审查低,中和中等收入国家卫生工作者疫苗接种计划
Gabriel C Gaviola1,2, Maddison McCarville3,4, Stephanie Shendale5
1Department of Occupational Medicine, Cambridge Health Alliance, Cambridge, MA, USA.
Public health in practice (Oxford, England)
|August 7, 2023
概括
低收入和中等收入国家的卫生工作者常规接种疫苗面临障碍,其中B型肝炎,流感和MMR疫苗是最受讨论的. 改善免疫计划需要解决成本问题,并将疫苗接种纳入现有卫生基础设施.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 卫生政策 卫生政策
背景情况:
- 卫生工作者 (HW) 面临疫苗可预防疾病的高风险.
- 常规疫苗接种对于患者和社区的安全至关重要.
- 低收入和中等收入国家 (LMIC) 在HW免疫接种方面面临挑战.
研究的目的:
- 评估在LMIC中对常规HW疫苗接种的文献.
- 确定免疫计划的促进者,障碍物和考虑因素.
- 为提高HW疫苗接种覆盖率的战略提供信息.
主要方法:
- 在PubMed上进行文献搜索 (2000-2022年).
- 包括原始文章,元分析和评论.
- 诱导性内容分析以确定主题.
主要成果:
- 乙型肝炎,流感和MMR是最常讨论的抗原.
- 接种疫苗往往不是免费的,也不是HW的定期计划的一部分.
- 利用现有的免疫基础设施 (如EPI) 和有效的计划管理是关键的促进因素.
结论:
- 在LMIC中,低HW疫苗接种覆盖率是一个重大问题.
- 解决障碍和促进因素对于改善覆盖率至关重要.
- 随着COVID-19的流行,我们有机会加强对其他抗原的HW免疫政策.
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