Mwingira Upendo John, Means Arianna Rubin, Chikawe Maria, Kilembe Bernard, Lyimo Dafrossa, Crowley Kathryn, Rusibamayila Neema, Nshala Andreas, Mphuru Alex
Neglected Tropical Disease Control Programme, Ministry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania.
Department of Global Health, University of Washington, Seattle, Washington.
Am J Trop Med Hyg. 2016 Sep 7;95(3):505-507. doi: 10.4269/ajtmh.15-0724. Epub 2016 May 31.
Global health practitioners are increasingly advocating for the integration of community-based health-care platforms as a strategy for increasing the coverage of programs, encouraging program efficiency, and promoting universal health-care goals. To leverage the strengths of compatible programs and avoid geographic and temporal duplications in efforts, the Tanzanian Ministry of Health and Social Welfare coordinated immunization and neglected tropical disease programs for the first time in 2014. Specifically, a measles and rubella supplementary vaccine campaign, mass drug administration (MDA) of ivermectin and albendazole, and Vitamin A were provisionally integrated into a shared community-based delivery platform. Over 21 million people were targeted by the integrated campaign, with the immunization program and MDA program reaching 97% and 93% of targeted individuals, respectively. The purpose of this short report is to share the Tanzanian experience of launching and managing this integrated campaign with key stakeholders.
全球卫生从业者越来越主张将基于社区的医疗保健平台整合起来,作为扩大项目覆盖范围、提高项目效率和促进全民医疗保健目标的一项战略。为了利用兼容项目的优势,避免工作中的地域和时间重复,坦桑尼亚卫生和社会福利部于2014年首次协调了免疫和被忽视热带病项目。具体而言,麻疹和风疹补充疫苗接种运动、伊维菌素和阿苯达唑的大规模药物给药(MDA)以及维生素A被临时整合到一个共享的基于社区的交付平台。超过2100万人成为此次综合运动的目标对象,免疫项目和大规模药物给药项目分别覆盖了97%和93%的目标人群。本简短报告的目的是与主要利益相关者分享坦桑尼亚开展和管理此次综合运动的经验。