Sellers E L, Ross D A, Green A D
Army Medical Directorate, FASC, Camberley.
J R Army Med Corps. 2011 Jun;157(2):156-9. doi: 10.1136/jramc-157-02-06.
Medical Force Protection (MFP) is important in keeping service personnel "fit to fight." It is particularly important for overseas deployment, where personnel are exposed to a range of infectious diseases. We report a full audit cycle assessing compliance with medical force protection measures, on an exercise in Belize.
An anonymous questionnaire was administered to personnel four weeks after returning from an Infantry Overseas Training Exercise (OTX) in Belize in two successive years (OTX 1 & 2).
Compliance with physical MFP measures (mosquito nets, insecticide soak of kit and personal insect repellent usage) was excellent on both exercises. Antimalarial chemoprophylaxis compliance with a regime of weekly chloroquine and daily proguanil was poor (30%) during OTX 1. Revision of the regime to weekly chloroquine alone following review of antimalarial policies increased compliance on OTX 2 to 67%.
Simplification of dosage regimes, consistency of information provided between different medical briefs and emphasis of the threat from malaria in Belize significantly improved compliance with antimalarial chemoprophylaxis.
军事人员医疗防护（MFP）对于确保服役人员“健康作战”至关重要。对于海外部署而言尤为重要，因为在海外部署中人员会接触到一系列传染病。我们报告了在伯利兹进行的一次演习中，对军事人员医疗防护措施合规情况的全面审计周期。
在连续两年参加完伯利兹步兵海外训练演习（OTX 1和OTX 2）回国四周后，对人员进行了匿名问卷调查。
在这两次演习中，军事人员医疗防护身体措施（蚊帐、装备的杀虫剂浸泡和个人驱虫剂的使用）的合规情况都非常好。在OTX 1期间，按照每周服用氯喹和每日服用氯胍的方案进行抗疟疾化学预防的合规率很低（30%）。在对抗疟疾政策进行审查后，将方案改为仅每周服用氯喹，使得OTX 2期间的合规率提高到了67%。
简化用药方案、不同医疗简报之间提供信息的一致性以及强调伯利兹疟疾的威胁，显著提高了抗疟疾化学预防的合规率。
