对多个合作伙伴的方法进行评估,以增加尼日利亚北部六个州的常规免疫覆盖率
Leanne Dougherty1,2, Mayokun Adediran3, Akinwumi Akinola3
1Population Council, Abuja, Nigeria. leanne_dougherty@hotmail.com.
BMC health services research
|August 20, 2024
概括
全球卫生伙伴关系,如基金会与尼日利亚北部州之间的常规免疫 (RI) 谅解备忘录,改善了卫生系统和疫苗接种范围. 人力资源,安全和物流方面的挑战仍然存在,需要更好的监测.
科学领域:
- 全球健康 全球健康
- 公共卫生政策 公共卫生政策
- 加强卫生系统 加强卫生系统
背景情况:
- 全球卫生伙伴关系对于协调公共卫生计划和加强卫生系统至关重要.
- 比尔和梅林达·盖茨基金会 (BMGF) 和阿利科·丹戈特基金会 (ADF) 通过谅解备忘录 (MoU) 与尼日利亚北部六个州 (2012-2022) 合作,以加强常规免疫 (RI) 系统.
- 该评估评估了谅解备忘录对计划绩效,能力,政府承诺和免疫覆盖率的影响.
研究的目的:
- 评估RI谅解备忘录对改善免疫计划绩效的贡献.
- 评估加强卫生系统,政府财政承诺和能力建设.
- 确定谅解备忘录对提高整体免疫覆盖率的影响.
主要方法:
- 采用混合方法方法,结合利益相关者采访和谅解备忘录投入和流程的桌面审查.
- 进行了卫生设施评估,客户退出访谈以及与服务提供商和社区领导人的定性访谈.
- 分析了免疫覆盖率的趋势,以评估谅解备忘录的整体影响.
主要成果:
- 总体而言,RI MoU成功地加强了卫生系统,提高了问责制,增加了RI的服务利用率和融资.
- 在2011年至2021年期间,在6个州观察到五等值3疫苗覆盖率的显著增加,在像Yobe.com这样的州获得了显著的收益.
- 持续面临的挑战包括健康的人力资源,影响监督的不安全,疫苗物流,社会文化规范以及需要强有力的监测和评估计划.
结论:
- 多个合作伙伴的方法,以谅解备忘录协议为例,为克服常规免疫计划中的卫生系统挑战提供了一个有希望的策略.
- 持续改进需要解决在人力资源,物流,安全和社会文化因素方面的已确定的挑战.
- 该研究强调了结构化伙伴关系在推动公共卫生倡议进步方面的潜力.
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