改善低收入和中等收入国家城市免疫接种的公平性:质量性文档审查
Rachel Victoria Belt1, Shakil Abdullah2, Sandra Mounier-Jack3
1Nuffield Department of Women's and Reproductive Health, University of Oxford, 75 George Street, Oxford OX1 2RL, UK.
Vaccines
|July 29, 2023
概括
城市免疫公平对于全球卫生目标至关重要. 关键障碍包括社会决定因素和服务提供问题,需要针对弱势群体量身定制的干预措施.
科学领域:
- 全球健康 全球健康
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
背景情况:
- 城市化给实现免疫平等带来了挑战,数百万儿童缺少必要的疫苗.
- 在全球范围内,近30%的接受零剂量白喉,结和百日咳 (DTP) 疫苗的儿童居住在城市地区.
研究的目的:
- 通过分析障碍和干预措施,增强对城市免疫平等的理解.
- 确定提高低收入和中等收入国家 (LMICs) 弱势城市人口接种疫苗覆盖率的战略.
主要方法:
- 从70多个城市地区 (2016-2020年) 的混合方法研究,免疫策略和资助建议进行了定性审查.
- 分析了由Gavi支持的文件,疫苗联盟,专注于LMICs.
主要成果:
- 确定了70份文件,将调查结果分类为健康的社会决定因素,服务提供障碍和服务质量.
- 在超过21个国家确定了障碍和解决方案,突出了城市疫苗接种的共同挑战.
结论:
- 像移民和非正式定居点居民这样的弱势群体面临着严重的进入障碍.
- 建议的解决方案包括量身定制的交付,数字数据的使用和儿童友好的服务;需要进一步研究干预的有效性和性别动态.
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