孟加拉国应让私营部门参与到 2030 年消除疟疾的行动中来

IF 5 Q1 HEALTH CARE SCIENCES & SERVICES
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引用次数: 0

摘要

通过政府和非政府组织的行动,孟加拉国从 2008 年到 2020 年将疟疾发病率降低了 93%。孟加拉国的情况在南亚是独一无二的,因为其成功的公共部门疟疾控制项目历来没有企业合作伙伴的参与(如在斯里兰卡开展的项目和在印度提出的项目)。然而,孟加拉国仍有 1800 万人生活在感染风险中,而营利性私营医疗保健提供商在许多国家消除疟疾的过程中起到了催化剂作用,有望使国家项目受益。我们(从大量复杂的文献中)提炼出了对其他发展中环境非常重要的九种不同战略,并在孟加拉国蓬勃发展的私营医疗保健行业背景下对其进行了权衡,该行业受到患者需求、自身利益和公益愿望的驱动,同时还受到医疗服务提供者和疟疾发病率的异质性的影响。我们提出了一个依赖于五项战略的新模式,以及在疟疾高流行地区立即部署的考虑因素,以增强孟加拉国到 2030 年消除本地疟疾传播的分阶段议程的能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bangladesh should engage the private sector for malaria elimination by 2030
Bangladesh reduced malaria incidence by 93% from 2008 to 2020 through the action of governmental and non-governmental organizations. The Bangladesh context is unique to South Asia because its successful public sector malaria control programs have historically not engaged corporate partners (as undertaken in Sri Lanka and proposed in India). However, ∼18 million people continue to live at risk of infection in Bangladesh and for-profit private healthcare providers, catalytic for malaria elimination in many countries, are expected to benefit the national program. We distilled (from a large and complex literature) nine distinct strategies important in other developing settings and weighed them in the context of Bangladesh's flourishing private health care sector, driven by patient demand, self-interest and aspirations for public good, as well as heterogeneity in providers and malaria-prevalence. We propose a new model dependent on five strategies and its immediate deployment considerations in high endemic areas, to empower Bangladesh's phased agenda of eliminating indigenous malaria transmission by 2030.
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