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Internally displaced human resources for health: Villager health worker partnerships to scale up a malaria control programme in active conflict areas of eastern Burma

机译:国内流离失所的卫生人力资源:与村民卫生工作者建立伙伴关系,以扩大缅甸东部活跃冲突地区的疟疾控制计划

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摘要

Approaches to expand malaria control interventions in areas of active conflict are urgently needed. Despite international agreement regarding the imperative to control malaria in eastern Burma, there are currently no large-scale international malaria programmes operating in areas of active conflict. A local ethnic health department demonstrated that village health workers are capable of implementing malaria control interventions among internally displaced persons (IDPs). This paper describes how these internally displaced villagers facilitated rapid expansion of the programme.rnClinic health workers received training in malaria diagnosis and treatment, vector control and education at training sites along the border. After returning to programme areas inside Burma, they trained villagers to perform an increasingly comprehensive set of interventions. This iterative training strategy to increase human resources for health permitted the programme to expand from 3000 IDPs in 2003 to nearly 40,000 in 2008.rnIt was concluded that IDPs are capable of delivering essential malaria control interventions in areas of active conflict in eastern Burma. In addition, health workers in this area have the capacity to train community members to take on implementation of such interventions. This iterative strategy may provide a model to improve access to care in this population and in other conflict settings.
机译:迫切需要在积极冲突地区扩大疟疾控制干预措施的方法。尽管就在东部缅甸必须控制疟疾达成了国际共识,但目前在活跃冲突地区尚无大规模的国际疟疾规划在运作。当地的一个民族卫生部门表明,乡村卫生工作者有能力在国内流离失所者中实施疟疾控制干预措施。本文描述了这些内部流离失所的村民如何促进该计划的迅速扩展。rn临床卫生工作者在边境的培训地点接受了疟疾诊断和治疗,病媒控制和教育方面的培训。返回缅甸境内的计划区后,他们培训了村民以进行越来越全面的干预。这项旨在增加卫生人力资源的迭代培训策略使该计划从2003年的3000名国内流离失所者扩大到2008年的近40,000名。结论是,国内流离失所者有能力在缅甸东部发生冲突的地区提供基本的疟疾控制干预措施。此外,该地区的卫生工作者有能力培训社区成员以实施此类干预措施。这种迭代策略可以提供一个模型,以改善该人群和其他冲突情况下的医疗服务。

著录项

  • 来源
    《Global public health》 |2009年第3期|229-241|共13页
  • 作者单位

    Global Health Access Program, Mae Sot, Tak, Thailand;

    Global Health Access Program, Mae Sot, Tak, Thailand;

    Karen Department of Health and Welfare, Mae Sot, Tak, Thailand;

    Global Health Access Program, Mae Sot, Tak, Thailand;

    Global Health Access Program, Mae Sot, Tak, Thailand UCSF School of Medicine, San Francisco, CA, USA;

    Karen Department of Health and Welfare, Mae Sot, Tak, Thailand;

    Global Health Access Program, Mae Sot, Tak, Thailand Department of Medicine, University of California, Los Angeles, CA, USA;

    Global Health Access Program, Mae Sot, Tak, Thailand Robert Wood Johnson Clinical Scholars Program, David Geffen School of Medicine, University of California, Los Angeles, CA, USA;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    internally displaced persons; village health workers; human rights; human resources for health; malaria control;

    机译:国内流离失所者;乡村卫生工作者;人权;卫生人力资源;疟疾控制;

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