在低收入和中低收入国家解决急性营养不良问题方面实施复杂的社区干预措施的促进者和障碍:一个范围审查
Bridget Beggs1, Monica Bustos1, Laura Jane Brubacher1
1School of Public Health Sciences, University of Waterloo, Waterloo, ON, Canada.
Nutrition and health
|May 20, 2024
概括
实施针对儿童急性营养不良的社区营养计划需要解决家庭,社会文化和运营因素. 克服地理障碍和加强计划设计是提高效率和社区信任的关键.
科学领域:
- 公共卫生 公共卫生
- 营养科学 营养科学
- 全球健康 全球健康
背景情况:
- 在低收入和中低收入国家,以社区为基础的营养干预措施是治疗儿童 (6-59个月) 急性营养不良的标准.
- 有限的研究存在于影响社区严重急性营养不良 (SAM) 和中度急性营养不良 (MAM) 干预措施实施的因素.
研究的目的:
- 识别和描述儿童急性营养不良的复杂社区营养干预措施实施的促进者和障碍.
- 专注于对低收入和中低收入国家进行干预.
主要方法:
- 在三个数据库中进行系统的文献搜索.
- 包括对复杂的社区干预 (积极监测,治疗,教育) 的同行评审文献.
- 针对儿童严重急性营养不良和中度急性营养不良的干预措施的分析.
主要成果:
- 从1771个获取的来源中,审查了38个涵盖26项干预措施的来源.
- 确定了三个主要领域:家庭/人际关系,社会文化/地理和运营/行政.
- 分类了成功实施急性儿童营养不良社区干预措施的八个关键机制.
结论:
- 解决上下文和地理挑战对于参与者访问和计划运营至关重要.
- 需要对计划设计和结构进行批判性审查,以提高干预的坚持和有效性.
- 投资社区卫生工作者可以促进长期的社区信任和参与,以获得持续的影响.
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