尼日利亚最佳AEFI监控和文档的障碍:从定性调查的结果
Semeeh Akinwale Omoleke1, Moyosola Bamidele1, Laurent Cleenewerck de Kiev1
1School of Global Health and Bioethics, Euclid University, Bangui, Central African Republic.
PLOS global public health
|September 8, 2023
概括
有效的疫苗安全监测至关重要,但许多国家缺乏强大的系统. 这项研究确定了尼日利亚免疫接种后最佳不良事件 (AEFI) 监测的重大卫生系统和社会生态障碍,影响了疫苗信心和公共卫生目标.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 卫生系统研究 卫生系统研究
背景情况:
- 免疫接种后不良事件 (AEFI) 的有效自发报告对疫苗安全至关重要.
- 许多资源较少的环境,特别是在非洲,面临着弱弱的疫苗安全监测系统的挑战.
- 疫苗接种计划已经扩大,但AEFI监控能力没有得到相应的增强.
研究的目的:
- 全面调查尼日利亚有效AEFI监控系统的障碍.
- 了解制定有针对性的政策和战略的方案和监管影响.
- 在尼日利亚背景下识别阻碍最佳AEFI监控和文档的障碍.
主要方法:
- 使用接地理论方法进行定性研究设计.
- 进行了十次关键线人采访.
- 与研究群体举行了两次焦点小组讨论会.
主要成果:
- 尼日利亚的AEFI监控系统功能良好,但效果不佳.
- 主要障碍包括人力资源问题 (知识差距,工作量,态度障碍),治理赤字 (垂死委员会,监督薄弱),以及资金/物流挑战 (预算不足,转介不良).
- 社会生态因素,如不安全,贫困,地理障碍,有限的ICT基础设施和社区参与度低下,也阻碍了监视.
结论:
- 解决尼日利亚低于最佳的AEFI监测需要采取多方面的方法,以加强卫生系统和社区参与为目标.
- 克服已识别的障碍对于改善疫苗安全,恢复公众信心和促进疫苗需求至关重要.
- 加强AEFI监督有助于加强初级医疗保健服务,普及卫生覆盖 (UHC) 和可持续发展目标 (SDGs).
相关概念视频
01:19Pharmacovigilance
884
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
884
01:06Legal Guidelines for Documentation
1.3K
The legal guidelines for nursing documentation are essential for ensuring accurate, professional, and ethical recording of patient care. The guidelines are discussed here:
1.3K
01:26Principles of Disease Surveillance
122
Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
122
01:22Healthcare Associated Infections II: Preventive Measures
2.7K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.7K
01:51Vaccinations
44.7K
Overview
44.7K
01:30Guidelines for Nursing Documentation I
1.1K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.1K