使用干预绘图来制定实施战略,以改善刚果民主共和国及时采用简化分娩剂量疫苗的实施
Alix Boisson-Walsh1, Bruce Fried1, Christopher M Shea1
1Department of Health Policy and Management, Gillings School of Global Public Health, The University of North Carolina, Chapel Hill, North Carolina, United States of America.
PLOS global public health
|January 25, 2024
概括
及时接种乙型肝炎分娩剂量疫苗 (HepB-BD) 对于预防母婴传播至关重要,但面临挑战. 使用干预绘图开发的VANISH-BD战略旨在改善撒哈拉以南非洲的HepB-BD及时管理.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 实施科学 实施科学
背景情况:
- 乙型肝炎分娩剂量疫苗 (HepB-BD) 在预防母婴传播方面是有效的,但在出生后24小时内及时施用时面临挑战.
- 撒哈拉以南非洲 (SSA) 有限的文献简化方法管理多个出生剂量疫苗 (HepB-BD,BCG,OPV0).
- 计划性挑战阻碍了HepB-BD在国家免疫计划中的广泛采用和及时交付.
研究的目的:
- 描述新生儿疫苗接种 - - 加速分娩剂量疫苗的创新策略 (VANISH-BD) 实施策略的发展.
- 解决系统制定战略的需要,以改善撒哈拉以南非洲的及时分娩剂量疫苗接种.
- 为未来的实施者提供信息,以改善及时和精简的分娩剂量疫苗接种.
主要方法:
- 干预映射是一种基于证据和理论驱动的方法,用于开发VANISH-BD战略.
- 在刚果民主共和国金沙萨省进行的需求评估为干预绘制过程的第一步提供了信息.
- 该战略被设计成具有上下文相关性,本地生产和可持续性.
主要成果:
- VANISH-BD战略是通过一个系统的,理论驱动的过程来制定的.
- 刚果民主共和国的需求评估为调整干预提供了关键数据.
- 开发的战略旨在促进及时的出生剂量疫苗接种.
结论:
- VANISH-BD战略为改善刚果民主共和国对HepB-BD的及时管理提供了一个框架.
- 这种系统地开发的实施策略可以适应撒哈拉以南非洲的类似环境.
- 解决方案性挑战是提高出生剂量疫苗接种覆盖率和预防乙型肝炎传播的关键.
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