参与制定目标政策概况,以支持消除土壤传播的虫
Arianna Rubin Means1,2, Kellie List1, Amy Roll1,2
1Department of Global Health, University of Washington, Seattle, WA, United States.
Frontiers in health services
|February 5, 2024
概括
整个社区的大规模药物管理 (cMDA) 可能会中断土壤传播的虫 (STH) 传播. 与利益相关者一起制定了目标政策概况 (TPoP),以指导STH消除政策的证据需求.
科学领域:
- 全球健康 全球健康
- 传染性疾病 传染性疾病
- 寄生虫学的寄生虫学
背景情况:
- 土壤传播的虫 (STH) 感染了全球近四分之一的人口,不成比例地影响着缺乏水,卫生和住房的社区.
- 新出现的证据表明,社区范围内的大规模药物管理 (cMDA) 可以中断STH传播,将重点从控制转移到消除.
- 过渡到消除STH需要更新监控,供应链和社区动员的指导.
研究的目的:
- 制定目标政策概况 (TPoP),概述有关利益相关者优先考虑的STH传输中断的证据要求.
- 为实现STH消除目标所需的政策变化和计划转变提供信息.
主要方法:
- 进行了对25篇文章的范围审查.
- 与8名专家进行了关键信息人采访 (KIIs).
- 采用两阶段的Delphi技术,分别涉及20名和10名受访者,用于识别和验证TPOP组件.
主要成果:
- 该TPoP包括3个关键信息领域:背景/上下文,临床考虑和实施考虑.
- 总共有24个证据类别被确定,包括安全性,不良事件和实施可行性.
- 利益相关者审查,认可或修订了每个类别内的提供证据的选项.
结论:
- 该TPoP为指导委员会和政策制定者提供了一个框架,以确定STH消除的证据需求.
- 这种工具可以加快建立共识和实施基于证据的政策,以大规模控制STH.
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