影响马拉维综合疾病监测实施的因素
D Kambalame1, M Yelewa2, B G Iversen3
1Public Health Institute of Malawi, Ministry of Health, Malawi; Kamuzu University of Health Sciences (KUHeS), Malawi.
Public health
|February 11, 2024
概括
马拉维 马拉维 马拉维 马拉维
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 加强卫生系统 加强卫生系统
背景情况:
- 马拉维的疾病监测依赖于多个数据来源和综合疾病监测和应对 (IDSR) 战略.
- 综合疾病监测的运行受到特定环境因素的影响.
研究的目的:
- 确定影响马拉维综合疾病监测运营的特定环境因素.
- 评估实施综合疾病监测和应对战略的挑战和促进者.
主要方法:
- 六个焦点小组讨论与两个地区的43名医疗保健人员进行,涉及初级,中等和国家级.
- 根据国际公共卫生协会的概念框架,使用预定义的类别来分析讨论.
主要成果:
- 目前正在进行的努力包括建立马拉维公共卫生研究所,通过One Health Surveillance Platform将监视数字化,并使用WhatsApp进行通信.
- 发现的主要障碍是:系统不协调,诊断局限性,病例定义不清楚,报告表的问题,数据传输不稳定,监督/培训不足,私营部门报告不足,负担很大,缺乏反.
结论:
- 马拉维综合疾病监测和应对的运行,工具和报告表格存在基本问题.
- 这些发现对马拉维和其他采用IDSR的国家的公共卫生实践和政策有影响.
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