在马达加斯加农村地区使用RE-AIM框架评估糖尿病分散计划
Nancy Mugisha1,2,3, Fanjalalaina Rasoanaivo1, Mbolatiana Raza-Fanomezanjanahary1
1NGO Pivot, Ranomafana, Madagascar.
PLOS global public health
|February 25, 2026
概括
马达加斯加农村的一个糖尿病护理计划改善了患者的接触和参与,48%的患者达到控制的血糖水平. 非政府组织的支持对于将医疗保健服务扩展到偏远地区至关重要.
科学领域:
- 全球健康 全球健康
- 公共卫生干预措施 公共卫生干预措施
- 糖尿病管理 糖尿病管理
背景情况:
- 糖尿病在非洲造成严重的健康负担,导致大量的死亡率和残疾.
- 马达加斯加因卫生系统的局限性而面临糖尿病护理方面的挑战,特别是在农村地区.
研究的目的:
- 通过RE-AIM框架评估马达加斯加农村地区多方面的糖尿病分散计划.
- 评估NGO-公共卫生部联合倡议的实施,有效性和可持续性.
主要方法:
- 混合方法研究设计评估了18个月的初级卫生中心 (PHC) 计划实施情况.
- 使用了覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架.
- 包括大规模查,医疗保健工作者培训和患者支持小组.
主要成果:
- 2.1%的查人员的糖尿病检测呈阳性;59.3%的患者在卫生健康中心接受护理.
- 高速的禁食血糖检查 (93.2%) 和中度的药物缺货 (1.35天/月).
- 糖尿病控制达到48.0%的患者,随着时间的推移,从33.3%改善到57.8%.
结论:
- 非政府组织的支持对于将糖尿病服务扩展到偏远地区的人口至关重要.
- 为了有效的糖尿病诊断和治疗实施,需要采用多层次的方法.
- 患者遵守饮食建议仍然是一个关键的挑战.
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