使用政策三角框架对博茨瓦纳石病控制政策和计划进行混合方法分析
Kebabonye P Gabaake1, Don Eliseo Lucero-Prisno2,3, Olekae T Thakadu4
1Department of Medical Sciences, School of Allied Health Professions, University of Botswana, Gaborone, Botswana. kgabaake@yahoo.com.
Global health research and policy
|September 6, 2023
概括
在博茨瓦纳控制杆菌病.
科学领域:
- 公共卫生 公共卫生
- 热带医学 热带医学
- 卫生政策分析 卫生政策分析
背景情况:
- 世界卫生组织 (WHO) 旨在到2030年消除杆菌病作为公共卫生问题.
- 在博茨瓦纳的纳米兰地区,杆菌病仍然是一个重大的健康问题,需要对政策进行评估.
- 政策三角框架被用来分析现有的杆菌病控制策略.
研究的目的:
- 分析在博茨瓦纳的纳米兰地区对杆菌病控制政策的有效性和组成部分.
- 通过政策三角框架识别政策实施中的障碍和促进者.
主要方法:
- 采用混合方法方法,将政策文件分析与定性数据相结合.
- 来自纳米兰被忽视的热带疾病 (NTD) 部门的12名关键告密者被故意选择进行采访.
- 根据布劳恩和克拉克的方法,对收集的数据进行了内容分析.
主要成果:
- 纳米兰杆菌病控制政策表现出明确的目标和目标,在疾病控制方面取得了成功,主要是通过基于学校的大规模药物管理 (MDA).
- 政策实施集中,社区和利益相关者参与有限,因国内资源不足而面临挑战.
- 关键的局限性包括缺乏关于牛控制和扩大超出学龄儿童 (SAC) 的政策内容,地区级行为者,非政府组织和私营部门的代表性很小.
结论:
- 对环境决定因素的资源和政策内容不足,以及对风险群体的排斥,阻碍了持续的疾病消除.
- 对于治疗学龄前儿童和管理强烈传播焦点的指导方针至关重要.
- 为了有效控制,重定向石病政策以应对本地疾病负担,环境因素和卫生系统现实是必不可少的.
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