在得的疟疾控制干预措施的分层和调整
Mahamat Idriss Djaskano1, Mady Cissoko2,3, Mahamat Saleh Issakha Diar1
1National Malaria Control Program (NMCP Chad), N'Djamena 1953, Chad.
Tropical medicine and infectious disease
|September 27, 2023
概括
得对疟疾发病率进行了分层分层,以指导干预,确定有针对性的控制的高风险地区. 这种方法旨在减少疟疾负担并实现消除前期目标.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 热带医学 热带医学
背景情况:
- 疟疾是得的主要公共卫生挑战,导致严重的发病率和死亡率.
- 世界卫生组织 (WHO) 建议对疟疾进行分层分类,以便在流行国家有效地进行干预计划.
研究的目的:
- 在得的卫生区对疟疾发病率进行分层.
- 确定传播风险,并提出针对疟疾控制的有针对性的干预措施.
- 为了支持得的疟疾预消除目标.
主要方法:
- 利用常规卫生设施数据 (2017-2021年),国家疟疾指标调查,昆虫学数据,人口和健康调查以及遥感环境数据.
- 基于调整的疟疾发病率的分层卫生区.
- 在非常低发病率的地区进行了微分层 (<1000人中有10例).
主要成果:
- 全国平均调整后的疟疾发病率为每1000人374例.
- 卫生区被分为四个层:非常低 (25 区),低 (20),中等 (46) 和高 (38) 的发病率.
- 确定了针对疟疾前期消除计划的特定地区.
结论:
- 疟疾分层为得的有针对性的干预提供了一个框架.
- 这一战略对于加快减轻疟疾负担和朝着预先消除迈进至关重要.
- 建议的干预措施是根据已确定的疟疾发病率层量身定制的.
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