确定实施策略,以解决在北京实施学校流感疫苗接种计划的障碍
Ruijie Yan1, Xuejun Yin1,2, Yiluan Hu1
1School of Population Medicine and Public Health, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing, 100730, China.
Implementation science communications
|October 11, 2023
概括
学校接种流感疫苗可以改善儿童健康,但在北京的接种率很低. 主要障碍包括家长的误解和协调不良,需要有针对性的战略来更好地实施.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 实施科学 实施科学
背景情况:
- 学校流感疫苗接种 (SLIV) 旨在提高疫苗接种率并减少儿童的疾病.
- 尽管有好处,但中国北京的SLIV实施显示疫苗接种覆盖率低且不一致.
- 了解障碍物和促进者对于改善SLIV计划至关重要.
研究的目的:
- 确定SLIV在北京实施的障碍和促进者.
- 提出基于证据的战略,以提高SLIV计划的质量和交付.
主要方法:
- 与24个不同的利益相关者 (卫生/教育官员,学校医生,教师,家长) 进行半结构化采访.
- 使用实施研究综合框架 (CFIR) 进行数据收集和分析.
- 应用了CFIR-ERIC匹配工具来制定有针对性的实施策略.
主要成果:
- 促进者:易于接种疫苗,明确的跨部门合作,学校整合和计划优先.
- 障碍:父母的误解,疫苗/计划协调效率低下,缺乏规划,信息获取不佳.
- 拟议的战略针对系统,学校和消费者层面,以改善SLIV交付.
结论:
- 显著的障碍阻碍了有效的SLIV计划交付.
- 基于理论的策略,由这项预实施研究提供信息,对于成功实施SLIV和改善儿童健康结果至关重要.
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