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了解五个亚太国家的被忽视的热带疾病计划如何适应COVID-19大流行:一项定性研究
Alison Jaworski1, Adam T Craig2,3, Clare E F Dyer1
1The Kirby Institute, UNSW Sydney, New South Wales, Australia.
PLoS neglected tropical diseases
|May 30, 2024
概括
在东南亚和太平洋地区,COVID-19大流行扰乱了被忽视的热带疾病 (NTD) 控制计划. 成功恢复需要综合卫生系统,社区参与,并为NTD服务提供专用资源.
科学领域:
- 公共卫生 公共卫生
- 传染病控制和控制传染病
- 卫生系统研究 卫生系统研究
背景情况:
- 在全球范围内,COVID-19大流行导致忽视的热带疾病 (NTD) 控制活动的暂停.
- 了解对NTD计划的影响对于未来的应急准备至关重要.
- 这项研究是首次记录大流行期间东南亚和太平洋NTD计划的挑战和适应情况.
研究的目的:
- 记录COVID-19大流行对东南亚和太平洋地区NTD控制计划的影响.
- 识别能够或阻碍NTD程序运行和恢复的因素.
- 为未来全球卫生紧急情况制定应急计划提供信息.
主要方法:
- 与11名NTD项目协调员和工作人员进行了半结构化采访.
- 从斐济,巴布亚新几内亚,菲律宾,东帝汶和瓦努阿图收集的数据.
- 构造主义基于理论的方法用于分析影响程序操作的因素.
主要成果:
- 在所有研究的国家中,COVID-19大流行严重扰乱了NTD计划.
- 新的战略包括与基本服务建立合作伙伴关系,并将通信技术用于缩小规模的活动.
- 恢复的关键推动因素是强大的跨计划关系,充足的资源和专门的行政系统.
- 随着疫情的继续,资金短缺和资源短缺变得很突出.
- 社区主导的方法对于恢复大流行后的信任和参与至关重要.
结论:
- 在紧急情况下维持NTD计划需要整合到更广泛的卫生,行政和社会系统.
- 应急前规划应将NTD控制作为卫生系统各级的关键服务.
- 加强NTD员工自治的治理和维护社区关系是必不可少的.
- 适当的资金,人员和官僚支持是NTD单位所必需的.
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