在尼泊尔的健康管理信息系统中评估交叉性别分析:针对包容性卫生系统的结核病的案例研究
Ayuska Parajuli1, Sampurna Kakchapati1, Abriti Arjyal1
1HERD International, Saibu Awas Cr-10 Marga, Bhaisepati, Lalitpur, Nepal.
Infectious diseases of poverty
|April 24, 2024
概括
结核病 (TB) 不成比例地影响了尼泊尔的边缘化人口. 目前国家结核病计划 (NTP) 卫生管理信息系统 (HMIS) 中的数据收集缺乏关键的社会分层,阻碍了公平的结核病护理.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康 公平 卫生 公平
背景情况:
- 结核病 (TB) 是尼泊尔的一个重大公共卫生挑战,由性别和社会不平等加剧.
- 社会分层交叉,增加结核病风险和某些人口的边缘化.
- 国家政策和国家结核计划 (NTP) 的健康管理信息系统 (HMIS) 需要评估包容性.
研究的目的:
- 评估尼泊尔国家卫生政策中性别和其他社会分层因素的包容性.
- 评估在NTP的HMIS中社会决定因素的整合.
- 通过HMIS记录的结核病例进行交叉分析.
主要方法:
- 关键国家政策和NTP HMIS数据的桌面审查.
- 对NTP年度报告 (2017-2021) 和从HMIS 6.5 (2017/18-2018/19) 的628个结核病例进行了回顾性交叉分析.
- 千平方和多变量分析,以评估社会分层和结核病结果之间的关联.
主要成果:
- 政策承认性别和社会包容性,但缺乏实施.
- NTP HMIS收集年龄,性别,种族和位置数据,但通常只报告年龄和性别.
- 交叉分析显示,年龄和性别与结核病类型和注册类别有显著的关联;25岁以上的男性成功结果的几率更高.
结论:
- 常规的HMIS数据缺乏足够的社会分层,阻碍了交叉结核病分析.
- 为了了解结核病的社会决定因素,NTP需要更多的分类数据.
- 加强数据收集和分析对于在尼泊尔开发一个更公平,更具响应性的结核病计划至关重要.
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