确定优化对土壤传播的虫进行大规模药物管理的机会:使用过程映射进行可视化和描述性分析
Eileen Kazura1, Jabaselvi Johnson2, Chloe Morozoff1,3
1The Department of Global Health, University of Washington, Seattle, Washington, United States of America.
PLoS neglected tropical diseases
|January 4, 2024
概括
针对土壤传播虫 (STH) 的全社区大规模药物管理 (cMDA) 需要比学校MDA更多的活动和适应. 过程映射可以识别瓶,并支持转换到cMDA用于STH传输中断.
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
- 实施科学 实施科学
背景情况:
- 土壤传播的虫 (STH) 控制依赖于大规模药物管理 (MDA),主要针对儿童.
- 整个社区的MDA (cMDA) 显示了在所有年龄组中中断STH传播的潜力.
- 过渡到cMDA需要调整现有的实施流程.
研究的目的:
- 描述和比较基于学校的MDA和cMDA的实施过程.
- 确定实施瓶和改善MDA交付的领域.
- 评估使用过程映射用于MDA程序适应的可行性.
主要方法:
- 过程映射是一种运营研究方法,在贝宁,印度和马拉维使用了三年.
- 研讨会确定了计划中的活动;地图每年更新一次,以反映调整和偏差.
- 描述性和比较性分析量化了基于学校的MDA和cMDA实施之间的差异.
主要成果:
- 与基于学校的MDA相比,cMDA的实施涉及平均13项额外活动和更频繁的调整 (5.2/年).
- 在这两种平台上,大约41%的活动偏离了计划的时间表,往往是为了提高效率或有效性.
- 可视化过程地图突出显示了当地一级的药物接收作为潜在的瓶,强调了时间和药物定量的重要性.
结论:
- 实施MDA取决于环境和资源,有多种可行的方法.
- 过程映射可以促进从以学校为基础的程序转移到cMDA,用于STH传输中断.
- 过程映射可以支持将STH控制与其他社区健康活动相结合.
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