在埃博拉后的塞拉利昂,维持基于社区的监测系统的可行性和挑战
Christina Mergenthaler1, Ankie van den Broek2, Noor Tromp2
1KIT Royal Institute, Mauritskade 63, 1092, Amsterdam, AD, The Netherlands. c.mergenthaler@kit.nl.
Conflict and health
|November 10, 2024
概括
在塞拉利昂,基于社区的监测 (CBS) 提高了社区一级的疾病检测敏感性. 应对可持续融资和培训等挑战对于预防疫情的持续成功至关重要.
科学领域:
- 公共卫生监督 公共卫生监督
- 全球卫生安全 全球卫生安全
- 加强卫生系统 加强卫生系统
背景情况:
- 基于社区的监测 (CBS) 系统对于在易爆发地区及时发出警报至关重要.
- 在2014-2016年埃博拉疫情爆发后,塞拉利昂建立了CBS,培训社区卫生工作者 (CHW) 报告优先健康状况.
- 该研究评估了塞拉利昂卫生和环境卫生部 (MoHS) 系统中CBS的可行性和可持续性.
研究的目的:
- 评估塞拉利昂社区监控 (CBS) 的可行性和可持续性.
- 评估在低资源环境中维持CBS运营的挑战.
- 为世界银行对塞拉利昂卫生卫生部监测系统的评估提供信息.
主要方法:
- 2019年采用混合方法方法,包括家庭发病率和病例验证调查.
- 进行了医疗机构调查,成本分析以及采访和重点小组的定性数据.
- 还对所有32个首领的DHIS2监控数据进行了二次数据分析.
主要成果:
- 总体而言,CBS警报与功能区的设施电子综合疾病监测和响应 (eIDSR) 报告相对应.
- 当CHW津贴停止时,某些疾病 (腹,麻疹) 的报告不足和报告减少发生.
- 主要成本驱动因素包括CHW培训 (59%) 和人力资源 (15%);障碍包括可持续融资,连接和后勤支持.
结论:
- CBS可能会增加社区层面的疾病监测敏感性,使早期预防措施成为可能.
- 定性数据表明,CBS已经改善了社区-初级医疗保健接口.
- 解决可持续性障碍对于充分实现CBS在疾病爆发预防方面的潜力至关重要.
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