推动非传染性疾病议程:低收入和中等收入国家手机调查的政策影响
Moving the Agenda on Noncommunicable Diseases: Policy Implications of Mobile Phone Surveys in Low and Middle-Income Countries.
作者信息
Pariyo George W, Wosu Adaeze C, Gibson Dustin G, Labrique Alain B, Ali Joseph, Hyder Adnan A
机构信息
Johns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, MD, United States.
Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, Baltimore, MD, United States.
出版信息
J Med Internet Res. 2017 May 5;19(5):e115. doi: 10.2196/jmir.7302.
The growing burden of noncommunicable diseases (NCDs), for example, cardiovascular diseases and chronic respiratory diseases, in low- and middle-income countries (LMICs) presents special challenges for policy makers, due to resource constraints and lack of timely data for decision-making. Concurrently, the increasing ubiquity of mobile phones in LMICs presents possibilities for rapid collection of population-based data to inform the policy process. The objective of this paper is to highlight potential benefits of mobile phone surveys (MPS) for developing, implementing, and evaluating NCD prevention and control policies. To achieve this aim, we first provide a brief overview of major global commitments to NCD prevention and control, and subsequently explore how countries can translate these commitments into policy action at the national level. Using the policy cycle as our frame of reference, we highlight potential benefits of MPS which include (1) potential cost-effectiveness of using MPS to inform NCD policy actions compared with using traditional household surveys; (2) timeliness of assessments to feed into policy and planning cycles; (3) tracking progress of interventions, hence assessment of reach, coverage, and distribution; (4) better targeting of interventions, for example, to high-risk groups; (5) timely course correction for suboptimal or non-effective interventions; (6) assessing fairness in financial contribution and financial risk protection for those affected by NCDs in the spirit of universal health coverage (UHC); and (7) monitoring progress in reducing catastrophic medical expenditure due to chronic health conditions in general, and NCDs in particular. We conclude that MPS have potential to become a powerful data collection tool to inform policies that address public health challenges such as NCDs. Additional forthcoming assessments of MPS in LMICs will inform opportunities to maximize this technology.
例如,心血管疾病和慢性呼吸道疾病等非传染性疾病在低收入和中等收入国家(LMICs)造成的负担日益加重,这给政策制定者带来了特殊挑战,原因是资源有限且缺乏用于决策的及时数据。与此同时,手机在低收入和中等收入国家越来越普及,这为快速收集基于人群的数据以推动政策制定过程提供了可能性。本文的目的是强调手机调查(MPS)在制定、实施和评估非传染性疾病预防与控制政策方面的潜在益处。为实现这一目标,我们首先简要概述全球在非传染性疾病预防与控制方面的主要承诺,随后探讨各国如何在国家层面将这些承诺转化为政策行动。以政策周期作为参考框架,我们强调了手机调查的潜在益处,包括:(1)与使用传统家庭调查相比,使用手机调查为非传染性疾病政策行动提供信息可能具有成本效益;(2)评估的及时性,可纳入政策和规划周期;(3)跟踪干预措施的进展,从而评估覆盖面、覆盖范围和分布情况;(4)更好地针对干预措施,例如针对高风险群体;(5)对次优或无效干预措施及时进行调整;(6)本着全民健康覆盖(UHC)的精神,评估受非传染性疾病影响者在经济贡献和经济风险保护方面的公平性;(7)监测总体上因慢性健康状况,特别是因非传染性疾病导致的灾难性医疗支出的减少进展情况。我们得出结论,手机调查有潜力成为一种强大的数据收集工具,为应对非传染性疾病等公共卫生挑战的政策提供信息。即将在低收入和中等收入国家对手机调查进行的其他评估将为最大限度利用这项技术提供机会。