非洲霍乱监测系统的评估:系统性审查
Kyeng Mercy1,2, Ganesh Pokhariyal1, Noah Takah Fongwen2
1Department of Medical Microbiology and Immunology, University of Nairobi, Nairobi, Kenya.
Frontiers in epidemiology
|June 27, 2024
概括
非洲的霍乱监测缺乏协调的评估工具,这阻碍了有效的公共卫生反应. 一项审查发现没有具体的框架,强调需要标准化参数来评估系统性能.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病监测 传染病监测 传染病
背景情况:
- 霍乱仍然是非洲的重大公共卫生挑战,每年报告数千例病例和死亡.
- 现有的霍乱监测工具需要更好的证据来证明它们的部署和应用.
- 缺乏关于协调部署评估非洲霍乱监测系统工具的证据.
研究的目的:
- 系统地审查有关在非洲部署评估霍乱监测系统工具的文献.
- 确定现有的框架及其适用于霍乱监测评估的适用性.
- 评估当前的评估在多大程度上解决了关键监控能力.
主要方法:
- 从2012年1月到2023年5月,在PubMed,Medline和Embase数据库中进行了系统的文献搜索.
- 使用谷歌和谷歌学者也搜索了灰色文学.
- 包括了关于非洲霍乱监测框架的文章,并对其质量进行了评估. 关于监控工具和框架的数据被提取用于合成.
主要成果:
- 包括13个记录 (5个框架,8个研究). 没有确定特定于非洲霍乱评估的监测框架.
- 五个现有的传染病框架可以适应霍乱监测评估.
- 没有研究评估跨境监测,单一健康方法或实验室网络联系. 所有研究都评估了监控属性,但在所考虑的属性中没有一致的协同作用.
结论:
- 利益关方迫切需要共同确定一套标准化的参数和属性,以评估非洲霍乱监测系统的表现.
- 适应现有的公共卫生框架是评估霍乱监测的潜在临时解决方案.
- 未来的评估应纳入跨境监测,一个健康原则和实验室网络集成.
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