社区参与疟疾预防,控制和消除的方法:范围审查
Kiran Raj Awasthi1, Jonine Jancey2, Archie C A Clements3
1School of Population Health, Curtin University, Perth, Western Australia, Australia kiran.awasthi@curtin.edu.au.
社区参与疟疾计划对于成功至关重要. 为了有效预防和控制疟疾,需要更加重视与社区协商,协作和共同领导.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 卫生系统研究 卫生系统研究
背景情况:
- 社区参与方法 (ACE) 在全球疟疾计划中得到广泛应用.
- 了解ACE在疟疾干预措施的范围和有效性对于改善公共卫生结果至关重要.
研究的目的:
- 系统地审查和综合由ACE指导的全球疟疾预防,控制和消除的干预活动.
- 绘制全球实施的社区参与水平和干预活动类型的地图.
主要方法:
- 2000-2022年同行评审文献和灰色文献的范围审查.
- 使用国际公众参与协会 (IAP2) 框架对ACE级别进行分类 (通知,咨询,参与,协作,共同领导).
- 干预活动分为健康教育 (HE),健康服务 (HS) 和环境管理 (EM).
主要成果:
- 包含了75项研究,其中大多数ACE活动在"Inform" (n=37) 和"Involve" (n=26) 级别.
- 卫生教育 (n=66) 和卫生服务 (n=43) 是最常见的干预活动.
- 由健康教育补充的社区医疗服务和环境管理是有效的; 参与当地领导人和利益相关者促进了干预.
结论:
- 在整个疟疾预防计划中,让当地领导人和社区团体参与其中对于成功至关重要.
- 较高ACE水平 (咨询,协作,共同领导) 的代表性不足表明需要更多的社区参与.
- 国家计划应优先考虑与社区利益相关者进行商和合作,以促进疟疾干预的所有权和共同领导.
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