在坦桑尼亚的兽医系统中整合基于社区的持续大规模狗疫苗接种交付策略:使用正常化过程理论进行过程评估
Christian Tetteh Duamor1,2,3, Katie Hampson3, Felix Lankester4,5
1Department of Global Health and Biomedical Sciences, Nelson Mandela African Institute of Science and Technology, Arusha, Tanzania.
One health (Amsterdam, Netherlands)
|June 19, 2023
概括
基于社区的连续大规模狗疫苗接种 (CBC-MDV) 显示出坦桑尼亚狂犬病控制的希望. 这种方法受到实施者和社区的青,需要进一步的社区参与才能获得持续的成功.
科学领域:
- 兽医公共卫生 兽医公共卫生
- 流行病学 流行病学
- 社区参与 社区参与
背景情况:
- 持续的狗疫苗接种可以阻止狂犬病的传播,但目前的方法面临着诸如低业主参与率和高成本等挑战.
- 狗种群的高周转率和运营效率低下阻碍了传统的集中,年度 (脉冲) 疫苗接种策略.
研究的目的:
- 调查将基于社区的连续大规模犬疫苗接种 (CBC-MDV) 纳入坦桑尼亚的常规实践的可能性.
- 用规范化过程理论评估影响CBC-MDV实施和整合的因素.
主要方法:
- 试点CBC-MDV实施的过程评估.
- 与24名实施者和社区领导人进行了深入采访.
- 与12个实施者/社区团体的焦点小组讨论和157小时的非参与者观察.
主要成果:
- 实施者和社区成员认识到CBC-MDV的价值,将其视为比脉冲疫苗接种的改进.
- 该方法与实施者时间表和当地环境保持一致;免费接种疫苗被视为动员的关键.
- 障碍包括缺乏社区反机制和影响合作的当地政治问题.
结论:
- CBC-MDV显示了坦桑尼亚兽医体系中整合和可持续性的潜力.
- 加强社区参与CBC-MDV的设计,交付和监测,可以改善和维持其结果.
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