在印度消除Kala-azar:成功和可持续性的反思
Dhruv K Pandey1, Jorge Alvar2, Margriet den Boer3
1World Heal th Organization, Country Office, Pretoria 0002, South Africa.
International health
|March 4, 2025
概括
印度 印度 印度
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 卡拉阿扎尔 (KA),也称为内脏莱什曼病,构成了重大的公共卫生挑战.
- 印度在降低CA发病率和死亡率方面取得了实质性的进展.
- 卡拉阿扎尔清除计划 (KAEP) 是这些努力的核心.
研究的目的:
- 评估印度卡拉阿扎尔消除计划 (KAEP) 在最后阶段的实施情况.
- 确定有助于 KA 消除成功的因素.
- 确定瓶,并推持续消除瓶的战略.
主要方法:
- 2019年,2021年和2023年对KAEP进行了独立的专家评估.
- 评估的重点是消除"最后一英里"期间的计划实施.
- 评估了关键绩效指标和运营方面.
主要成果:
- 印度的KA发病率急剧下降,达到消除值 (<1例/10,000人口).
- 成功的因素包括强有力的政治承诺,加强的实施和强大的伙伴关系.
- 在疾病监测,数据利用,载体控制和程序管理方面仍然存在挑战.
结论:
- 维持KA消除需要持续的基本服务,如优化病例检测,并发症管理 (post-KA皮肤莱什曼病,KA-HIV共感染,复发) 和载体控制.
- 长期的可持续性取决于社会经济发展,改善生活条件,有效的监测和适应性运营研究.
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