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在人道主义紧急情况下实施非传染性疾病套件的经验教训:苏丹的操作评估
Ahmad Hecham Alani1,2, Laura Miller3, Isaac Waweru4
1Health Technical Unit, International Rescue Committee, London, UK.
BMJ global health
|June 9, 2023
概括
世卫组织非传染性疾病套件 (WHO-NCDK) 帮助在人道主义环境中管理非传染性疾病. 环境因素对于其有效实施和对初级医疗保健的影响至关重要.
科学领域:
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
- 非传染性疾病 (NCDs) 管理
背景情况:
- 非传染性疾病 (NCD) 给全球健康带来了重大挑战,尤其是在资源有限的人道主义环境中.
- 有效管理非传染性疾病需要强大的医疗保健系统和可获得的基本药物.
- 世卫组织非传染性疾病套件 (WHO-NCDK) 是一套针对紧急情况的初级医疗干预工具.
研究的目的:
- 评估世卫组织-NCDK在苏丹两个初级医疗保健机构的有效性和实用性.
- 确定影响WHO-NCDK实施和影响的上下文因素.
- 为优化WHO-NCDK在紧急和人道主义环境中的使用提供建议.
主要方法:
- 采用了横截面,混合方法的观测方法.
- 收集和分析了定量和定性数据.
- 这项研究集中在苏丹的两个初级医疗保健机构.
主要成果:
- 世卫组织-NCDK对于在供应链中断期间保持护理连续性至关重要.
- 影响套件实用性的关键上下文因素包括社区对设施的熟悉程度,国家NCD整合到PHC,以及M&E系统.
- 当地需求,设施容量和医疗保健工作人员能力是部署套件的重要考虑因素.
结论:
- 世卫组织-NCDK可以成为在紧急情况下对NCD管理的有效干预措施.
- 成功实施取决于在部署之前仔细考虑特定的上下文因素.
- 将WHO-NCDK适应当地需求和能力,提高了其整体的有用性和影响.
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