印度尼西亚实现消除发育迟缓:是时候投资于社区卫生工作者了

Public health challenges Pub Date : 2023-07-21 eCollection Date: 2023-09-01 DOI:10.1002/puh2.108
Adriana Viola Miranda, Trio Sirmareza, Ryan Rachmad Nugraha, Maritta Rastuti, Habibi Syahidi, Rindang Asmara, Zack Petersen
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引用次数: 0

摘要

印度尼西亚是全球五岁以下儿童人口第四大的国家,其发育迟缓患病率是亚洲最高的国家之一。发育不良的有害和不可逆转的影响使政府有理由在2030年之前实现消除发育不良的目标,而社区卫生工作者(chw)则处于该计划的前沿。印度尼西亚有超过150万名卫生工作者每月进行生长监测和咨询,卫生工作者在发育迟缓管理方面的重要性和成本效益是显而易见的。然而,一些执行方面的挑战继续阻碍它们发挥最大潜力。这包括不明确的招聘程序、保健医生的非专业地位、不明确的激励计划、研究和资金限制以及利益相关者的角色不明确。这篇评论探讨了卫生工作者目前在印度尼西亚发育迟缓项目中的参与情况、存在的问题以及减轻已发现的挑战的建议。改进招聘流程、认可和激励制度以及跨部门合作,特别是在证据创造和政策研究连续体方面的合作,对于改进当前规划和实现消除发育迟缓的目标至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Towards stunting eradication in Indonesia: Time to invest in community health workers.

In Indonesia, home to the fourth-largest children-under-five population globally, the stunting prevalence is among the highest in Asia. The detrimental and irreversible impacts of stunting warranted the government to aim for stunting eradication by 2030, with community health workers (CHWs) at the forefront of the program. With over 1.5 million Indonesian CHWs conducting monthly growth monitoring and counseling, the critical importance and cost-effectiveness of CHWs in stunting management are clear. However, several implementation challenges continue to hinder their maximum potential. This includes unclear recruitment processes, the nonprofessional status of CHWs, unclear incentive schemes, research and funding constraints, and unclear role of stakeholders. This commentary examines the current involvement of CHWs in the Indonesian stunting program, the remaining issues, and recommendations to mitigate the identified challenges. Improvements in the recruitment process, recognition, and incentivization system, as well as cross-sectoral collaboration, particularly in evidence creation and policy-research continuum, are crucial in improving the current program and achieve the goal of stunting eradication.

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