在埃塞俄比亚主流化被忽视的热带疾病的挑战和策略 运动干预在埃塞俄比亚
Awraris Hailu1,2, Teshome Gebre3, Fikre Seife4
1Eyu-Ethiopia: Eye Health Research, Training & Service Centre, Bahir Dar, Ethiopia.
The American journal of tropical medicine and hygiene
|November 26, 2024
概括
将被忽视的热带疾病 (NTD) 干预措施纳入卫生系统面临挑战. 有效的策略包括加强监督,培训医疗保健工作者,提高对更好的NTD控制的动机.
科学领域:
- 公共卫生 公共卫生
- 加强卫生系统 加强卫生系统
- 热带医学 热带医学
背景情况:
- 世界卫生组织 (WHO) 倡导将被忽视的热带疾病 (NTD) 干预措施纳入国家卫生系统.
- 这些主流化方法的有效实施需要进一步的证据.
研究的目的:
- 为了确定,排名,并将在埃塞俄比亚的卫生系统中纳入NTD干预的挑战和战略.
- 通过使用初级医疗保健绩效倡议框架来综合发现.
主要方法:
- 采用了参与式排名方法,涉及两次咨询研讨会与33个利益相关者.
- 利益相关者包括NTD项目领导人,初级卫生保健 (PHC) 工作人员以及从国家到社区层面的社区代表.
- 挑战和策略被确定,排名和综合.
主要成果:
- 确定了73个主流化挑战,主要与服务提供 (43.8%),投入 (30.1%) 和系统 (24.7%) 相关.
- 主要挑战包括数据记录/报告,药物管理/物流以及支持性监督/监控的薄弱.
- 提出了185个策略,其中最重要的建议集中在强有力的监督,持续的在职培训和基于绩效的激励上.
结论:
- 纳入NTD干预面临着多方面的,根深蒂固的卫生系统挑战.
- 解决这些问题需要对确定解决方案进行战略性考虑,以指导未来的努力和加强卫生系统.
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