在低收入和中等收入国家提供综合疫苗和公平的基于小组的轨迹模型
Sanjana J Ravi1, Andrés I Vecino-Ortiz2, Christina M Potter3
1Center for Health Security, Johns Hopkins Bloomberg School of Public Health, 700 East Pratt Street, Suite 900, Baltimore, MD, 21202, USA. sanjana@jhu.edu.
综合性疫苗接种改善了疫苗接种公平性,特别是在初始不平等性较高的地区. 这种方法将常规免疫接种与其他卫生服务联系起来,以获得更好的人口健康结果.
科学领域:
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
- 加强卫生系统 加强卫生系统
背景情况:
- 综合疫苗接种将常规免疫接种与基本卫生服务联系起来.
- 这种整合对于公平改善人口健康至关重要.
- 它是有效的初级卫生保健系统的关键组成部分.
研究的目的:
- 分析综合疫苗接种与疫苗接种公平之间的关系.
- 确定影响低收入和中等收入国家疫苗接种公平性的因素.
- 评估综合疫苗接种对疫苗接种覆盖率和公平性的影响.
主要方法:
- 利用来自78个低收入和中等收入国家的纵向数据,得到了Gavi,疫苗联盟的支持.
- 采用多重归算来处理缺失的数据.
- 应用基于组的轨迹模型和多项逻辑回归.
主要成果:
- 确定了地理和社会经济疫苗接种公平的不同轨迹.
- 整合与减少麻疹疫苗接种方面的不平等相关.
- 整合与更高的麻疹疫苗接种覆盖率有关.
结论:
- 综合疫苗接种显著提高了疫苗接种公平性,特别是在不平等性很高的地方.
- 需要进一步的研究来完善理解和衡量整合对健康公平的影响.
- 加强综合性交付系统对于全球健康公平至关重要.
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