山丘型流行区血防健康教育和健康促进的发展与模式探索

随着血吸虫病防治工作的推进，山丘型流行区逐步达到血吸虫病传播控制和传播阻断标准，开始向消除阶段迈进。新的防治形势下，作为血吸虫病重要防治措施之一的健康教育亦面临新的挑战，传统血防健康教育已不能适应流行区社会、经济、文化发展及群众生产、生活方式日趋变化的需求。因此，需要建立精准的血防健教模式，高效推进防治措施的落实。本文总结了健康教育在山丘型流行区血吸虫病防治中的重要作用，并针对此类地区血吸虫病流行态势变化和防治目标要求，探讨了以优化政策环境和营造社区氛围为基点的新模式，以推动健康教育和健康促进在血吸虫病防治工作中的精准和持续实施。

Development and model of health education and health promotion for schistosomiasis control in mountainous and hilly endemic areas

Transmission control and interruption of schistosomiasis has been gradually achieved in the mountainous and hilly endemic areas with the implementation of the schistosomiasis control programmes, which are moving towards the progress of schistosomiasis elimination. As an important measure of schistosomiasis control, health education is experiencing new challenges and problems in the new situation, and conventional health education of schistosomiasis control has already failed to meet the needs of socioeconomic and cultural development and the increasing changes of human production and life styles in the endemic areas. Therefore, a precision health education model for schistosomiasis control is of great need to be established to highly effectively promote the implementation of schistosomiasis control measures. This review summarizes the important role of health education in schistosomiasis control in mountainous and hilly endemic areas, and describes the new health education model based on optimization of the policy environment and creation of the community atmosphere according to the changes in the endemic situation of schistosomiasis and requirements of the schistosomiasis control target, so as to promote the precision and sustainable implementation of health education and health promotion in schistosomiasis control.