■由于使用卫生厕所的机会有限,土著人民(IP)仍然容易受到土壤传播的蠕虫病(STH)的侵害。干净的水,优质健康教育,和服务。世界卫生组织建议定期对驱虫药进行大规模药物管理(MDA),健康教育,和水的改善,卫生,和卫生(WASH)作为控制策略,以减少学龄儿童(SAC)等目标人群中由STH引起的发病率。本文补充了在选定的Aeta和Ata-Manobo社区中进行的寄生虫学调查(STH的患病率和强度)的已发表结果。
■本研究旨在描述STH控制策略的可访问性,以响应Pampanga和DavaodelNorte的IP社区中SAC的需求,菲律宾。它同样旨在描述这些IP社区对STH控制策略的访问。
■使用关键线人访谈(KII)和焦点小组讨论(FGD)收集了有关STH控制策略的可访问性和访问性的数据。卫生和教育部门的11名官员和工作人员,地方政府单位,两名知识产权领导人就SAC现有的STH负担接受了采访,实施STH控制策略,特别是MDA,健康教育运动,以及WASH的改进,包括计划实施中的良好做法和挑战。三个FGD和父母,知识产权学校的小学教师,和农村卫生助产士分开进行。指南问题侧重于知识产权社区SAC的可访问性和可访问性传播和控制策略。参与者在参与前获得了进行和记录KII和FGD的知情同意书。多学科小组的分析是基于Davy等人获得土著初级卫生保健服务的IP的可及性框架。(2016)。
■STH控制策略和目标人群的特征是影响可及性的相互关联的因素。MDA计划可用性方面的挑战,特别是,人员配备不足,药物短缺,交付延迟会影响免费STH控制策略的可访问性和访问性。感知到的伤害,不良事件,污名,信仰,和实践同样影响访问。缺乏有关通过社区和基于学校的MDA计划进行治疗的相似性的信息也影响了SAC的参与。IP社区是地理隔离的特殊环境,需要考虑和平与秩序状况以及供水,以帮助确保获得某种控制战略,高MDA覆盖率,和改进WASH导致预期的结果。
■考虑到知识产权社区的背景,解决可访问性和获取性STH控制策略方面的挑战,对于确保在STH预防和控制策略中成功实施综合方法是必要的。可获得性控制战略的挑战是人员配备不足,库存差,以及药物交付的延误,以及恶劣的环境卫生和个人卫生。SAC的访问同样受到对驱虫药的安全性和有效性的误解的影响,包括污名和文化习俗。需要传播基于学校或社区的MDA程序的相似性。
UNASSIGNED: Indigenous peoples (IPs) remain vulnerable to soil-transmitted helminthiasis (STH) due to limited access to sanitary toilets, clean water, quality health education, and services. The World Health Organization recommends periodic mass drug administration (MDA) of anthelminthics, health education, and improvements in water, sanitation, and hygiene (
WASH) as control strategies to reduce morbidities caused by STH in target populations such as school-age children (SAC).This paper complements the published results of the parasitological survey (prevalence and intensity of STH) conducted in selected Aeta and Ata-Manobo communities.
UNASSIGNED: This study aimed to describe the accessibility of STH control strategies to respond to the needs of SAC in IP communities in Pampanga and Davao del Norte, the Philippines. It likewise intended to describe access of these IP communities to STH control strategies.
UNASSIGNED: Data on accessibility of and access to STH control strategies were collected using key informant interviews (KIIs) and focus group discussions (FGDs). Eleven officials and workers from the departments of health and education, local government units, and two IP leaders were interviewed on the existing STH burden in SAC, implementation of STH control strategies, particularly of MDA, health education campaigns, and improvements in
WASH including good practices and challenges in program implementation.Three FGDs with parents, elementary school teachers of IP schools, and rural health midwives were conducted separately. Guide questions focused on accessibility of and access to STH prevention and control strategies for SAC in IP communities. Informed consent to conduct and record KIIs and FGDs were obtained from participants prior to participation.Analysis of a multi-disciplinary team was based on the accessibility framework for IPs accessing indigenous primary health care services by Davy et al. (2016).
UNASSIGNED: The characteristics of the STH control strategies and the target populations are interrelated factors that influence accessibility. Challenges in the availability of the MDA program, particularly, inadequate staffing, drug shortages, and delays in delivery affect accessibility of and access to the free STH control strategies. Perceived harm, adverse events, stigma, beliefs, and practices likewise affect access. Lack of information on the similarity of treatment through community- and school-based MDA programs also affected engagement of SAC.IP communities are special settings where geographic isolation, peace and order situation as well as water supply need to be considered to help ensure access to STH control strategies, high MDA coverage, and improvements in
WASH leading to desired outcomes.
UNASSIGNED: Considering the context of IP communities and addressing the challenges in the accessibility of and access to STH control strategies are necessary to ensure successful implementation of an integrated approach in STH prevention and control strategies. Challenges in the accessibility of STH control strategies are inadequate staffing, poor inventory, and delays in the delivery of drugs, as well as poor sanitation and hygiene. Access of SAC is likewise affected by misconceptions on safety and efficacy of anthelminthics, including stigma and cultural practices. The similarity of the MDA programs based in school or community need to be disseminated.