蛇咬如何以及为什么成为全球卫生优先事项:政策分析
Soumyadeep Bhaumik1,2, Anthony B Zwi3, Robyn Norton4,5
1Injury Division, The George Institute for Global Health, Faculty of Medicine, UNSW, Sydney, New South Wales, Australia sbhaumik@georgeinstitute.org.in.
BMJ global health
|August 21, 2023
概括
蛇咬通过分阶段的参与和多样化的利益相关方参与,成为全球卫生优先事项. 解决网络合法性和世卫组织标准对于持续关注被忽视的热带疾病,如蛇咬伤至关重要.
科学领域:
- 全球卫生政策 全球卫生政策
- 公共卫生 公共卫生
- 被忽视的热带疾病
背景情况:
- 世界卫生组织 (WHO) 于2017年正式承认毒蛇咬伤是被忽视的热带疾病 (NTD).
- 这一认可之后,世界卫生大会于2018年通过了一项决议,并于2019年制定了一项全球目标,以减少蛇的负担.
- 了解蛇被提升为全球卫生优先事项的过程和驱动因素对于公共卫生战略至关重要.
研究的目的:
- 分析导致蛇在全球卫生议程上优先考虑的政策动态和网络结构.
- 确定影响纳入被忽视的热带疾病框架内蛇咬的关键因素和挑战.
主要方法:
- 采用政策案例研究方法,利用深入访谈和对同行评审和灰色文献的全面审查.
- 这项分析是由Shiffman等人指导的. "为了解全球卫生网络而建立的框架.
主要成果:
- 蛇的优先级是通过四个不同的阶段演变的:增长前,增长,增长和重新增长.
- 核心网络最初由学者组成,并扩大到包括民间社会和国家行为者,加强与世卫组织流程的参与.
- 有效的问题框架,特别是在蛇的文化认知中关注抗毒解决方案,在回升阶段是至关重要的.
结论:
- 在全球卫生议程上,Snakebite目前的地位似乎不稳定,这凸显了持续努力的必要性.
- 关键的挑战包括确保网络的合法性和解决世卫组织将疾病归类为NTD的标准.
- 未来的优先级分析应纳入时间模式和合法性维度,以获得更强大的理解.
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