2022-12-15-世界卫生组织-Draft_global_strategy_on_infection_prevention_and_control_65页_4mb

Infection Prevention and Control (IPC) Global Strategy: Analysis and Summary

The World Health Organization (WHO) is developing a comprehensive global strategy on infection prevention and control (GSIPC) to address critical gaps in IPC programs worldwide. The strategy aims to reduce healthcare-associated infections (HAIs) and antimicrobial resistance (AMR) by 2030, ensuring safe, high-quality care across all health systems.

1. Core Objectives

• Primary Goal: Eliminate HAIs and curb AMR transmission through sustainable IPC interventions, aligning with the Sustainable Development Goals (SDGs).
• Key Principles:
  • IPC as a "best buy" with decades of proven effectiveness and cost-efficiency.
  • People-centered approach prioritizing patient safety and health worker protection.
  • Equity-driven, ensuring IPC capacity building, especially in low/middle-income countries (LMICs).
  • Integration with other health programs (e.g., AMR, WASH, emergency response).

2. Vision and Target Audience

• Vision: By 2030, "everyone accessing or providing health care is safe from associated infections."
• Key Stakeholders:
  1. Leaders: Political, health, and government officials.
  2. IPC Focal Points: National and facility-level IPC professionals.
  3. Health Workers: Training and career pathways for IPC expertise.
  4. Educational Institutions: Curriculum development and professional training.
  5. General Population and Community: Advocacy and awareness campaigns.
  6. Civil Society and Media: Public engagement and accountability.

3. Strategic Directions

Based on WHO-recommended IPC core components, the strategy includes eight guiding areas:

1. Political Commitment: Legal frameworks, funding, and accreditation.
2. Active IPC Programs: Minimum requirements, behavioral change, and emergency response.
3. Integration and Coordination: Collaboration with AMR, WASH, and occupational health.
4. Knowledge and Career Pathways: Training and skill development for IPC professionals.
5. Data for Action: Surveillance, monitoring, and accountability.
6. Advocacy and Communication: Public campaigns and media engagement.
7. Research and Development: Localized R&D to address IPC gaps.
8. Collaboration: Partnerships among stakeholders and cross-border cooperation.

4. Implementation

• Key Actions: Strengthen IPC at national, subnational, and facility levels.
• Support Mechanisms:
  • Domestic funding and donor support.
  • Monitoring framework aligned with existing WHO programs to avoid duplication.
  • Timelines for strategy adoption (draft finalized for review by 2024).

The GSIPC emphasizes affordability, adaptability, and sustainability to create resilient health systems globally.