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Evaluating the effects of the free healthcare policy on clinical visits and malaria among children in Burkina Faso:a modeling study of past trends and future forecasts 认领 引用
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作者 AndréLin Ouédraogo Marie-Jeanne Offosse +2 位作者 Julie Zhang Sylvain Toé Pierre Yaméogo 《Global Health Research and Policy》 CSCD 2025年第1期43-54,共12页
Background Access to primary healthcare remains a major challenge in sub-Saharan Africa.In 2016,Burkina Faso introduced the free healthcare policy,eliminating financial barriers by offering free healthcare services fo... Background Access to primary healthcare remains a major challenge in sub-Saharan Africa.In 2016,Burkina Faso introduced the free healthcare policy,eliminating financial barriers by offering free healthcare services for children under five and pregnant women.While previous studies have reported increased healthcare utilization under the policy,its effects on health outcomes remains unassessed.Here,we evaluate the free healthcare policy's effects on three key indicators:frequency of clinical visits,malaria prevalence,and severe malaria.Methods Routine health and demographic data for children under five were collected from health facilities using the government's Electronic Medical Record(EMR)platform.Generalized Linear Mixed Effects Models(GLMM)with a Differences-in-Differences design assessed changes in the three indicators between baseline(2015)and 2018 while Bayesian hierarchical models were used to forecast trends through 2020.Results Analysis of 344,935 clinical visits from 199,664 children across 192 villages showed an increase in healthcare utilization,with clinical visits rising from 1.1 to 2 per child between 2015 and 2018(p<0.001)resulting in a percentage increase of 82%.However,disparities persisted,as children living within 5 km of a health facility accessed more care than those in remote areas(2.2 vs.1.7 visits,p<0.001).Malaria prevalence decreased from 98 to 80%(p<0.001),and severe malaria declined from 6%to 2.2%(p<0.001)during the same period.Bayesian forecasts indicated continued increases in clinical visits(from 2.36 in 2019 to 2.75 in 2020)and further declines in malaria prevalence(to 64%)and severe malaria(to 1.02%)by 2020.Conclusions Our study highlights the transformative effects of the free healthcare policy in improving healthcare access and outcomes for children under five in Burkina Faso.However,inequities in access remain a challenge.Strengthening community health worker programs and expanding community health activities are critical to addressing these gaps.The findings offer valuable insights for policymakers in Burkina Faso and contribute to global efforts to leverage health reforms to improve malaria control and progress toward universal health coverage. 展开更多
关键词 Burkina Faso Free healthcare policy Primary healthcare Children under five Malaria Equity Difference-indifferences Bayesian modeling Gratuité Distance
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基于Gratuitous ARP泛洪的局域网故障分析 认领 引用 被引量：1
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作者 徐春林 《淮海工学院学报（自然科学版）》 2014年第2期45-47,共3页
针对一个突发的局域网络故障进行分析,利用捕包工具对故障网络进行数据包分析,排除了人为ARP攻击的可能性。经过详细的解析,确定了网络故障产生的主要原因,打破了ARP攻击都是人为攻击的常规思路。重点从Gratuitous ARP的用途角度分析了... 针对一个突发的局域网络故障进行分析,利用捕包工具对故障网络进行数据包分析,排除了人为ARP攻击的可能性。经过详细的解析,确定了网络故障产生的主要原因,打破了ARP攻击都是人为攻击的常规思路。重点从Gratuitous ARP的用途角度分析了网络设备产生Gratuitous ARP及其在特定设备中泛洪的主要原因,从而有针对性地提出了解决问题的方案,并且得到了实际验证。 展开更多
关键词 Gratuitous ARP 泛洪 MAC地址 网络故障 交换机设备
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校园网中由地址配置引起网络故障原因的探索 认领 引用
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作者 徐春林 《科技资讯》 2015年第20期45-46,共2页
伴随着计算机技术的快速发展,计算机网络已经成为高校校园一个不可缺少的组成部分。但是随着网络规模的不断扩展,网络管理人员所面临的终端管理的复杂度也越来越大。该研究从实际出发,以实践中出现的问题故障,结合DHCP、Gratuitous ARP... 伴随着计算机技术的快速发展,计算机网络已经成为高校校园一个不可缺少的组成部分。但是随着网络规模的不断扩展,网络管理人员所面临的终端管理的复杂度也越来越大。该研究从实际出发,以实践中出现的问题故障,结合DHCP、Gratuitous ARP、交换机ARP缓存相关知识进行详细分析,提出了交换网络中根据故障紧急及优先次序分类处理的方法,并针对目前IP地址配置和管理上容易出的问题,提出了一些建议。 展开更多
关键词 Gratuitous ARP DHCP IP冲突 网络故障 交换网络
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