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综合社区病例管理(iCCM)快速通道扩展项目的经验教训。

Lessons from the integrated community case management (iCCM) Rapid Access Expansion Program.

机构信息

Global Malaria Programme, World Health Organization, Geneva Switzerland.

Director, TIPTOP Project, Barcelona Institute for Global Health, Barcelona, Spain.

出版信息

J Glob Health. 2019 Dec;9(2):020101. doi: 10.7189/jogh.09.020101.

DOI:10.7189/jogh.09.020101
PMID:31360441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6657662/
Abstract

In 2012, the Government of Canada awarded a grant to the World Health Organization's Global Malaria Programme (GMP) to support the scale-up of integrated community case management (iCCM) of pneumonia, diarrhoea and malaria among children under 5 in sub-Saharan Africa under the Rapid Access Expansion Programme (RAcE). The two main objectives of the programme were to: (1) Contribute to the reduction of child mortality due to malaria, pneumonia and diarrhoea by increasing access to diagnostics, treatment and referral services, and (1) Stimulate policy updates in participating countries and catalyze scale-up of integrated community case management (iCCM) through documentation and dissemination of best practices. Based on the results of the implementation research and programmatic lessons, this collection provides evidence on impact and improving coverage of iCCM in routine health systems, and opportunities and challenges of implementing and sustaining delivery of iCCM at scale.

摘要

2012 年,加拿大政府向世界卫生组织全球疟疾规划署(GMP)授予了一笔赠款,以支持在撒哈拉以南非洲通过快速准入扩大方案(RAcE)扩大儿童肺炎、腹泻和疟疾综合社区管理(iCCM)的规模。该方案的两个主要目标是:(1)通过增加诊断、治疗和转介服务,为减少因疟疾、肺炎和腹泻导致的儿童死亡做出贡献,(1)通过记录和传播最佳做法,促进参与国家的政策更新,并推动综合社区病例管理(iCCM)的扩大。本文件集根据实施研究和方案经验教训的结果,提供了关于 iCCM 在常规卫生系统中的影响和覆盖率提高的证据,以及在扩大规模实施和维持 iCCM 提供方面的机遇和挑战。

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Does integrated community case management (iCCM) target health inequities and treatment delays? Evidence from an analysis of Demographic and Health Surveys data from 21 countries in the period 2010 to 2018.综合性社区病例管理(iCCM)是否针对健康不公平和治疗延误?来自 2010 年至 2018 年期间来自 21 个国家的人口与健康调查数据的分析证据。
J Glob Health. 2021 Mar 1;11:04013. doi: 10.7189/jogh.11.04013.

本文引用的文献

1
Integrated Community Case Management of Childhood Illness: What Have We Learned?儿童疾病综合社区病例管理:我们学到了什么?
Am J Trop Med Hyg. 2016 Mar;94(3):571-573. doi: 10.4269/ajtmh.94-3intro2.
2
Current scientific evidence for integrated community case management (iCCM) in Africa: Findings from the iCCM Evidence Symposium.非洲综合社区病例管理(iCCM)的当前科学证据:iCCM证据研讨会的结果
J Glob Health. 2014 Dec;4(2):020101. doi: 10.7189/jogh.04.020101.
3
World Health Organization/United Nations Children's Fund joint statement on integrated community case management: an equity-focused strategy to improve access to essential treatment services for children.世界卫生组织/联合国儿童基金会关于综合社区病例管理的联合声明:一项以公平为重点的战略,旨在改善儿童获得基本治疗服务的机会。
Am J Trop Med Hyg. 2012 Nov;87(5 Suppl):6-10. doi: 10.4269/ajtmh.2012.12-0221.
4
Introduction to a special supplement: Evidence for the implementation, effects, and impact of the integrated community case management strategy to treat childhood infection.一份特别增刊的引言:关于综合社区病例管理策略治疗儿童感染的实施、效果及影响的证据
Am J Trop Med Hyg. 2012 Nov;87(5 Suppl):2-5. doi: 10.4269/ajtmh.2012.12-0504.