Community engagement and population coverage in mass anti-malarial administrations: a systematic literature review.

Community engagement and population coverage in mass anti-malarial administrations: a systematic literature review.
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DOI:
10.1186/s12936-016-1593-y
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发表时间:
2016-11-02
期刊:
影响因子:
3
通讯作者:
Cheah PY
Cheah PY
中科院分区:
医学3区
文献类型:
--
作者:
Adhikari B;James N;Newby G;von Seidlein L;White NJ;Day NP;Dondorp AM;Pell C;Cheah PY

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大规模抗疟管理已被提议作为东南亚消除疟疾战略的一个关键组成部分。这一方法的成功取决于当地疟疾流行病学、抗疟疾疗法的性质和人口覆盖率。社区参与被用来提高人口覆盖率,但很少有研究系统地分析其影响。这一系统性审查审查了大规模抗疟疾药物管理方案的人口覆盖率和社区参与情况。该综述建立在先前的综述基础上,该综述确定了1913年至2011年期间发表的3049篇描述大规模抗疟疾管理的文章。进一步检索和应用当前综述中进行的一组标准,得到51篇保留分析的文章。这51份文件介绍了大规模抗疟管理的人口覆盖率和/或社区参与情况。对人口覆盖范围进行了定量评估,并对社区参与活动进行了专题分析。这些研究在26个国家进行:在不同的医疗保健和社会背景下,根据不同的研究设计管理各种抗疟疾方案。28篇文章仅报告了人口覆盖率; 12篇仅描述了社区参与活动; 11篇描述了社区参与和人口覆盖率。平均人口覆盖率为83%,但计算覆盖率的方法往往不明确或不一致。社区参与活动包括提供卫生教育和激励措施,利用社区结构(如现有的等级制度或卫生基础设施),调动人力资源,以及在一定程度上与政府(如卫生部)合作。社区参与往往是一个过程,在整个干预期间涉及各种活动。平均人口覆盖率超过80%,但计算方法的不完整报告限制了研究之间的结论和比较。介绍了各种社区参与活动和方法,但许多文章所载的细节有限或没有细节。与人口覆盖率有关的其他因素,如社会、文化和学习环境,几乎没有报告。需要进一步研究,以了解影响大规模抗疟管理的人口覆盖率和依从性的因素,以及社区参与活动和方法在令人满意的参与方面发挥的作用。本文的在线版本(doi:10.1186/s12936-016-1593-y)包含补充材料,可供授权用户使用。
Mass anti-malarial administration has been proposed as a key component of the malaria elimination strategy in South East Asia. The success of this approach depends on the local malaria epidemiology, nature of the anti-malarial regimen and population coverage. Community engagement is used to promote population coverage but little research has systematically analysed its impact. This systematic review examines population coverage and community engagement in programmes of mass anti-malarial drug administration. This review builds on a previous review that identified 3049 articles describing mass anti-malarial administrations published between 1913 and 2011. Further search and application of a set of criteria conducted in the current review resulted in 51 articles that were retained for analysis. These 51 papers described the population coverage and/or community engagement in mass anti-malarial administrations. Population coverage was quantitatively assessed and a thematic analysis was conducted on the community engagement activities. The studies were conducted in 26 countries: in diverse healthcare and social contexts where various anti-malarial regimens under varied study designs were administered. Twenty-eight articles reported only population coverage; 12 described only community engagement activities; and 11 community engagement and population coverage. Average population coverage was 83% but methods of calculating coverage were frequently unclear or inconsistent. Community engagement activities included providing health education and incentives, using community structures (e.g. existing hierarchies or health infrastructure), mobilizing human resources, and collaborating with government at some level (e.g. ministries of health). Community engagement was often a process involving various activities throughout the duration of the intervention. The mean population coverage was over 80% but incomplete reporting of calculation methods limits conclusions and comparisons between studies. Various community engagement activities and approaches were described, but many articles contained limited or no details. Other factors relevant to population coverage, such as the social, cultural and study context were scarcely reported. Further research is needed to understand the factors that influence population coverage and adherence in mass anti-malarial administrations and the role community engagement activities and approaches play in satisfactory participation. The online version of this article (doi:10.1186/s12936-016-1593-y) contains supplementary material, which is available to authorized users.
DOI: 10.2105/ajph.56.1.76
发表时间: 1966-01-01
期刊: AMERICAN JOURNAL OF PUBLIC HEALTH AND THE NATIONS HEALTH
影响因子: --
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