对低收入和中等收入国家免疫接种的综合健康运动进行范围审查
Syeda Tahmina Ahmed1, Shams Shabab Haider1, Suhi Hanif1
1BRAC James P Grant School of Public Health, BRAC University, 6th Floor, Medona Tower, 28 Mohakhali Commercial Area, Bir Uttom A K Khandakar Road, Dhaka 1213, Bangladesh.
Health policy and planning
|September 12, 2023
概括
综合健康运动 (IHC) 有效地改善了低收入和中等收入国家免疫覆盖率. 关键策略包括高效的资源使用和社区参与,尽管员工负担是一个障碍.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 全球健康 全球健康
背景情况:
- 实现全民健康覆盖需要有效的实施策略,如健康运动整合.
- 综合健康运动 (IHCs) 是加强医疗服务提供的一个关键战略,特别是在低收入和中等收入国家 (LMICs) 的免疫计划中.
研究的目的:
- 进行范围审查,综合LMIC中免疫接种中综合健康运动 (IHC) 的证据.
- 确定与LMICs IHC实施相关的共同策略,促进者和障碍.
主要方法:
- 一个系统的范围审查由四名审查员进行.
- 搜索包括PubMed,Scopus和谷歌学者对同行评审的文章和机构网站的灰色文献.
- 包括30篇文章 (20个学术,10个灰色),数据被演分析并以叙事综合形式呈现.
主要成果:
- 综合健康运动 (IHCs) 在计划和实施相结合时被发现是有效的.
- 共同的战略包括在偏远地区有效利用资源,利用国家免疫日,针对年龄组的干预,建立社区所有权,并整合具有共同元素的计划.
- 关键的促进因素是改善服务社区联系,强大的规划和协调,成本效益和现有基础设施的利用. 障碍包括短期成本优化和现场工作人员责任增加.
结论:
- 综合健康运动 (IHC) 是LMICs免疫计划中普遍存在的做法.
- 强有力的证据支持IHC增加覆盖率,提高社区对卫生服务的接受度,并加强基于社区的卫生服务模式.
- 评估证据中的差距凸显了对IHC进一步研究的需要.
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