纳入被忽视的热带疾病计划:对控制和消除的包容性方法的审查
Ismat Zehra Juma1, Opeoluwa Oguntoye1, Girija Sankar1
1Christian Blind Mission, 64625 Bensheim, Germany.
Healthcare (Basel, Switzerland)
|January 10, 2026
概括
忽视的热带疾病 (NTDs) 计划必须解决边缘化群体的社会排斥问题. 整合包容性战略,如社区赋权,对于公平获得医疗保健和实现全球卫生目标至关重要.
科学领域:
- 全球健康 全球健康
- 健康的社会决定因素
- 健康 公平 卫生 公平
背景情况:
- 被忽视的热带疾病 (NTDs) 不成比例地影响边缘化人口.
- 当前的NTD控制计划往往忽视了排斥的结构,社会和政治层面.
- 边缘化的交叉形式 (贫困,性别,残疾,流离失所) 加剧了健康不平等.
研究的目的:
- 检查纳入NTD编程中的概念和实施.
- 综合有关NTD影响的边缘化群体获得公平医疗保健的障碍的证据.
- 提出一个框架,将包容性战略整合到NTD控制和更广泛的卫生系统中.
主要方法:
- 对2010年至2025年间发表的研究进行叙述性审查.
- 在包括谷歌学者,PubMed和PLOS在内的数据库中进行文献搜索.
- 综合关于障碍,社区驱动方法和包容性战略的证据.
主要成果:
- 结构性不平等 (种族主义,贫困) 显著影响受NTD影响的人口获得医疗保健.
- 针对性别的服务和对流离失所社区的支持对于包容性至关重要.
- 通过同行支持和药物分发来增强社区的权力,提高了NTD计划的有效性.
- 包含在NTD中的工作定义包括在所有程序层面上整合服务不足的群体.
结论:
- 控制NTD需要将这些疾病重新定义为社会正义问题,而不仅仅是生物医学挑战.
- 将包容性纳入计划设计,实施和评估中,对于公平的结果至关重要.
- 包容性NTD编程与全球公平目标和可持续发展目标保持一致.
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