Malaria and the role of community health workers

世界疟疾日在4月25日举行,在此博客中,an article published热带医学与健康谈论社区卫生工作者在提高对疟疾意识的角色。

在消除疟疾中击中一半

Recently, more and more patients with malaria are receiving a prompt diagnosis and effective treatment, and as a result, more lives are being saved. From 2000 to 2015, the number of malaria infections dropped by 18% from 262 million to 214 million while the worldwide mortality rate deceased by 48% from839,000 to 438,000

This decrease occurredas a result of捐助者资金,改善控制权以及对消除疟疾的热情的大幅增长。然而,疟疾仍然是人类最重要的寄生虫疾病之一。

然而,目前,疟疾主要保留在偏远和农村地区,其中基本的预防措施交付给了最需要他们的人群

这WHOGlobal Technical Strategy for Malaria(GTSM)2016-2030设定了雄心勃勃的新目标,即到2020年将全球疟疾负担减少了40%,到2030年至少减少了90%。

这three pillars of the strategy are: to ensure universal access to malaria prevention, diagnosis, and treatment; accelerate efforts towards elimination of malaria and attainment of a malaria-free status; and thirdly, to transform malaria surveillance into a core intervention.

两个要素支持这三个支柱:利用创新和扩大研究,并加强有利的环境。

然而,目前,疟疾主要保留在偏远和农村地区,其中基本的预防措施是通过人力资源不足的医疗保健系统最多需要的人群提供的。因此,在这些地区的居民(包括社会脆弱的群体(例如少数民族和移民))的目标是控制疟疾的关键。

Current movement against malaria in Palawan, the Philippines

菲律宾巴拉望岛的一位显微镜医生,检查了一个偏远乡村的热烈患者的血液涂片。
菲律宾巴拉望岛的一位显微镜医生,检查了一个偏远乡村的热烈患者的血液涂片。

In the province of Palawan, the Philippines, malaria remains in peripheral regions. To accelerate the efforts to eliminate malaria in these regions, a community-based malaria control program was established in 1999.

这个程序,称为Kilusan Ligtas疟疾(针对疟疾运动的他加禄语)涉及培训344名居民作为疟疾显微镜医生(每个疟疾流行村庄)。

已经提出了包括显微镜在内的社区卫生工作者的利用,以克服公认的人力资源和卫生系统的公认。

这被证明是一个潜在的利用率expensive, effective, and sustainable approach to bring malaria diagnosis and treatment closer to the affected households.

巴拉望中的显微镜医生通过显微镜诊断出高热患者的疟疾,并向这些疟疾感染的患者开出一线抗疟疾药物。

显微镜家还实施了社区意识促进活动(CARA),旨在防止患者及其患者家庭中疟疾的传播。

社区意识提高活动(CARA)

我们的研究中的发现led to the proposal of a novel malaria strategy to reduce malaria in Palawan. This simple strategy was to strengthen awareness of the microscopists.

加强活动鼓励居民本身实施有效的预防实践,并增加了寻求适当治疗的可能性。例如,有关传播载体物种的信息以及最活跃的载体物种的时间有望实施居民的疟疾预防实践。

Knowledge of malaria symptoms enhanced by CARA was also important in making the inhabitants more aware of malaria

Knowledge of malaria symptoms enhanced by CARA was also important in making the inhabitants more aware of malaria, which led to improved self-triage.

这种新颖的疟疾策略可以加快为疟疾的普遍健康覆盖范围(UHC)的努力加速,不仅在菲律宾,而且在其他地方性地区消除疟疾。WHO GTSM 2016-2030可以采用这种HSS活动的Cara策略,目的是实现联合国的可持续发展目标到2030年。

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