全球根除脊髓灰质炎倡议(GPEI)帮助全球开发了标准的急性弛缓性麻痹监测(AFP)系统,包括,知识,专业知识,技术援助,和训练有素的人员。AFP监测可以补充任何疾病监测系统。
■这项研究概述了孟加拉国的AFP监测演变,它的成功和挑战性因素,以及它促进其他健康目标的潜力。
■这项混合方法研究包括灰色文献综述,调查,和关键线人访谈(KIIs)。我们从在线网站收集灰色文献,并从GPEI利益相关者收集纸质文档。在孟加拉国的六个部门进行了在线和面对面调查,包括达卡,Rajshahi,Rangpur,吉大港,Sylhet,还有Khulna,映射隐性知识思想,方法,和经验。我们还进行了KIs,然后将数据结合在重点关注的新兴主题上,包括历史,挑战,和AFP监测计划的成功。
■根据灰色文献综述,调查,还有KII,AFP监测成功地减少了孟加拉国的脊髓灰质炎。主要的促进因素是多部门合作,监测免疫医疗干事(SIMO)网络活动,社会环境,基于社区的监测,有希望的政治承诺。另一方面,人口高速增长,难以到达的地区,居住在危险地区的人们,小儿麻痹症过渡规划是重大挑战。孟加拉国还利用这些脊髓灰质炎监测资产治疗其他疫苗可预防的疾病。
■世界已经接近消灭小儿麻痹症,知识,以及法新社监视的其他资产,可用于其他健康计划。此外,可以利用其优势来对抗新出现的疾病。
主要发现:研究发现,孟加拉国已经实现了世界标准的监测系统,包括多部门合作在内的促进因素,GPEI合作伙伴,以及政治和社区支持。然而,人口高速增长,难以到达的地区和人们,小儿麻痹症过渡规划被认为是挑战。增加知识:此外,孟加拉国现在正在利用这些脊髓灰质炎监测资产来监测其他疫苗可预防的疾病。全球卫生对政策和行动的影响:由于脊髓灰质炎仍然对一些低收入国家构成威胁,从孟加拉国的AFP监测中获得的知识可以帮助这些国家从地球上根除脊髓灰质炎病例,并为VPD和其他卫生计划服务。
The Global Polio Eradication Initiative (GPEI) helped develop the standard acute flaccid paralysis surveillance (AFP) system worldwide, including, knowledge, expertise, technical assistance, and trained personnel. AFP surveillance can complement any disease surveillance system.
This study outlines AFP surveillance evolution in Bangladesh, its success and challenging factors, and its potential to facilitate other health goals.
This mixed-method study includes a grey literature review, survey, and key informant interviews (KIIs). We collected grey literature from online websites and paper documentation from GPEI stakeholders. Online and in-person surveys were conducted in six divisions of Bangladesh, including Dhaka, Rajshahi, Rangpur, Chittagong, Sylhet, and Khulna, to map tacit knowledge ideas, approaches, and experiences. We also conducted KIIs, and Data were then combined on focused emerging themes, including the history, challenges, and successes of AFP surveillance programme.
According to the grey literature review, survey, and KII, AFP surveillance successfully contributed to decreasing polio in Bangladesh. The major facilitating factors were multi-sectoral collaboration, Surveillance Immunization Medical Officer (SIMO) network activities, social environment, community-based surveillance, and promising political commitment. On the other hand, high population growth, hard-to-reach areas, people residing in risky zones, and polio transition planning were significant challenges. Bangladesh is also utilizing these polio surveillance assets for other vaccine-preventable diseases.
As the world is so close to eradicating polio, the knowledge, and other assets of the AFP surveillance, could be used for other health programmes. In addition, its strengths can be leveraged for combating new and emerging diseases.
Main findings: The research found that Bangladesh has achieved a world-standard surveillance system, with facilitating factors including multi-sectoral collaboration, GPEI partners, and political and community support. However, high population growth, hard-to-reach areas and people, and polio transition planning were found to be challenges.Added knowledge: In addition, Bangladesh is now utilizing these polio surveillance assets to monitor other vaccine-preventable diseases.Global health impact for policy and action: Since polio is still a threat to some LMICs, the knowledge gained from AFP surveillance of Bangladesh could assist those countries in eradicating the cases of polio from the earth and serve VPDs and other health programmes as well.