产前护理监测,以监测疟疾流行率和干预覆盖率:多国分析
Anna Munsey1, Peder Digre2, Joseph Hicks3
1Malaria Branch, Centers for Disease Control and Prevention, Atlanta, Georgia, USA yck4@cdc.gov.
BMJ global health
|October 1, 2025
概括
来自第一次产前护理 (ANC1) 访问的数据可以有效估计非洲的疟疾流行率和杀虫剂处理网 (ITN) 覆盖率. 这种方法为疟疾计划提供了比传统的家庭调查更频繁,更具成本效益的替代方案.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 疟疾学 疟疾学
背景情况:
- 家庭调查是非洲疟疾估计的主要来源,但成本昂贵,频率不高.
- 操作性疟疾计划需要及时且具有成本效益的数据进行决策.
研究的目的:
- 评估第一次产前护理 (ANC1) 访问数据对估计疟疾患病率和干预覆盖率的有用性.
- 将ANC1衍生数据与传统家庭调查数据进行比较.
主要方法:
- 将ANC1参加者的疟疾患病率与六个非洲国家的家庭调查数据进行比较.
- 在ANC1对家庭所有权数据进行评估的杀虫剂处理净 (ITN) 所有权.
- 分析了发烧儿童寻求治疗的行为.
主要成果:
- ANC1疟疾患病率与5岁以下儿童的患病率有很强的相关性,并预测了患病率 (斯皮尔曼的r=0.79).
- 关于ITN所有权的ANC1数据代表了社区一级的所有权.
- 来自ANC1访问的寻求治疗的数据没有被发现是有用的.
结论:
- 第一次产前护理 (ANC1) 访问数据为监测疟疾流行率和ITN覆盖率提供了可靠和有效的方法.
- ANC1数据可以补充或可能取代用于疟疾监测的昂贵家庭调查.
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