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妊娠期糖尿病:倡导印度政策变革。

Gestational diabetes mellitus: advocating for policy change in India.

机构信息

Jagran Pehel, New Delhi, India.

出版信息

Int J Gynaecol Obstet. 2011 Nov;115 Suppl 1:S41-4. doi: 10.1016/S0020-7292(11)60012-X.

DOI:10.1016/S0020-7292(11)60012-X
PMID:22099441
Abstract

A multimedia awareness and advocacy campaign for mainstreaming gestational diabetes mellitus (GDM) in the public health domain is described. The multimedia campaign has created awareness about the relevance of GDM to women's health and the health of future generations through direct contact, reaching out to over half a million people in 7 districts of 4 states in northern India. Using mass media, over 3.7 million people have received information on GDM. Through multistakeholder forums, more than 1000 key stakeholders have been encouraged to mainstream GDM into the existing health delivery system. The Indian Ministry of Health has introduced free screening for GDM among the 5 services offered to pregnant women below the poverty line in the National Rural Health Mission (NRHM) program. In addition, several state governments, such as in Bihar, Delhi, Jharkhand, and Punjab, have pledged similar initiatives addressing GDM; the Government of Tamil Nadu is already implementing such a policy. Policy development is a complex process that requires action on many fronts. By showcasing evidence, raising awareness, creating public opinion through dialogue and discussion, media can help build a positive environment and momentum for effective policy creation as well as service utilization.

摘要

描述了一项多媒体意识和宣传活动,旨在将妊娠糖尿病(GDM)纳入公共卫生领域的主流。通过直接接触,该多媒体活动提高了人们对 GDM 与妇女健康和子孙后代健康的相关性的认识,接触人数超过了印度北部 4 个邦的 7 个地区的 50 多万人。通过大众媒体,超过 370 万人获得了关于 GDM 的信息。通过多利益攸关方论坛,鼓励 1000 多名关键利益攸关方将 GDM 纳入现有的卫生服务提供系统。印度卫生部在国家农村卫生使命(NRHM)计划中为贫困线以下的孕妇提供的 5 项服务中,推出了 GDM 的免费筛查。此外,一些邦政府,如比哈尔邦、德里邦、恰尔康德邦和旁遮普邦,也承诺采取类似的举措来解决 GDM 问题;泰米尔纳德邦政府已经在实施这样的政策。政策制定是一个复杂的过程,需要在多个方面采取行动。通过展示证据、提高意识、通过对话和讨论形成舆论,媒体可以帮助为有效的政策制定和服务利用创造积极的环境和动力。

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Implement Sci. 2017 Apr 18;12(1):52. doi: 10.1186/s13012-017-0581-0.
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The Challenges and Recommendations for Gestational Diabetes Mellitus Care in India: A Review.印度妊娠期糖尿病护理的挑战与建议:综述
Front Endocrinol (Lausanne). 2017 Mar 24;8:56. doi: 10.3389/fendo.2017.00056. eCollection 2017.
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Gestational diabetes in India: Science and society.印度的妊娠期糖尿病:科学与社会
Indian J Endocrinol Metab. 2015 Nov-Dec;19(6):701-4. doi: 10.4103/2230-8210.164031.
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Comparison of screening for gestational diabetes mellitus by oral glucose tolerance tests done in the non-fasting (random) and fasting states.非空腹(随机)和空腹状态下口服葡萄糖耐量试验筛查妊娠期糖尿病的比较。
Acta Diabetol. 2014 Dec;51(6):1007-13. doi: 10.1007/s00592-014-0660-5. Epub 2014 Oct 15.
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National health programs in the field of endocrinology and metabolism - Miles to go.内分泌与代谢领域的国家卫生项目——任重道远。
Indian J Endocrinol Metab. 2014 Jan;18(1):7-12. doi: 10.4103/2230-8210.126521.