社区参与大规模药物管理参与性干预:范围审查
Anouk Chouaïd1, Sarah Louart2, Adama Faye3
1Université Paris Cité and Université Sorbonne Paris Nord, IRD, Inserm, Ceped, Paris, France.
PLoS neglected tropical diseases
|December 1, 2025
概括
社区参与 (CE) 对大规模药物管理 (MDA) 的成功至关重要. 然而,大多数倡议缺乏积极的社区参与,阻碍了疾病控制工作.
科学领域:
- 全球健康 全球健康
- 公共卫生干预 公共卫生干预
- 基于社区的参与式研究
背景情况:
- 社区参与 (CE) 对大规模药物管理 (MDA) 计划的成功至关重要,这些计划针对的是疟疾和淋巴状细菌病等疾病.
- 现有的MDA干预措施往往缺乏强大的社区参与,除了基本信息共享.
研究的目的:
- 进行范围审查,评估社区参与 (CE) 对参与式大规模药物管理 (MDA) 干预措施的贡献.
- 确定在MDA计划中实施CE的挑战和最佳实践.
主要方法:
- 在六个数据库中进行系统的文献搜索.
- 分析了32篇文章,详细介绍了20个国家的24项MDA干预措施,主要是在低收入和中等收入环境中.
主要成果:
- 大多数CE倡议都专注于被动的信息传播,社区的积极参与或共享决策有限.
- 关键的挑战包括未定义的CE术语,不一致的目标和评估有效性的困难.
- CE可以提高MDA覆盖率和合规性,但缺乏标准化的框架阻碍了评估.
结论:
- 具体上下文的方法是必不可少的,特别是在解决当地的社会文化动态和包括边缘化人口方面.
- 未来的MDA干预应优先考虑可持续能力建设和共享决策的参与框架.
- 加强CE可以显著提高MDA活动的有效性和健康结果.
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