对部分中等收入东南亚国家的免疫进展和计划结构进行景观分析
Jessabelle E Basa1, Ralf Clemens2, Sue Ann Costa Clemens3
1Research Institute for Tropical Medicine, Department of Health, Philippines; Institute for Global Health, University of Siena, Siena, Italy.
东南亚国家免疫计划表现不同. 马来西亚和泰国实现了高覆盖率,而菲律宾则扎. 可持续融资和捐助者支持是有效免疫接种的关键策略.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 疫苗学 疫苗学 疫苗学
背景情况:
- 国家免疫计划 (NIP) 对东南亚的公共卫生至关重要.
- 在该地区的中等收入国家中,表现有很大差异.
- 了解结构因素是改善疫苗覆盖率的关键.
研究的目的:
- 检查5个东南亚国家的NIP的表现和结构.
- 分析程序结构与性能之间的关系.
- 确定成功免疫接种的有效策略.
主要方法:
- 对NIP的绩效和结构进行比较分析.
- 数据来源于文献,世卫组织,联合国儿童基金会和Gavi数据库 (2010年基线).
- 专注于马来西亚,泰国,菲律宾,越南和缅甸.
主要成果:
- 马来西亚和泰国在2010-2021年期间保持了高覆盖率 (≥90%).
- 越南和缅甸实现了80-90%的覆盖率;菲律宾落后 (最大72%).
- 各国观察到政府融资增加;菲律宾使用"罪税"进行可持续融资.
结论:
- 可持续的融资,创新的融资机制 (如"罪税") 和捐助者支持对于NIP的成功至关重要.
- 国内疫苗制造可以防止缺货,并确保负担得起的疫苗供应.
- 有效的策略各不相同,但强有力的政府承诺和多样化的资金来源提高了免疫性能.
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