功能有限.
研究的目的:
- 分析阿富汗疟疾控制战略的演变.
- 检查非政府组织和国际机构在医疗保健提供中的作用.
- 为使疟疾控制融入国家卫生系统提供信息.
主要方法:
- 对阿富汗的疟疾控制历史努力和医疗保健提供模式的审查.
- 分析政治变革对公共卫生计划的影响.
- 评估从垂直计划向综合卫生服务的过渡.
主要成果:
- 观察到从政府管理的垂直疟疾计划转向非政府组织和联合国机构的参与.
- 自1992年以来,非政府组织支持的诊所和标准化培训的建立发生了.
- 2001年后,卫生系统的康复开始,并计划整合疟疾控制.
结论:
- 复杂的紧急情况凸显了适应性疟疾控制战略的必要性.
- 逐步将疟疾控制纳入常规医疗保健的计划是下一步.
- 持续关注疟疾至关重要,直到疾病被根除为止.
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