在脆弱和受冲突影响的环境中开展COVID-19疫苗接种活动,索马里
Muhammad Farid1, Abdulrazak Ibrahim1, Hamayoun Mohammad1
1World Health Organization, Country Office, Chelsea compound, Aden Adde International Airport Road, Benadir region, Mogadishu, Somalia.
索马里通过实施定制,以人为中心的战略,显著提高了COVID-19疫苗的覆盖率,从5.5%提高到42.1%. 这种方法,整合服务和使用数字工具,即使在脆弱的环境中也取得了成功.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 全球卫生安全 全球卫生安全
背景情况:
- 到2021年12月,索马里2019年冠状病毒病 (COVID-19) 疫苗接种率较低 (5.5%) 构成了重大的公共卫生挑战.
- 索马里作为一个脆弱的,受冲突影响的国家的地位为大规模疫苗接种活动带来了独特的障碍,包括基础设施赤字和人口流离失所.
研究的目的:
- 描述一项旨在迅速增加索马里COVID-19疫苗覆盖率的响应性战略的实施和影响.
- 评估将COVID-19疫苗接种与常规儿童免疫接种和初级医疗保健服务相结合的有效性.
主要方法:
- 制定了一项响应性的战略,强调微计划,有针对性的宣传和分散的疫苗接种服务.
- 服务与现有的脊髓灰质炎根除网络和社区卫生工作者计划相结合.
- 为了提高效率和跟踪,引入了数据记录和基于移动的电子注册的数字工具.
主要成果:
- 到2022年12月,COVID-19疫苗覆盖率大幅增加至42.1%,达到2022年12月.
- 通过综合运动,超过84,600名零剂量儿童接受了他们的第一个常规儿童疫苗.
- 加强疫苗接种覆盖率带来了超过竞选投资的公共卫生效益.
结论:
- 量身定制的,上下文化的方法使成年人疫苗接种成功推出,即使在具有挑战性的,受冲突影响的环境中.
- 关键的成功因素包括精细的微观规划,利用数字技术,精确的人口定位,服务整合和基于社区的交付模式.
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