Monitoring future impact on malaria burden in sub-Saharan Africa
Monitoring future impact on malaria burden in sub-Saharan Africa
复制标题
DOI：
10.4269/ajtmh.2004.71.224
复制
发表时间：
2004-08-01
影响因子：
3.3
通讯作者：
Binka, F
中科院分区：
文献类型：
--
作者：
De Savigny, D;Binka, F
现已制定了防治疟疾的雄心勃勃的新目标，并正在为防治疟疾调集大量额外资源。然而，对于许多受疟疾影响最严重的国家来说，既缺乏基线数据，也缺乏对关键影响指标的可靠监测。对这些国家来说，很难知道目标何时实现，或者如果进展不足，是否需要进行中期纠正。对疟疾控制的新投资引发了对卫生信息需求的重新增长，既包括基于绩效的资源分配，也包括卫生影响。我们在此认为，这些资源中的一部分将需要转用于支持能够监测变化和指导方法的更综合的信息系统，不仅是疟疾，而且是其他重要的健康和贫困相关干预措施。本文敦促重新思考管理信息系统的性质和资源贫乏的设置。建议的路径，有助于更具有战略意义的监测和评价的其他信息管理步骤的框架内的纵向，迭代，以证据为基础的决策。未来的卫生信息系统在使用来自不同来源的信息方面需要更大的一致性，并对行动产生更大的影响。
Ambitious new goals for control of malaria have been set and significant additional resources for malaria control are being mobilized. Yet for many of the countries most severely burdened by malaria, both baseline data and reliable monitoring of key impact indicators is lacking. For such countries, it will be difficult to know when targets are met or whether to make mid-course corrections if progress is inadequate. The new investments in malaria control have triggered resurgence in demand for health information, both for performance-based resource allocation and for health impact. We argue here that some of these resources will need to be diverted to support more integrated information systems able to monitor change and guide approaches, not just for malaria, but also for other important health and poverty related interventions. This paper urges a re-thinking of the nature of management information systems and sources in resource poor settings. A pathway is suggested that helps situate monitoring and evaluation more strategically in a framework of other information management steps for longitudinal, iterative, evidence-based decision making. Health Information Systems of the future will need much greater coherence in the use of information from disparate sources and much greater influence on action.