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调整疟疾控制干预措施以适应当地环境:通过Plus项目共同设计多年性疟疾化学预防 (PMC) 计划

Meredith Center^1,2, Alba Luna McGirr³, Malia Skjefte¹

¹Population Services International, Washington, District of Columbia, USA.

BMJ global health

|October 6, 2025

概括

普拉斯项目采用了代码设计方法,为四个国家创建定制的多年性疟疾化学预防 (PMC) 模型. 这种协作方法确保了干预措施适合特定的国家卫生系统和背景,改善了疟疾预防策略.

科学领域:

公共卫生公共卫生
全球健康全球健康
加强卫生系统加强卫生系统

背景情况:

全球疟疾病例正在增加,需要国家疟疾计划采取量身定制的干预措施.
世界卫生组织 (WHO) 强调各国对疟疾控制的具体方法.
长期疟疾化学预防 (PMC) 是减少儿童疟疾和贫血的关键策略.

研究的目的:

通过使用代码设计方法来展示Plus项目的经验,以开发特定国家的PMC模型.
调整PMC干预措施以适应贝宁,喀麦隆,科特迪瓦和莫桑比克的独特环境.
加强利益相关者的参与,并为PMC实施收集程序性见解.

主要方法:

一种代码设计方法,涉及与多种利益相关者进行代,协作研讨会.
采用了包括旅程绘图和调查在内的参与方法.
研讨会根据每个国家的具体卫生系统,物流和政治背景进行了调整.

主要成果:

制定了四个不同的国家特定的PMC战略,在联系点和代码交付干预方面有所不同.
每个战略都利用了现有的特定国家卫生系统交付平台.
代码设计过程促进了利益相关者的共识,并产生了有价值的程序性见解.

结论:

代码设计是一种有效的方法,用于开发特定环境的公共卫生干预措施,如PMC.
协作决策增强了干预的相关性和利益相关者的参与.
从这种代码设计过程中学到的知识,在疟疾控制计划之外有更广泛的应用.

关键词:

化学预防药物治疗决策决策决策决策卫生政策卫生政策疟疾:疟疾是一种疾病.预防策略预防策略

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