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在资源有限的环境中部署疫苗冷链设备:来自喀麦隆Gavi冷链优化平台的经验教训
Jude Nkwain1, Vouking Marius Zambou2, Sangwe Clovis Nchinjoh3
1Gavi, the Vaccine Alliance, Chem. du Pommier 40, 1218 Le Grand-Saconnex, Geneva, Switzerland.
International health
|February 9, 2024
概括
在喀麦隆部署冷链设备 (CCE) 的延迟,从港口入口到卫生设施,阻碍了免疫计划. 改善协调和简化海关清关可以加快CCE的部署,并加强疫苗的获取.
科学领域:
- 公共卫生 公共卫生
- 供应链管理 供应链管理
- 全球卫生平等全球卫生平等
背景情况:
- 低于最佳的冷链设备 (CCE) 阻碍了免疫覆盖和公平.
- 加维的冷链设备优化平台 (CCEOP) 旨在在符合条件的国家现代化CCE.
- 关于国家一级CCE部署经验的数据有限.
研究的目的:
- 通过Gavi CCEOP在喀麦隆部署CCE所吸取的经验教训.
- 分析CCE部署时间表并确定瓶.
主要方法:
- 横截面研究设计. 截面研究设计.
- 从入境港口到喀麦隆62个卫生设施的CCE运输时间的数据收集.
- 分析每个阶段所花费的时间:清关,仓储和设施交付.
主要成果:
- 观察到的重大延误:海关10天,仓储2天,从仓库到设施257天 (>9个月).
- 从安装到设施投入使用的时间平均为53天 (范围为0-395),其中210天经常花在这个阶段.
- 关键的延误归因于协调,沟通,文档和最终调试流程的不良.
结论:
- 早期的海关参与,加强协调和沟通,以及适当的文件是至关重要的.
- 消除最后的调试步骤可以显著改善计划实施.
- 解决这些瓶可以加快CCE的部署,提高免疫计划的有效性.
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