填补肺炎球菌结合疫苗 (PCV) 引入差距:对最后一英里国家的原型分析
Preetika Banerjee1, Jasmine Huber1, Veronica Denti2
1International Vaccine Access Center, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Global health action
|December 12, 2023
概括
肺炎仍然是全球主要的儿童杀手. 这项研究确定了39个尚未引入肺炎球菌结合疫苗 (PCV) 的国家,并根据障碍物对它们进行分类,以制定针对儿童生存的定制引入策略.
科学领域:
- 全球健康 全球健康
- 疫苗学 疫苗学 疫苗学
- 公共卫生政策 公共卫生政策
背景情况:
- 全球范围内,肺炎是导致儿童感染死亡的首要原因.
- 肺炎球菌结合疫苗 (PCV) 是安全有效的,但并没有被普遍采用.
研究的目的:
- 确定尚未将PCV完全纳入国家免疫计划的国家.
- 分析影响PCV决策的障碍和促进因素.
主要方法:
- 进行了对国家指标的原型分析.
- 一个国家矩阵评估了健康,免疫和政策因素.
- 各国被分为PCV引入的低,中等和高障碍原型.
主要成果:
- 39个国家 (33个LMIC,6个高收入国家) 没有引入PCV.
- 15个LMIC是"低障碍"的,具有有利因素,如高疫苗覆盖率和Gavi支持.
- 12个"中度障碍"和6个"高障碍"国家面临着竞争的优先事项和成本问题.
结论:
- 一个基于指标的框架有助于在剩余的国家定制PCV宣传.
- 有针对性的政策方法可以改善疫苗的引入和获取.
- 加强决策将提高全球儿童存活率.
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