评估国家消除疟疾计划的流行病学指标:回顾性研究。

IF 1.5 Q3 HEALTH CARE SCIENCES & SERVICES Ethiopian Journal of Health Sciences Pub Date : 2023-11-01 DOI:10.4314/ejhs.v33i6.12
Hima Sree Polisetti, K R Vinay Rajan, K Eswar Kumar
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引用次数: 0

摘要

背景:自 1940 年以来,疟疾一直是印度最严重的健康问题之一。我们研究的目的是利用流行病学指标确定印度国家消除疟疾计划的状况:从官方门户网站收集了 2014-2021 年的疟疾年度报告以及 2020 年和 2021 年的月度报告,并对其进行了分析,以进行具体的研究评估:2017-2021年,所有州以及1类(P=0.003)和2类(P=0.029)州/中央直辖区的疟疾发病率在统计学上有显著下降,但3类(P=0.166)州/中央直辖区的疟疾发病率在统计学上没有显著下降。第 1 类州/中央直辖区没有实现本地病例为零的目标。与 2014 年相比,2020 年全国疟疾病例数总体减少了 83.6%。尽管古吉拉特邦、马哈拉施特拉邦和卡纳塔克邦等拥有强大卫生系统的邦在 2020 年仍未实现本地病例为零的目标,所发现的疟疾病例也离目标相去甚远:尽管我们观察到从 2014 年到 2020 年疟疾发病率大幅下降,这表明该国正朝着消灭疟疾的目标迈进,但关键是要实施减少恶性疟原虫比例的战略,重建监测计划,执行国家和邦计划,以实现国家消灭疟疾计划的成功。各邦/中央直辖区的重新分类符合 API 的要求,也需要实施战略。
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Assessment of Epidemiological Indicators for Evaluation of National Malaria Elimination Programme: A Retrospective Study.

Background: Malaria has been one of India's most considerable health problems since 1940. The objective of our study is to determine the status of the National Malaria Elimination Programme in India by using epidemiological indicators.

Methods and materials: The annual reports of malaria for the years 2014-2021 and monthly reports for 2020 and 2021 were collected from the official web portal and were analysed for study specific assessments.

Results: The API has shown a statistically significant reduction from 2017-2021 in all states along with category-1(P=0.003) and category-2(P=0.029) states/UTs, but there was no statistically significant reduction from 2017-2021 in category-3 (P=0.166) states/UTs. The zero indigenous cases had not been achieved in category-1 states/UTs. The overall percentage reduction in number of malaria cases in 2020 at the national level compared with 2014 was 83.6%. Despite states with strong health systems such as Gujarat, Maharashtra and Karnataka, have not shown zero indigenous cases in 2020 and the malaria cases noted were very far from reaching the targets.

Conclusions: Although we observed a significant drop in malaria incidence from 2014 to 2020, demonstrating that the country is moving nearer to malaria elimination, it is crucial to implement the strategies to reduce Plasmodium falciparum% and re-establish surveillance programmes and execute national and state programmes in order to achieve the success of the National Malaria Elimination Programme. The recategorization of states/UTs are in accordance to the API, and implementation strategies were also needed.

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来源期刊
Ethiopian Journal of Health Sciences
Ethiopian Journal of Health Sciences HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
8.30%
发文量
137
审稿时长
12 weeks
期刊介绍: Ethiopian Journal of Health Sciences is a general health science journal addressing clinical medicine, public health and biomedical sciences. Rarely, it covers veterinary medicine
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