ワクチンで予防可能な病気に対するコミュニティベースの監視システムの開発:インドネシアから学んだ教訓
Galuh Sitorukmi1, Cici Permata Rusadi1, Lutfan Lazuardi1,2
1Center For Health Policy and Management Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia.
Global health action
|August 28, 2025
まとめ
インドネシアでは ワクチンで予防できる病気の コミュニティーベースの監視が不可欠です このシステムの強化には 明確なガイドラインと 統合された報告と 訓練された地域保健ボランティアが必要です
科学分野:
- 公衆衛生
- エピデミオロジー
- 保健 システム の 強化
背景:
- インドネシアの定期的な予防接種プログラムは,COVID-19のパンデミック中に大きな障害に直面しました.
- この混乱はワクチンで予防可能な疾患 (VPD) の増加につながった.
- COVID-19に有効なコミュニティベースの監視 (CBS) は,VPDのモニタリングに限られた適用がある.
研究 の 目的:
- VPDのためのCBSの開発における現在の慣行と課題を調査する.
- コミュニティの関与を通じてVPDの監視を強化するための機会を特定する.
- 地域保健ボランティア (CHV) がVPDのモニタリングに活用できる可能性を検討する.
主な方法:
- インドネシアのスレマン州でコンバージェント混合方法の研究が行われました.
- 定性的なデータは41人の関係者 (医療スタッフ,CHV,コミュニティリーダー) とのインタビューを通じて集められた.
- 5歳未満の児童の介護者70人を対象に調査を行い,定量的なデータを収集した.
主要な成果:
- 病気の監視にコミュニティの関与はありますが,VPDでは一貫していません.
- 主な課題は,限られたCHV知識,高い作業量,デジタル識字能力の欠如,資源の不足です.
- 既存の報告システムは統合されていないことが多く,効果的な監視を妨げています.
結論:
- 地域から保健施設への報告に関する正式なガイドラインは,VPDのCBSを強化するために不可欠です.
- デジタルと従来の報告システムの統合と 調整の改善が必要である.
- 認定されたCHVトレーニングと持続可能な政策/資金の枠組みは,長期的な成功に不可欠です.
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