恢复常规免疫接种:为达到零剂量儿童的目标绘制外部融资机会
Sarah Tougher1, Nikhil Mandalia2, Ulla Kou Griffiths2
1Independent Researcher, Winnipeg, MB R3N 1P6, Canada.
Vaccines
|July 29, 2023
概括
在COVID-19期间,儿童疫苗接种覆盖率下降,零剂量儿童的数量增加. 免疫接种的外部资金在负担较高的国家之间有很大差异,这凸显了需要动员国内资源和改善捐助者协调的需要.
科学领域:
- 全球健康 全球健康
- 免疫接种计划 免疫接种计划
- 卫生经济学 卫生经济学
背景情况:
- 在全球范围内,COVID-19大流行导致儿童疫苗接种率大幅下降.
- 这导致儿童缺少基本免疫接种的数量大幅增加 (零剂量儿童).
- 有针对性的资源分配对于恢复疫苗接种覆盖率至关重要.
研究的目的:
- 绘制和分析免疫和初级医疗保健的活跃外部融资.
- 评估20个国家/地区的融资可获得性,这些国家/地区的零剂量儿童数量最多.
- 促进全球卫生倡议的透明度和加强捐助者协调.
主要方法:
- 对免疫和初级医疗保健的积极外部融资进行了映射.
- 专注于20个国家,这些国家被确定为零剂量儿童人口最多的国家.
- 分析了各种机制和资金来源的融资数据.
主要成果:
- 在被研究的国家中,在获得外部融资方面观察到显著的差异.
- 巴西和墨西哥等中高收入国家主要依靠国际复兴开发银行提供的贷款.
- 一些符合条件的国家,包括安哥拉,印度尼西亚,菲律宾和越南,目前没有利用Gavi资金用于卫生系统加强或公平加速器.
- 跨不同融资机制的数据综合是具有挑战性的,因为存在很大的差异.
结论:
- 在高负担国家免疫接种的外部融资非常多变.
- 国内资源动员对于那些外部融资选择有限的国家来说至关重要.
- 需要进一步努力,以提高数据的一致性和全球卫生捐助者之间的协调,以有效支持免疫计划.
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