Xie Zheng, Nsofor Ifeanyi, Tolhurst Rachel
Department of Health Policy and Management, Peking University School of Public Health, Beijing, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2012 Jun 18;44(3):403-6.
To investigate the progress and challenges of the implementation of the global programme in Taraba State, Nigeria.
The African Programme for Onchocerciasis Control (APOC) as the first neglected tropical diseases (NTD) control initiative in Africa had been introduced to Nigeria since 1997. Community-directed distributors of community-directed treatment with ivermectin had been adopted as its main strategy. As a qualitative study, in-depth interview and focus group discussion were used as data collection methods. The thematic framework method was used as a data analysis method.
The community reported that they had benefited from the programme. The study findings showed that the health education on NTDs remained very poor, and the community had not fully realized its responsibility for the drug distribution and NTDs control, and the community drug distributor (CDDs) had not been developed as a substantial team working for other projects.
The goals of community-directed treatment with ivermectin (CDTI) only have been achieved partly. China should learn from the experience.
调查尼日利亚塔拉巴州全球项目实施的进展与挑战。
自1997年起,非洲盘尾丝虫病控制规划(APOC)作为非洲首个被忽视热带病(NTD)控制倡议引入尼日利亚。采用伊维菌素社区导向治疗的社区导向分发员作为其主要策略。作为一项定性研究,采用深入访谈和焦点小组讨论作为数据收集方法。采用主题框架法作为数据分析方法。
社区报告称他们从该项目中受益。研究结果表明,关于被忽视热带病的健康教育仍然非常匮乏,社区尚未充分认识到其在药品分发和被忽视热带病控制方面的责任,并且社区药品分发员(CDD)尚未发展成为一支为其他项目工作的重要队伍。
伊维菌素社区导向治疗(CDTI)的目标仅部分实现。中国应借鉴该经验。