@article{oai:auhw.repo.nii.ac.jp:00001549, author = {山田, 典子 and Yamada, Noriko}, issue = {1}, journal = {青森県立保健大学雑誌, Journal of Aomori University of Health and Welfare}, month = {Mar}, note = {application/pdf, スリランカは開発途上国の中で最も早く高齢化社会を迎えようとしている。スリランカでは、コロンボに代表される大都市および22の地域の胸部疾患クリニックを拠点にDOTSを活用する結核対策が運用されている。しかし、2002年10月末現在、旧戦闘地域を含む12の地域で未だDOTSの整備がなされていない。さらに、検査設備や技術職の不足などの課題も抱えている。結核蔓延状態を改善していくためには、予防教育により治療中断を防止し、結核治療率を高めることが重要な課題である。 Sri Lanka is the first developing country which has to be confronting the reality of "aging" as national level socioeconomic and health issues. In terms of Tuberculosis (TB) Control, Directly Observed Treatment, Short course (DOTS) was adopted in 22 regions including Colombo and other urbanized areas and has been practiced under the supervision of regional chest clinics. In the former conflict-affected areas, including 12 regions of the North and East, DOTS is not, however, yet incorporated into the local health service delivery system. In addition to that, there are constraints also in laboratory facilities for screening and technical human resources in these particular regions of the country. It is presently necessary to achieve further enhancement of promotional services particularly of health education and to prevent drop out of TB patients from the treatment courses. The important target of this effort will be the improvement of TB treatment rates in the society., 国立情報学研究所の「学術雑誌公開支援事業」により電子化されました}, pages = {17--24}, title = {スリランカ社会主義共和国における結核対策の現状と課題}, volume = {5}, year = {2004}, yomi = {ヤマダ, ノリコ} }