需要私营医疗服务提供者的积极参与来推动印度消除疟疾。

Active Engagement of Private Healthcare Providers Is Needed to Propel Malaria Elimination in India.

作者信息

Rahi Manju, Sharma Amit

机构信息

Indian Council of Medical Research (ICMR), V. Ramalingaswami Bhawan, P.O. Box No. 4911, Ansari Nagar, New Delhi, 110 029, India.

Academic Academy of Scientific and Innovative Research (AcSIR), Ghaziabad, India.

出版信息

Am J Trop Med Hyg. 2022 Apr 4;106(6):1585-8. doi: 10.4269/ajtmh.22-0025.

Abstract

Malaria is a major public health concern in India. Despite a remarkable decline in overall malaria cases and deaths over the past several years, the caseload is still substantial. India's commitment towards malaria elimination by 2030 requires several additional measures for its achievement. The country's malaria data are collated from the public health sector only by the aggregated paper-based surveillance system, which is considered weak because it captures only a minuscule percentage (8% as per the World Malaria Report 2017). The absence of private-sector data is a serious caveat in India's malaria epidemiological scenario. The private healthcare sector (trained and untrained) is a major provider to communities in malaria-endemic areas. It is increasingly recognized that the involvement of the private healthcare sector is crucial for understanding the complete epidemiological picture and targeting elimination strategies accordingly as is being done for tuberculosis in India. Active involvement and alignment of the private sector to the government program of the private sector can be fostered by assessing the presence of the private healthcare sector via landscaping exercise, establishing linkages between the two sectors, incentivization, and encouraging reporting via user-friendly online and offline systems. There are challenges and barriers to the successful adoption of the private healthcare providers in the fold of the national malaria control program; at the same time, it is a critical step that will propel malaria elimination plans of India.

摘要

疟疾是印度主要的公共卫生问题。尽管在过去几年中,总体疟疾病例和死亡人数显著下降,但病例数量仍然可观。印度要在2030年实现消除疟疾的目标,还需要采取多项额外措施。该国的疟疾数据仅通过基于纸质的汇总监测系统从公共卫生部门收集,该系统被认为较为薄弱,因为它仅能捕捉到极小的百分比(根据《2017年世界疟疾报告》为8%)。在印度的疟疾流行病学情况中,缺乏私营部门的数据是一个严重的警告。私营医疗部门(包括受过培训和未受过培训的)是疟疾流行地区社区的主要医疗服务提供者。人们越来越认识到,私营医疗部门的参与对于了解完整的流行病学情况并据此制定消除战略至关重要,就像印度在结核病防治方面所做的那样。通过开展情况调查评估私营医疗部门的存在情况、在两个部门之间建立联系、给予激励以及鼓励通过用户友好的在线和离线系统进行报告,可以促进私营部门积极参与并与政府的私营部门计划保持一致。在将私营医疗服务提供者纳入国家疟疾控制计划方面存在挑战和障碍;与此同时,这是推动印度疟疾消除计划的关键一步。

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