了解影响控制性传播感染的全球政治优先事项的因素:定性政策分析
Dadong Wu1,2, Nicola Low3, Sarah J Hawkes4
1Shenzhen Maternity and Child Healthcare Hospital, Shenzhen, China.
BMJ global health
|January 23, 2024
概括
由于研究和框架的转变,性传播感染 (STIs) 的政治优先级在2000年后下降. 将STI战略纳入全民健康覆盖是未来进步的关键.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 全球健康 全球健康
背景情况:
- 性传播感染 (STIs) 是一个重大的全球公共卫生挑战.
- 在全球卫生议程上,人们认为STD缺乏政治优先考虑.
- 了解STI政治优先级的决定因素对于未来的战略至关重要.
研究的目的:
- 调查自20世纪80年代以来影响全球性性传播感染的政治优先级的因素.
- 确定未来对STI控制工作的优先级设置的影响.
- 分析与研究和政策有关的STI政治优先事项的演变.
主要方法:
- 与来自不同部门 (学术界,联合国,非政府组织,慈善事业,公共卫生) 的20名主要利益相关者进行半结构化访谈.
- 使用已公布的政策框架进行主题分析.
- 调查结果与相关文献和政策文件的三角化.
- 检查问题特征,主流思想,演员力量动态和政治背景.
主要成果:
- 在20世纪80年代末和90年代,性传播感染控制是优先考虑的,主要是为了控制艾滋病毒,在证据上达成共识.
- 2000年后的优先级下降,因为研究未能连续地将性传播感染控制干预措施与减少艾滋病毒发病率联系起来.
- 性传播感染社区内的凝聚力有所下降,干预措施的新框架 (例如,HPV疫苗接种,先天性梅毒消除) 往往超出了性传播感染控制范围.
结论:
- STI控制优先级的下降可能源于投资和专家优先级之间的不协调.
- 解决性传播疾病需要了解资源分配中的政治和证据的相互作用.
- 全民健康覆盖为综合性STI战略提供了机会,需要高质量的护理,可持续的资金和协调.
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