制定路线图,通过跨部门系统加强战略,实现和维持90%的完整免疫覆盖率,在印度比哈尔,印度
Manish Ratna1, Sanjay Kumar Singh2, Narendra Kumar Sinha2
1William J. Clinton Foundation, New Delhi, India. mratna@wjcf.in.
BMC health services research
|August 14, 2024
概括
在比哈尔实现90%的完整免疫覆盖率需要加强常规免疫系统. 一份路线图包含40多项干预措施,目标是数据,治理,能力和需求,以减少免疫不足和儿童死亡率.
科学领域:
- 公共卫生 公共卫生
- 免疫系统 免疫系统
- 卫生政策 卫生政策
背景情况:
- 常规免疫接种对于减少疫苗可预防疾病的儿童死亡率至关重要.
- 印度比哈尔州的完整免疫覆盖率 (FIC) 约为71%,远低于政府的90%目标.
- 对免疫不足的因素和驱动因素进行系统的调查对于达到90%的FIC至关重要.
研究的目的:
- 审查导致比哈尔儿童免疫不足的因素.
- 制定一个前性的路线图,以实现和维持90%的FIC.
- 采用系统强化方法来改善免疫计划.
主要方法:
- 进行了桌面审查,随后进行了广泛的利益相关者访谈和实地考察.
- 利益相关者包括免疫官员,卫生工作者,发展机构代表和护理人员.
- 进行了86次结构化采访,包括定性和定量参数.
主要成果:
- 他们注意到了比哈尔的免疫系统的积极评估.
- 在供应,服务提供和需求方面制定有针对性的战略是达到90%FIC的关键.
- 已经制定了一份为期5年的路线图,包括40多项优先干预措施.
结论:
- 比哈尔疫苗接种路线图项目系统评估并确定了改善免疫覆盖率的干预措施.
- 开发的路线图提供了一种方法性的方法,可以作为其他州和国家的参考.
- 主要干预重点是数据质量,治理,卫生工作者能力,以及增加对免疫服务的需求.
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