COVID-19自我测试:各国在流行病期间加快政策,领先于世卫组织指导方针,全球咨询
Melody Sakala1,2, Cheryl Johnson3, James Chirombo1,2
1Malawi Liverpool Wellcome Programme, Blantyre, Malawi.
PLOS global public health
|March 18, 2024
概括
针对COVID-19自我检测的抗原检测快速诊断测试 (Ag-RDTs) 广泛使用,但在全球范围内研究不足. 咨询显示了高收入国家和低收入和中等收入国家之间的政策和获取差异,突出了严重的不平等.
科学领域:
- 全球健康 全球健康
- 诊断测试 诊断测试 诊断测试
- 公共卫生政策 公共卫生政策
背景情况:
- 抗原检测快速诊断测试 (Ag-RDTs) 已经改变了SARS-CoV-2 (COVID-19) 诊断,特别是自检测选项.
- 全球COVID-19自我测试 (C19ST) 的全球利用和政策格局仍未得到充分探索.
- 了解这些方面对于制定有效的世界卫生组织 (WHO) 指导至关重要.
研究的目的:
- 收集有关COVID-19自我测试 (C19ST) 政策,实施,好处和挑战的全球观点.
- 为制定世卫组织关于C19ST.指导的指导提供信息.
- 确定C19ST获取和政策中的全球不平等现象.
主要方法:
- 通过通过专业网络传播的世卫组织问卷进行全球跨部门咨询.
- 收集了关于C19ST的监管,可用性,目标人群,适应症,实施,益处和挑战的数据.
- 分析包括描述性摘要,交叉表格和比例,按世卫组织地区和世界银行收入分类分层.
主要成果:
- 来自139个国家的844名受访者参与了调查;504人报告了支持C19ST的政策.
- 与高收入国家相比,低收入和中等收入国家 (LMICs) 报告C19ST政策显著减少,人口覆盖率较低.
- 尽管面临挑战,但受访者发现C19ST在101个国家是可以接受的,有益的,并且在一定程度上可用,尽管成本差异很大.
结论:
- 在C19ST政策制定和实施方面存在重大的全球不平等现象,有利于HIC而不是LMIC.
- 解决这些差异对于在公共卫生紧急情况下平等获得测试干预措施至关重要.
- 利益相关者确定的挑战和机会可以指导未来的新兴传染病测试策略.
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