针对战略规划和优先级的疟疾干预措施的地方定制:五个疟疾计划的经验和前景
Letitia Onyango1, Ghislaine Ouédraogo-Ametchie1, Ifeoma Ozodiegwu1,2
1Institute for Global Health and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States of America.
PLOS global public health
|May 28, 2025
概括
国家疟疾计划 (NMP) 利用地方定制 (SNT) 进行基于证据的规划和资源分配. 这种数据驱动的方法有助于最大限度地提高不同地区的健康影响,尽管资源和数据质量存在挑战.
科学领域:
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
- 卫生经济学 卫生经济学
背景情况:
- 疟疾的高负担需要有效地分配资源.
- 亚国家定制 (SNT) 作为国家疟疾计划 (NMP) 中基于证据的决策策略出现.
- 有限的资源需要在异质人群中优化干预计划.
研究的目的:
- 探索使用SNT的NMP的观点和经验.
- 了解实施SNT的促进者和挑战.
- 评估SNT对战略规划和资源调动的影响.
主要方法:
- 与来自五个国家农产品计划 (布基纳法索,加纳,几内亚,尼日利亚,多哥) 的工作人员进行半结构面试.
- 专注于在2019年至2023年之间实施SNT.
- 对参与者的经验和感知进行定性分析.
主要成果:
- SNT的成果为国家战略计划和资源优先级制定提供了信息.
- 在SNT过程鼓励数据收集和质量的改进.
- 国家计划员表达了强烈的动机,以提高SNT分析的内部能力.
- 关键的挑战包括计划实施的资源限制,数据质量问题和利益相关方的协调.
- 参与者报告说,他们有强烈的所有权感和愿意适应SNT.
结论:
- SNT是NMP中基于证据的决策的公认工具.
- SNT促进了对疟疾控制计划的资源动员和宣传.
- 能力建设和解决数据质量问题对于成功实施SNT至关重要.
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