衡量重要因素:用于评估太平洋岛国和地区免疫绩效的具体情境指标
Cyra Patel1, Ginny M Sargent1, Adeline Tinessia2
1National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, Australia.
选择适当的免疫绩效指标对于改善疫苗接种覆盖率至关重要. 建议采用灵活的,国家特定的方法,而不是为太平洋岛国制定一个适合所有国家的模式.
科学领域:
- 全球健康 全球健康
- 医疗信息学 医疗信息学
- 公共卫生政策 公共卫生政策
背景情况:
- 提高免疫覆盖率对全球健康至关重要,需要有效的数据收集和基于证据的决策.
- 疫苗接种计划的数据收集和报告是资源密集的,需要务实的方法,特别是在低收入和中等收入国家.
研究的目的:
- 确定衡量和提高太平洋岛国 (PIC) 国家免疫绩效的基本指标.
- 通过专家共识评估现有指标的可行性和相关性.
主要方法:
- 一项专家诱导研究,涉及来自太平洋岛国13名专家.
- 两个评级轮评估41个可行性和相关性指标,然后对专家偏好和选择理由进行框架分析.
主要成果:
- 专家们确定了诸如计划规划中的数据使用和麻疹疫苗接种范围等重要指标.
- 指标偏好与相关性 (r=0.68) 和可行性 (r=0.56) 评分有适度的相关性.
- 关键的选择驱动因素包括对决策的有用性和数据收集,报告和解释的方便性.
结论:
- 单一的指标对所有太平洋岛国来说是不合适的,因为国家特定的卫生系统,行为者和宏观层面的因素.
- 疫苗接种绩效指标应灵活,具体国家,并与数据收集者和用户协商后选择.
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