从前线领导:以社区为导向的方法来加强疫苗的交付和接受
Baldeep K Dhaliwal1,2, Rajeev Seth3, Betty Thankachen3
1Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. bdhaliw1@jhu.edu.
BMC proceedings
|June 30, 2023
概括
社区参与疫苗计划改善了印度的疫苗接受和知识. 这种由社区驱动的方法赋予了当地领导人和卫生工作者权力,减少了错误信息并增加了疫苗接种率.
科学领域:
- 公共卫生 公共卫生
- 社区卫生干预措施 社区卫生干预
- 疫苗学 疫苗学 疫苗学
背景情况:
- 全球免疫覆盖率因疫苗犹和COVID-19大流行而下降.
- 社区参与疫苗干预措施是有希望的,但缺乏关注社区所有权.
- 印度哈里亚纳州梅瓦特区等地区的疫苗接种率仍然很低.
研究的目的:
- 共同设计和实施社区驱动的干预措施,以改善疫苗在覆盖率较低的地区接受疫苗.
- 通过社区参与,解决疫苗接种障碍和促进者的问题.
- 促进社区对疫苗推广策略的拥有权.
主要方法:
- 基于社区的参与式研究从干预概念到实施都被采用.
- 使用了社区问责委员会和以人为中心的设计研讨会.
- 与社区领导人和卫生工作者共同创建了六个方面干预措施,包括宗教领袖的参与,当地冠军传播,视频宣传,沟通培训和改善卫生工作者协调.
主要成果:
- 父母和照顾者对疫苗及其副作用的知识有所提高.
- 社区参与,特别是宗教领袖的参与,被认为是有益的.
- 接种疫苗的意愿增加,而非物流拒绝原因减少.
- 社区领导人和卫生工作者报告说,他们增加了所有权,更好地应对担忧,减少了疫苗错误信息.
结论:
- 社区驱动的方法,结合当地需求和专业知识,可以加强疫苗的接受.
- 扩大当地声音和利用自下而上的战略对于成功的长期干预设计至关重要.
- 这种模式对于解决疫苗犹和改善不同人群免疫覆盖率至关重要.
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