Improving diagnostics and surveillance of malaria among displaced people in Africa.

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal for Equity in Health Pub Date : 2025-01-21 DOI:10.1186/s12939-025-02378-6
Toufik Abdul-Rahman, Oyinbolaji Akinwande Ajetunmobi, Gafar Babatunde Bamigbade, Innocent Ayesiga, Muhammad Hamza Shah, Tolulope Sharon Rumide, Abdurahman Babatunde Adesina, Ganiyat Adekemi Adeshina, Oluwabusola Elizabeth Oni, Bet-Ini Nsikak Christian, Abdullahi Tunde Aborode, Andrew Awuah Wireko, Hala Ibrahim Thaalibi, Iman Mustafa Abdalla, Sewar Basheer Banimusa, Justice Ndubuisi Jonathan, Isreal Ayobami Onifade, Md Ariful Haque
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Abstract

African communities that have been forced to leave their homes experience a considerably greater susceptibility to malaria as a result of densely populated living conditions, restricted availability of healthcare, and environmental influences. Internally displaced individuals frequently live in large settlements with restricted availability to drinking water, essential sanitation, and medical services, intensifying the spread of malaria. As a result, the occurrence of malaria is significantly more common among refugees and internally displaced individuals compared to those who are not displaced. This leads to greater rates of illness and death, especially among young people. Insufficient monitoring worsens the condition, leading to delayed identification and medical intervention, and contributing to a higher incidence of severe malaria and deaths. Furthermore, these communities are faced with economic consequences that contribute to the continuation of poverty and the worsening of socio-economic inequalities. Furthermore, the psychological impact of malaria, which is marked by feelings of anxiety and uncertainty, is particularly severe in vulnerable populations such as displaced children and pregnant women, aggravating the overall burden. Hence, addressing malaria in displaced populations in Africa requires comprehensive and well-coordinated strategies. Advanced diagnostic and surveillance technologies are essential for promptly identifying and treating malaria, providing chances to monitor and control its spread effectively. Collaboration among healthcare, policy, and humanitarian sectors is crucial for implementing comprehensive solutions that incorporate enhanced diagnostics, surveillance, and socio-psychological support. Active involvement of the community, usage of Community Health Workers, and regular collection of surveillance data are crucial in increasing awareness, directing control efforts, and tackling the specific difficulties encountered by displaced groups. Moreover, the implementation of environmental management, the incorporation of health services, and the utilization of adaptable healthcare interventions are essential for reducing the effects of malaria. To mitigate the impact of malaria and improve health outcomes among displaced populations in Africa, it is crucial to focus on these specific areas.

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改善非洲流离失所者疟疾的诊断和监测。
被迫离开家园的非洲社区由于人口密集的生活条件、有限的医疗保健以及环境影响,对疟疾的易感性要高得多。境内流离失所者往往居住在饮用水、基本卫生设施和医疗服务有限的大型定居点,加剧了疟疾的传播。因此,与没有流离失所的人相比,难民和国内流离失所者中疟疾的发病率要高得多。这导致更高的发病率和死亡率,特别是在年轻人中。监测不足使情况恶化,导致鉴定和医疗干预延迟,并导致严重疟疾发病率和死亡率升高。此外,这些社区面临的经济后果助长了贫穷的继续和社会经济不平等的恶化。此外,疟疾的心理影响,其特点是焦虑和不确定的感觉,对流离失所的儿童和孕妇等脆弱人群尤其严重,加重了总体负担。因此,解决非洲流离失所人口中的疟疾问题需要全面和协调良好的战略。先进的诊断和监测技术对于及时发现和治疗疟疾至关重要,为有效监测和控制其传播提供了机会。医疗保健、政策和人道主义部门之间的合作对于实施综合解决方案至关重要,这些解决方案包括加强诊断、监测和社会心理支持。社区的积极参与、使用社区卫生工作者和定期收集监测数据对于提高认识、指导控制工作和解决流离失所群体遇到的具体困难至关重要。此外,实施环境管理、纳入保健服务和采用适应性强的保健干预措施对于减少疟疾的影响至关重要。为了减轻疟疾的影响并改善非洲流离失所人口的健康状况,必须把重点放在这些具体领域。
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来源期刊
CiteScore
7.80
自引率
4.20%
发文量
162
审稿时长
28 weeks
期刊介绍: International Journal for Equity in Health is an Open Access, peer-reviewed, online journal presenting evidence relevant to the search for, and attainment of, equity in health across and within countries. International Journal for Equity in Health aims to improve the understanding of issues that influence the health of populations. This includes the discussion of political, policy-related, economic, social and health services-related influences, particularly with regard to systematic differences in distributions of one or more aspects of health in population groups defined demographically, geographically, or socially.
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