在社区卫生工作者中缓解非传染性疾病的挑战:范围审查
Nongiwe L Mhlanga1, Sikhumbuzo A Mabunda1,2,3
1Department of Public Health, Faculty of Medicine and Health Sciences, Walter Sisulu University, Mthatha, South Africa.
在非洲,与社区卫生工作者 (CHW) 分享任务面临技能差距和基础设施不佳等挑战. 通过培训和政策解决这些问题对于有效的非传染性疾病 (NCD) 管理至关重要.
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:
- 非洲非传染性疾病 (NCD) 的增加.
- 严重的卫生工作者短缺需要任务共享.
- 与社区卫生工作者 (CHW) 分享任务是一个潜在的解决方案,但面临着实施挑战.
研究的目的:
- 识别和描述非洲NCD缓解工作中CHW所面临的挑战.
主要方法:
- 使用Arksey和O'Malley框架进行系统的文献审查.
- 在PubMed,ScienceDirect和谷歌学者 (2015-2025) 中进行了搜索.
- 两位独立审稿人对14篇精选文章的内容分析.
主要成果:
- 个人层面的挑战:缺乏技能和知识.
- 组织挑战:监督,设备,基础设施和推系统不足.
- 社区层面的挑战:安全问题,贫困,交通问题和不信任.
结论:
- 培养CHW的能力需要加强监督,培训和支持政策.
- 解决贫困和犯罪等社会经济因素对于成功的任务共享至关重要.
- 获得的见解可以提高CHW在非洲NCD管理中的效率.
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