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乌干达公私合作应对镰状细胞病:一篇叙述性综述

Public-private partnerships in tackling sickle cell disease in Uganda: a narrative review.

作者信息

Obeagu Emmanuel Ifeanyi

机构信息

Department of Biomedical and Laboratory Science, Africa University, Mutare, Zimbabwe.

出版信息

Ann Med Surg (Lond). 2025 May 21;87(6):3339-3355. doi: 10.1097/MS9.0000000000003082. eCollection 2025 Jun.

Abstract

Sickle cell disease (SCD) remains a critical public health challenge in Uganda, where the prevalence is among the highest globally, and particularly affecting children. The management of SCD is complicated by limited healthcare infrastructure, a shortage of trained healthcare professionals, and widespread stigmatization. Public-private partnerships (PPPs) have emerged as a strategic solution to these challenges, leveraging the strengths of both the public and private sectors to improve access to care, enhance patient outcomes, and raise public awareness. This narrative review examines the role of PPPs in tackling SCD in Uganda, focusing on key areas such as health infrastructure development, capacity building for healthcare workers, and access to essential medications and treatments. The review highlights successful models of PPPs that have facilitated the establishment of specialized sickle cell clinics, the implementation of cost-effective screening programs, and community engagement initiatives aimed at reducing stigma and promoting early diagnosis. These partnerships have significantly contributed to improving the quality of care for individuals with SCD, particularly in high-prevalence regions.

摘要

镰状细胞病(SCD)在乌干达仍然是一项严峻的公共卫生挑战,该国的患病率位居全球最高之列,且对儿童影响尤为严重。SCD的管理因医疗基础设施有限、训练有素的医疗专业人员短缺以及普遍存在的污名化现象而变得复杂。公私伙伴关系(PPPs)已成为应对这些挑战的战略解决方案,利用公共和私营部门的优势来改善医疗服务的可及性、提高患者治疗效果并提高公众意识。这篇叙述性综述探讨了公私伙伴关系在乌干达应对SCD方面的作用,重点关注诸如卫生基础设施发展、医护人员能力建设以及基本药物和治疗的可及性等关键领域。该综述强调了公私伙伴关系的成功模式,这些模式促进了专门镰状细胞诊所的建立、具有成本效益的筛查项目的实施以及旨在减少污名化和促进早期诊断的社区参与倡议。这些伙伴关系为改善SCD患者的护理质量做出了重大贡献,尤其是在高患病率地区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6b5/12140694/bfde9da9b919/ms9-87-3339-g001.jpg

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