衡量国家免疫系统绩效:对可用资源的系统评估
Cyra Patel1, Nicole Rendell2, Ginny M Sargent2
1National Centre for Epidemiology and Population Health, Australian National University, Acton, Australia. cyra.patel@anu.edu.au.
Global health, science and practice
|June 22, 2023
概括
评估免疫系统性能需要的不仅仅是疫苗接种覆盖率数据. 这次审查发现监测和评估资源的变化和差距,强调需要量身定制的方法来改进免疫计划.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 免疫接种计划 免疫接种计划
背景情况:
- 疫苗接种覆盖率是一个常见的,但不足的衡量标准来评估免疫性能.
- 评估免疫系统的基本组件是复杂的,有各种可用的监测和评估 (M&E) 资源.
- 了解如何衡量免疫系统的性能对于改善全球健康结果至关重要.
研究的目的:
- 审查和分析免疫系统现有的监测和评估 (M&E) 资源.
- 确定用于衡量免疫系统及其组件性能的国家一级指标.
- 了解免疫领域当前的M&E工具的范围和局限性.
主要方法:
- 自2000年以来出版的同行评审和灰色文献的系统审查.
- 识别含有针对免疫系统组件的国家一级指标的M&E资源.
- 按系统组件 (治理,融资等) 分类指标的分类和叙述总结. 和结果. 和结果.
主要成果:
- 确定了20个资源,有631个不同的指标.
- 免疫计划的结果,主要是疫苗接种覆盖率,是最常见的指标.
- 疫苗物流的指标普遍存在,而监管和需求产生的指标是最不常见的.
- 在评估信息系统和劳动力绩效方面观察到显著的异质性.
- 关于成年人疫苗接种,数据使用,公平,安全监督和公共卫生工作人员可用性的关键指标显著缺失.
结论:
- 在评估免疫系统性能的指标中存在相当大的变化和差距.
- 政策制定者应该将M&E资源定制为特定的背景,以获得更好的洞察力.
- 改善决策中的数据使用对于加强免疫计划至关重要.
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