设计和实施短期干预措施,以解决乌兹别克斯坦的非传染性疾病
Olakunle Alonge1, Maysam Homsi2, Mahnoor Syeda Rizvi2
1University of Alabama at Birmingham, Birmingham, AL, USA. oalonge@uab.edu.
乌兹别克斯坦在初级保健中实施了简短干预措施 (BI),以减少非传染性疾病 (NCD). 该计划的目标是关键的风险因素,但面临的卫生系统的挑战,大规模的成功.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 行为科学 行为科学
背景情况:
- 非传染性疾病 (NCD) 导致乌兹别克斯坦80%以上的死亡.
- 确定了短期干预措施 (BI),以解决初级医疗保健中的非传染性疾病.
- 信用证包括风险因素评估和行为改变的简短咨询.
研究的目的:
- 描述乌兹别克斯坦BI的设计和实施.
- 为大规模BI实施产生变化理论.
- 确定BI扩展的促进者和挑战.
主要方法:
- 多种方法的方法:文档审查,参与式研讨会,关键信息人采访.
- 对BI计划设计的分析,针对4个风险因素 (酒精,烟草,饮食,身体不活动).
- 评估临床医生的培训,支持性监督和反机制.
主要成果:
- 合作,多部门设计与政治买入.
- 项目影响以个人,初级保健和社区结果为媒介.
- 确定的挑战:有限的人力资源,缺乏临床医生的激励,过时的系统,协调不良.
结论:
- 银行银行提供了一条减少乌兹别克斯坦非传染性疾病负担的途径.
- 解决卫生系统的挑战对于有效的大规模实施至关重要.
- 这些发现与类似的低收入和中等收入国家 (LMICs) 有关.
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