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在马里移动人口中,与马里移动人群中杆菌病的大规模药物管理覆盖率低相关的因素:一个横截面研究

Moussa Sangare^1,2, Yaya Ibrahim Coulibaly³, Abdoul Fatao Diabate³

¹International Center of Excellence in Research in Mali, University of Sciences, Techniques, and Technologies of Bamako, Bamako, Mali. mbsangare@icermali.org.

BMC infectious diseases

|October 7, 2025

概括

马里的流动人口面临着巨大的障碍,无法对杆菌病进行大规模药物管理 (MDA),而缺乏信息是非参与的关键驱动因素. 针对性策略对于公平的被忽视的热带疾病 (NTD) 控制至关重要.

科学领域:

公共卫生公共卫生
热带医学热带医学
流行病学流行病学

背景情况:

忽视的热带疾病 (NTDs),包括杆菌病,影响全球超过10亿人.
马里面临着流行性杆菌病和气管瘤,面临着通过大规模药物管理 (MDA) 接触流动人口 (游牧民,移民,境内流离失所者) 的挑战.
移动群体在MDA活动中经常被遗漏,导致覆盖率差距和持续的疾病传播.

研究的目的:

调查导致马里移动人口中不参与杆菌病MDA的因素.
向服务不足的移动社区提供更公平,更有效的MDA交付战略提供信息.
解决NTD控制和消除努力中的差异.

主要方法:

在2020年3月至7月期间,在马里两个卫生区进行了一项横截面研究.
多阶段集群抽样针对的成年人 (18+) 认定为游牧者,移民或国内流离失所者 (IDPs).
结构化问卷调查评估了MDA获取障碍,流动模式,意识和后勤挑战,主要结果是参与实践MDA.

主要成果:

在所有研究小组中,MDA覆盖率在清除杆菌病时低于75%的门.
只有40.8%的境内流离失所者和3.62%的移民参加了上一次MDA;缺乏信息是主要原因 (64.5%).
较低的收入,采矿职业,男性性别,可访问性障碍和游牧/流浪者地位与不参与MDA有显著的关联.

结论:

在移动人口中,MDA参与率存在显著差异,由流动性,信息获取和信任驱动.
需要具体的背景策略,包括改善沟通和定制的MDA交付,以克服参与障碍.
加强社区参与和有针对性的干预措施对于公平的NTD控制和杆菌病消除至关重要,确保包括流动人口.

关键词:

马里马里马里马里大规模的药物管理.流动人口是流动人口.风险因素风险因素这种疾病叫做schistosomiasis.

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