非洲城市卫生的多部门干预:混合方法系统审查
Meelan Thondoo1,2, Ebele R I Mogo1,2, Lambed Tatah1
1MRC Epidemiology Unit, School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Global health action
|April 5, 2024
概括
多部门干预对非洲城市健康至关重要,但缺乏研究和实施. 本次审查强调需要更多地关注健康公平和当地研究伙伴关系.
科学领域:
- 公共卫生 公共卫生
- 城市卫生 城市卫生
- 卫生政策 卫生政策
背景情况:
- 城市卫生目标越来越需要多部门的方法,但在非洲的合作仍然很少.
- 非洲的快速城市化需要有效的多部门战略来改善人口的健康和福祉.
- 在非洲城市环境中对多部门卫生干预的现有研究是有限的.
研究的目的:
- 进行多部门干预措施的混合方法系统审查,以加强非洲城市环境中的健康,重点关注非传染性疾病.
- 确定现有的知识差距,并提供关于非洲多部门城市卫生干预的当前研究的概述.
- 提出一个框架,以了解非洲城市环境中的多部门干预.
主要方法:
- 从1989年至2019年使用四个学术数据库 (PubMed,Scopus,科学网,全球健康) 系统审查文献.
- 包括通过专家输入识别的灰色文献.
- 分析了来自16个非洲国家的53篇文章 (定量,质量,混合方法),涉及22个部门的合作.
主要成果:
- 在27.8%的非洲联盟国家中,确定了多部门干预措施,主要针对主要城市.
- 一贯参与的关键部门是学术/研究,农业,政府,卫生和非政府组织.
- 社区健康公平和健康城市原则指导了大多数干预措施,尽管健康公平仅在2%的研究中是结果.
结论:
- 提出了由七个组成部分组成的综合框架,以指导未来对非洲多部门城市卫生干预措施的研究.
- 对于这些干预措施的长期影响有必要提供证据.
- 可持续的健康促进政策需要跨部门的强有力的伙伴关系和强有力的社区参与.
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