在撒哈拉以南非洲,免疫接种的卫生支出与免疫覆盖率有关吗? 一个多国分析,2013-2017年
Israel Oluwaseyidayo Idris1,2, Luke Ouma3, Janet Tapkigen4
1Immunization Analysis & Insights Unit, NAIJAHEALTH Initiative, Lagos, Nigeria.
BMJ open
|January 12, 2024
概括
为了在撒哈拉以南非洲地区达到80%的免疫覆盖率,各国需要大幅增加卫生支出. 国内融资策略对于可持续的疫苗计划和实现2030年目标至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 撒哈拉以南非洲面临着疫苗可预防疾病的高负担和免疫覆盖率低.
- 疫苗和免疫计划的可持续融资至关重要.
研究的目的:
- 估计国家免疫计划达到至少80%的覆盖率所需的最低卫生预算部分.
- 评估有或没有捐助者支持的融资需求.
主要方法:
- 来自世卫组织,GAVI和世界银行数据库 (2013-2017) 的二次数据的多国分析.
- 利用分数逻辑和通用线性模型来分析BCG,DPT3和MCV1.1的免疫覆盖率.
- 检查了当前卫生支出与免疫覆盖率之间的关联.
主要成果:
- 当前卫生支出 (占GDP的百分比) 与BCG和DPT3覆盖率有关.
- 特别是针对免疫的医疗支出不是覆盖率的强有力的预测指标.
- 在一些国家实现80%的DPT3覆盖率需要超过45%的医疗支出增加.
结论:
- 增加国家免疫计划的国内资金是必要的.
- 制定战略以支持非洲国家增加国内资金至关重要.
- 需要努力实现2030年免疫覆盖率目标.
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