尼日利亚非洲盘尾丝虫病项目实施效果的评价

Evaluation on implementation of the African programme for onchocerciasis control in Nigeria

目的:了解不同利益相关方对非洲盘尾丝虫病项目(African Programme for Onchocerciasis Control,APOC)的评价,调查该项目在社区实施中的进展及所存在的问题,为未来被忽视的热带病(neglected tropical diseases,NTD)控制项目提供政策建议。方法:采用个人深度访谈和焦点组访谈作为研究方法,使用主题框架法作为资料处理方法。结果:药物发放取得了一定的效果,社区居民普遍认可并接受了发放的预防药物。同时,研究还发现社区缺乏对NTD的健康教育,社区没有充分认识到疾病预防的责任,社区志愿者力量尚未得到可持续发展。结论:APOC项目目标部分得到实现,与其他非洲国家相比,尼日利亚在项目实施上遇到一些挑战和困难。该项目对于中国也具有借鉴意义。

Objective：To investigate the progress and challenges of the implementation of the global programme in Taraba State, Nigeria. Methods： The African Programme for Onchoeerciasis Control （APOC） as the first neglected tropical diseases （NTD） control initiative in Africa had been introduced to Nigeria since 1997. Community-directed distributors of community-directed treatment with ivermectin had been adopted as its main strategy. As a qualitative study, in-depth interview and focus group discussion were used as data collection methods. The thematic framework method was used as a data analysis meth- od. Results： The community reported that they had benefited from the programme. The study findings showed that the health education on NTDs remained very poor, and the community had not fully realized its responsibility for the drug distribution and NTDs control, and the community drug distributor （CDDs） had not been developed as a substantial team working for other projects. Conclusion： The goals of com- munity-directed treatment with ivermectin （CDTI） only have been achieved partly. China should learn from the experience.