将实施科学定位在国家免疫计划中,以提高覆盖率的公平性,并推动实现免疫的进展"2030年议程:迫切的全球卫生要求"
Abdu A Adamu1,2, Duduzile Ndwandwe1, Rabiu I Jalo3
1Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa.
Human vaccines & immunotherapeutics
|March 31, 2024
概括
尽管有疫苗,但低收入和中等收入国家 (LMIC) 在儿童免疫接种方面存在差异. 实施研究可以解决这些障碍,以改善疫苗公平,并减少与实施失败相关的不公正成本.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 实施科学 实施科学
背景情况:
- 儿童传染病疫苗可用,但在低收入和中等收入国家 (LMIC) 面临着严重的获取和利用差异.
- 疫苗接种方面的差异是由多层次因素驱动的,包括个人,卫生机构,卫生系统和社区的影响.
- 实施科学提供了一个框架,可以弥合卫生系统的知识和实践之间的差距,特别是免疫计划.
研究的目的:
- 提出一个反思的观点,在免疫计划中定位实施研究,以提高覆盖率的公平性.
- 确定实施研究和疫苗接种战略之间的协同作用.
- 提出特定背景的实践变化,以改善疫苗接种率.
主要方法:
- 对实施研究定位的反思性视角.
- 实施研究和疫苗接种之间的协同作用的分析.
- 提出特定背景的实践变化建议.
主要成果:
- 实施研究对于了解和克服LMIC中疫苗接种和接种障碍至关重要.
- 实施研究和疫苗接种计划之间存在协同作用,以改善覆盖率.
- 特定背景干预可以解决已识别的实施挑战.
结论:
- 免疫计划的失败会产生重大和不公平的成本,突出了有效实施的必要性.
- 人权视角强调了解决免疫不平等问题的道德要求.
- 为优化实践环境中的实施研究提供了建议,以改善疫苗公平.
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