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整合水、环境卫生与个人卫生以控制被忽视的热带病:进展回顾与未来方向

Integration of water, sanitation and hygiene for the control of neglected tropical diseases: a review of progress and the way forward.

作者信息

Waite Robyn C, Velleman Yael, Woods Geordie, Chitty Alexandra, Freeman Matthew C

机构信息

WaterAid, 47-49 Durham Street, London SE11 5JD, UK

WaterAid, 47-49 Durham Street, London SE11 5JD, UK.

出版信息

Int Health. 2016 Mar;8 Suppl 1:i22-7. doi: 10.1093/inthealth/ihw003.

DOI:10.1093/inthealth/ihw003
PMID:26940306
Abstract

A WHO roadmap to control, eliminate and eradicate neglected tropical diseases (NTDs) proposes a public health approach integrating diverse prevention and treatment interventions. Water, sanitation and hygiene (WASH) has long been a recognized, yet under-prioritized intervention of global disease control efforts. Through collaboration with the WASH sector, efforts have been made to integrate WASH in NTD control. This article reviews progress made in recent years, explores mechanisms supporting advances, and identifies priorities and next steps for accelerating WASH integration. This paper reveals advances in collaboration between WASH and NTD sectors, resulting in progress made across areas of programming; research; advocacy and policy; training and capacity building; and mapping, data collection and monitoring. Face to face meetings between WASH and NTD sector experts with a clear purpose of informing wider sector discussions, and the development of actionable joint workplans, have been particularly critical in supporting progress. Priority next steps include building capacity for WASH programming among NTD control teams, coordination at the country level, and strengthening the epidemiological evidence and operational learning for joint WASH and NTD interventions. In order to accelerate WASH integration in NTD control through strong collaborations with the WASH sector, the NTD sector could make use of strong data management skills and advocacy opportunities.

摘要

世界卫生组织关于控制、消除和根除被忽视热带病的路线图提出了一种整合多种预防和治疗干预措施的公共卫生方法。水、环境卫生和个人卫生(WASH)长期以来一直是全球疾病控制工作中一种已得到认可但未得到优先重视的干预措施。通过与水、环境卫生和个人卫生部门合作,已努力将水、环境卫生和个人卫生纳入被忽视热带病的控制工作。本文回顾了近年来取得的进展,探讨了支持取得进展的机制,并确定了加速水、环境卫生和个人卫生整合的优先事项和后续步骤。本文揭示了水、环境卫生和个人卫生部门与被忽视热带病部门之间合作的进展,在规划、研究、宣传与政策、培训与能力建设以及绘图、数据收集和监测等领域均取得了进展。水、环境卫生和个人卫生部门与被忽视热带病部门的专家举行的面对面会议,其明确目的是为更广泛的部门讨论提供信息,并制定可付诸行动的联合工作计划,这对支持取得进展尤为关键。接下来的优先步骤包括在被忽视热带病控制团队中培养水、环境卫生和个人卫生规划能力,在国家层面进行协调,以及加强关于水、环境卫生和个人卫生与被忽视热带病联合干预措施的流行病学证据和实践经验。为了通过与水、环境卫生和个人卫生部门的强有力合作加速将水、环境卫生和个人卫生整合到被忽视热带病控制工作中,被忽视热带病部门可利用强大的数据管理技能和宣传机会。

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