Children Without Worms, Task Force for Global Health, Decatur, Georgia; World Health Organization, Geneva, Switzerland.
Am J Trop Med Hyg. 2013 Dec;89(6):1186-9. doi: 10.4269/ajtmh.13-0277. Epub 2013 Oct 28.
Soil-transmitted helminthiases (STH) may affect up to 1 billion children globally. The World Health Organization (WHO) recommends regular preventive chemotherapy for at-risk individuals. The WHO Preventive Chemotherapy (PCT) Databank tracks annual treatments reported by national Ministries of Health (MOHs) to evaluate progress to coverage goals. Non-governmental organizations (NGOs) deliver STH treatments; the extent to which they are included in MOH reports to the WHO is unclear. The Global NGO Deworming Inventory solicited treatment reports from NGOs to compare with the PCT Databank. In 2010, NGOs delivered 65.4 million STH treatments, which is an estimated 25.1% of the total delivered. Of these treatments, 23.3 million (35.6%) were not reported to the WHO; 22.3 million (95.7%) were from countries that had not submitted STH treatment reports to the WHO. Reporting from NGOs to MOHs and from MOHs to the WHO should be strengthened to ensure that progress to WHO treatment goals is monitored with better completeness and assessed accurately.
全球可能多达 10 亿儿童受到土壤传播性蠕虫病(STH)的影响。世界卫生组织(WHO)建议对高危人群定期进行预防性化疗。WHO 预防性化疗(PCT)数据库跟踪各国卫生部报告的年度治疗情况,以评估覆盖目标的进展情况。非政府组织(NGO)提供 STH 治疗;它们在多大程度上被包括在卫生部向世卫组织报告的范围内尚不清楚。全球 NGO 驱虫目录向 NGO 征集治疗报告,以便与 PCT 数据库进行比较。2010 年,非政府组织提供了 6540 万例 STH 治疗,估计占总治疗量的 25.1%。在这些治疗中,有 2330 万(35.6%)未向世卫组织报告;2230 万(95.7%)来自未向世卫组织提交 STH 治疗报告的国家。应加强 NGO 向卫生部报告以及卫生部向世卫组织报告的工作,以确保更好地全面监测世卫组织治疗目标的进展情况,并进行准确评估。