将基于众包图像的被忽视热带病发病热点监测整合到尼日利亚卫生保健系统:一项混合方法研究

IF 1.5 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ayoola O Bosede, Christopher S Oyamienlen, Uzochukwu G Ekeleme, Obinna G Udujih, Chinwe E Metuh, Evangeline T Oparaocha, Uchechukwu M Chukwuocha
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引用次数: 0

摘要

背景:传统的被忽视热带病监测系统往往存在漏报、延误和覆盖面有限的问题,阻碍了疾病的有效控制。本研究描述了将基于图像的众包NTD发病热点监测(cims -NTD)整合到政府主导的NTD项目中的过程,并评估了其运营绩效和利益相关者的经验。方法:在尼日利亚翁多州进行了一项嵌入实施研究框架的混合方法研究。采用准实验设计来比较CIMS-NTDs与现有监测方法,同时使用关键信息提供者访谈来探索利益相关者的看法。定量数据采用描述性统计和Mann-Whitney U检验,定性数据采用反身性专题分析。结果:有30名来自州、地方政府辖区和病房的NTD人员参加了培训。结果显示,培训课程后,CIMS-NTDs知识提高了400%。CIMS-NTDs优于传统监测,报告了62例确诊病例,而传统系统仅报告了3例(p=0.023)。盘尾丝虫病是最常见的NTD(62.9%)。主要举报人强调了社区参与、数据准确性和报告效率的提高,但也指出了数字可及性和资金限制等挑战。结论:将数字监测纳入国家NTD规划可加强病例发现、报告和干预战略。可持续采用需要政府资助、能力建设和扩大数字基础设施,以改善可及性和影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Integrating the crowdsourced image-based morbidity hotspot surveillance for neglected tropical diseases (CIMS-NTDs) into Nigeria's healthcare system: a mixed methods study.

Background: Traditional surveillance systems for neglected tropical diseases (NTDs) often suffer from underreporting, delays and limited reach, hindering effective disease control. This study describes the integration process of crowdsourced image-based morbidity hotspot surveillance for NTDs (CIMS-NTDs) into the government-led NTD program and assesses its operational performance and stakeholder experience.

Methods: A mixed methods study embedded in an implementation research framework was conducted in Ondo State, Nigeria. A quasi-experimental design was used to compare CIMS-NTDs with the existing surveillance approach, while key informant interviews were used to explore stakeholder perceptions. Quantitative data were analysed using descriptive statistics and the Mann-Whitney U test, and qualitative data underwent reflexive thematic analysis.

Results: The training session had in attendance of 30 NTD personnel from the state, local government areas and wards. Results showed a >400% improvement in CIMS-NTDs knowledge following the training session. CIMS-NTDs outperformed traditional surveillance, with 62 confirmed case reports versus only 3 under the conventional system (p=0.023). Onchocerciasis was the most frequently reported NTD (62.9%). Key informants highlighted improved community engagement, data accuracy and reporting efficiency but noted challenges such as digital accessibility and funding constraints.

Conclusions: Integrating digital surveillance into national NTD programs enhances case detection, reporting and intervention strategies. Sustainable adoption requires government funding, capacity building and expanded digital infrastructure to improve accessibility and impact.

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来源期刊
Transactions of The Royal Society of Tropical Medicine and Hygiene
Transactions of The Royal Society of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.00
自引率
9.10%
发文量
115
审稿时长
4-8 weeks
期刊介绍: Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.
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