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危机环境中儿童接种疫苗服务的治理:一个范围审查
Nada Abdelmagid1,2, Rosamund J Southgate3, Mervat Alhaffar1,4
1Department of Infectious Disease Epidemiology and International Health, Faculty of Epidemiology and Population Health, The London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK.
Vaccines
|December 23, 2023
概括
儿童在危机环境中的疫苗接种在规划和治理方面面临挑战. 分碎的结构和相互竞争的优先事项阻碍了有效的疫苗交付,需要更好的文件和研究.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 卫生政策 卫生政策
背景情况:
- 在受危机影响的环境中,儿童接种疫苗的不足仍然存在.
- 这引发了人们对疫苗选择,时间,地点和接种者向的决策过程的担忧.
- 有效的疫苗接种策略对于缓解弱势群体疾病爆发至关重要.
研究的目的:
- 描述儿童疫苗接种干预设计和计划在危机环境中的关键特征.
- 调查儿童疫苗接种治理的定义,理解和实践.
- 在紧急情况下确定疫苗接种计划实施的挑战和改进领域.
主要方法:
- 对193篇同行评审文章和灰色文献进行了范围审查.
- 分析的重点是2010年至2021年间的41次危机.
- 应用治理分析框架,使用描述性统计和演性/诱导性编码.
主要成果:
- 大多数文件都集中在冲突地区的活跃疫情 (脊髓灰质炎,霍乱,麻疹) 上.
- 关于疫苗接种方式,目标人群,疫苗来源和资金的信息有限.
- 治理结构是多个参与者,但分散,参与不公平,合作不良,缺乏共同的愿景.
结论:
- 在危机环境中,儿童疫苗接种治理的特点是碎片化和竞争优先级.
- 在紧急情况下改善疫苗接种决策,治理和规划的文件是必不可少的.
- 建议在决策空间内进行实证研究,以提高干预的有效性.
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