控制干预措施对马里一般人口疟疾发病率的影响
Mady Cissoko1,2,3, Issaka Sagara4,5, Abdoulaye Guindo4
1Malaria Research and Training Centre Ogobara K. Doumbo (MRTC-OKD), FMOS-FAPH, Mali-NIAID-ICER, Université des Sciences, des Techniques et des Technologies de Bamako, 1805, Bamako, Mali. madycissoko@ymail.com.
Journal of epidemiology and global health
|March 12, 2025
概括
马里的疟疾控制工作使用长期杀虫网 (LLIN) 和季节性疟疾化学预防 (SMC) 显示对发病率的影响很小. 建议增加覆盖范围和部署社区卫生工作者,以更好地预防疟疾.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 热带医学 热带医学
背景情况:
- 疟疾发病率上升和资金减少需要加强马里疟疾控制战略.
- 在卫生区层面评估现有干预措施的有效性对于完善国家疟疾控制工作至关重要.
研究的目的:
- 评估疟疾控制干预措施对马里卫生区疟疾发病率的影响.
- 通过分析次国家级干预措施的有效性,为疟疾控制战略的改进提供信息.
主要方法:
- 2017年4月至2022年3月期间,在75个卫生区收集了有关疟疾病例,降雨量和控制干预措施的数据.
- 综合降雨数据的通用添加混合模型被用来评估干预对疟疾发病率的影响.
主要成果:
- 大多数干预措施在研究期间显示了更好的覆盖率,尽管各地区的比例有很大差异.
- 长效杀虫剂网 (LLIN) 质量分布显示发生率减少2.2‰,调整后覆盖率为79.0%.
- 季节性疟疾化学预防 (SMC) 实现了1.9‰的发病率降低,调整覆盖率为80.0%.
结论:
- 在地区层面,LLIN和SMC的干预对疟疾发病率的影响有限.
- 在一般和弱势群体中改善干预措施的覆盖率和利用率至关重要.
- 建议扩大社区卫生工作者的部署范围,以加强对疟疾的控制.
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