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利用CORE集团合作伙伴项目脊髓灰质炎基础设施,在南苏丹整合COVID-19疫苗接种和常规免疫接种
Anthony Kisanga1, Kathy Vassos Stamidis2, Samuel Rumbe1
1CORE Group Partners Project South Sudan, Juba, South Sudan.
Global health, science and practice
|December 21, 2023
概括
在南苏丹整合常规免疫接种和COVID-19疫苗接种服务,改善了儿童和成人疫苗的覆盖率. 这种方法提高了获得全面医疗服务的机会,特别是在偏远地区,尽管存在最初的挑战.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 加强卫生系统 加强卫生系统
背景情况:
- 在COVID-19大流行期间,脆弱的卫生系统面临着日常免疫接种的重大中断.
- 南苏丹的一岁以下儿童的常规免疫率下降.
- 对COVID-19疫苗的犹和不情愿进一步复杂化了免疫接种工作.
研究的目的:
- 描述COVID-19疫情应对与南苏丹现有的脊髓灰质炎根除活动的整合.
- 评估这种整合对常规免疫接种和COVID-19疫苗接种覆盖率的影响.
- 分析综合疫苗服务的流程,结果和挑战.
主要方法:
- 采用了五个阶段的方法:需求评估,多部门合作,服务交付计划,准备情况评估和实施/评估.
- 整合优先考虑协调,培训,微型规划,数据管理和最后一英里的疫苗输送.
- 通过"一站式"会议提供服务,提供常规儿童免疫接种,成人COVID-19疫苗接种和其他初级卫生服务.
主要成果:
- 综合服务提供带来了儿童常规免疫覆盖率的提高.
- 成年人中COVID-19疫苗接种覆盖率也增加.
- 服务交付成本降低,COVID-19疫苗每剂价格为4.70美元,难以到达的地区获得全面卫生服务的机会得到改善.
结论:
- 整合卫生服务可以改善疫苗接种和覆盖率.
- 成功的整合需要明确的政策,承诺和强有力的合作.
- 通过倡导,伙伴关系和社区参与,克服了利益相关者的抵抗和资源紧张等挑战.
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