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盖维,第一步:全球基金的教训
Ruairí Brugha1, Mary Starling, Gill Walt
1Health Policy Unit, Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK. ruari.brugha@lshtm.ac.uk
Lancet (London, England)
|February 15, 2002
概括
四个非洲国家的卫生部面临全球疫苗和免疫联盟 (GAVI) 申请流程的挑战,原因是时间快速,资源紧张. 加强卫生系统需要仔细规划,以确保可持续的疫苗计划.
科学领域:
- 全球卫生倡议全球卫生倡议
- 加强卫生系统 加强卫生系统
- 疫苗融资是如何实现的
背景情况:
- 全球疫苗和免疫联盟 (GAVI) 作为全球抗击艾滋病,结核病和疟疾基金的典范.
- GAVI的目标是改善发展中国家获得疫苗的机会,并加强发展中国家的卫生系统.
研究的目的:
- 评估四个申请GAVI资金的非洲国家卫生部的经验.
- 确定申请资金的挑战和成功情况,以加强卫生系统和引入新疫苗.
主要方法:
- 质量评估涉及四个非洲国家的卫生部和合作伙伴.
- 面试和地区级访问,收集有关申请流程和卫生系统能力的数据.
主要成果:
- 各国欢迎新的疫苗 (如乙型肝炎) 和对免疫计划的财政支持.
- 挑战包括快速的应用速度,人力不足,运输不足,冷链不良和信息系统不可靠.
- 高成本疫苗在GAVI资金后的可持续性是一个问题.
结论:
- 全球基金的申请流程可能对已经过度紧张的卫生部提出更高的要求.
- 对于初始活动,建议采用以加强现有系统为重点的分阶段方法.
- 精心规划和评估对于大规模卫生计划的成功至关重要.
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