脆弱,受冲突影响和脆弱环境的儿童公共卫生指标:范围审查
Ayesha Kadir1, Amy J Stevens2, Emi A Takahashi3
1Save the Children International, London, United Kingdom.
PLOS global public health
|March 14, 2025
概括
危机环境中的儿童公共卫生数据有限,但测量结果是可行的. 需要标准化指标来提高儿童安全和改善弱势群体干预的有效性.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 人道主义健康 人道主义健康
背景情况:
- 儿童在危机中非常脆弱,但在人道主义环境中儿童公共卫生数据很少.
- 有限的专业知识和结果数据阻碍了对脆弱,受冲突影响和脆弱 (FCV) 环境中的儿童的有效干预.
研究的目的:
- 描述收集的儿童公共卫生指标,由捐赠者要求,并推用于FCV设置.
- 识别当前儿童公共卫生指标实践在人道主义环境中的差距和重叠.
主要方法:
- 对儿童特异性或分类指标 (≤18岁) 的数据库和灰色文献进行系统审查.
- 从技术机构,捐助者和非政府组织收集指标,然后编码成健康状况,服务,社会决定因素和行为.
- 分析主题重点,清晰度和测量可行性的趋势.
主要成果:
- 确定了668个指标,152个是例行收集的,重点是健康状况/服务.
- 捐赠者只需要14个指标,而技术机构建议502个指标.
- 儿童发展,残疾和儿童保护指标存在差距;许多指标缺乏明确的定义或需要解释.
结论:
- 在FCV环境中,对儿童公共卫生结果的常规测量是可以实现的.
- 目前的建议是众多的,重复的,定义不完善的,和特定部门的.
- 关于优先主题的共识和标准化质量指标的列表对于提高儿童安全和干预效率至关重要.
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