A Way Forward for Healthcare in Madagascar?

A Way Forward for Healthcare in Madagascar?
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DOI:
10.1093/cid/civ758
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发表时间:
2016-03-15
影响因子:
11.8
通讯作者:
Rakotozandrindrainy, Raphael
Rakotozandrindrainy, Raphael
中科院分区:
医学1区
文献类型:
--
作者:
Marks, Florian;Rabehanta, Nathalie;Rakotozandrindrainy, Raphael

文献摘要

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作为非洲伤寒监测方案(TSAP)的一个组成部分,进行了一项医疗保健利用调查。马达加斯加的调查结果与该计划其他地区的调查结果形成对比;即只有30%的人口在政府提供的医疗机构寻求发烧医疗保健。这些发现促使我们确定马达加斯加获得和利用医疗保健的驱动因素和障碍。在这里,我们审查的结果TSAP医疗保健利用倡议,并将它们放在的背景下,目前的组织的马达加斯加医疗保健系统。我们的工作突出了人们对获得适当医疗保健的需求,以及对新解决方案的需求,这些解决方案可以快速提供负担得起的和可持续的基本医疗保健基础设施,直到政府资助的计划到位。
A healthcare utilization survey was conducted as a component of the Typhoid Fever Surveillance in Africa Program (TSAP). The findings of this survey in Madagascar contrasted with those in other sites of the program; namely, only 30% of the population sought healthcare at the government-provided healthcare facilities for fever. These findings promoted us to determine the drivers and barriers in accessing and utilizing healthcare in Madagascar. Here we review the results of the TSAP healthcare utilization initiative and place them in the context of the current organization of the Madagascan healthcare system. Our work highlights the demands of the population for access to appropriate healthcare and the need for novel solutions that can quickly provide an affordable and sustainable basic healthcare infrastructure until a government-funded scheme is in place.