消除东南亚的结核病:旗舰优先事项和应对转型
Vineet Bhatia1, Suman Rijal1, Mukta Sharma2
1Department of Communicable Diseases, WHO South-East Asia Regional Office, India.
The Lancet regional health. Southeast Asia
|November 29, 2023
概括
东南亚地区通过增加资金和社区参与,加快了消除结核病 (TB) 的努力,从而改善了病例通知和治疗成功. 持续投资和整体干预对于在2025年之前全面实施区域战略计划至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 全球卫生政策 全球卫生政策
背景情况:
- 世卫组织东南亚地区承受着严重的结核病 (TB) 全球负担,占2021年新增病例的45%,死亡的50%.
- 该地区采用了
- 加快消除结核病的努力.
- 2017年的区域旗舰重点 (RFP),旨在加强结核病控制措施.
研究的目的:
- 为了说明RFP通过后东南亚地区结核病控制的强化和转型方法.
- 突出COVID-19大流行期间遇到的挑战及其对结核病应对措施的影响.
- 概述未来的投资需求和战略干预措施,以在2030年前结束结核病.
主要方法:
- 分析了2016年至2019年期间的结核病例通知和治疗成功率.
- 审查TB计划预算拨款和发展趋势.
- 审查在RFP和区域战略计划下实施的干预措施.
主要成果:
- 从2016年到2019年,结核病例报告增加了25%,治疗成功率提高了6%.
- 累计的结核病计划预算拨款在2022年达到14亿美元,比2016年增加了2.5倍.
- 区域战略计划 (2021-2025) 每年需要高达30亿美元用于优先干预.
结论:
- 加强政治承诺,社区参与和增加资金推动了该地区结核病控制的进展.
- COVID-19 流行病带来了新的挑战,需要适应性策略.
- 持续,相应的投资和跨部门协调对于实现消除结核病的目标至关重要.
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