培训卫生工作者和社区影响者成为疫苗冠军:混合方法RE-AIM评估
Jessica Kaufman1,2, Isabella Overmars3, James Fong4
1Vaccine Uptake Group, Murdoch Childrens Research Institute, Parkville, Victoria, Australia jess.kaufman@mcri.edu.au.
培训社区疫苗冠军显著提高了对疫苗的信心和在斐济接种疫苗的意图. 这次干预强调了社区参与公共卫生倡议的重要性.
科学领域:
- 公共卫生 公共卫生
- 卫生沟通健康沟通
- 疫苗学 疫苗学 疫苗学
背景情况:
- 全球对疫苗的信心对公共卫生至关重要,尤其是在COVID-19疫苗接种和常规免疫维护方面的挑战.
- 基于社区的干预措施是常见的疫苗推广,但其有效性的证据仍然有限.
- 澳大利亚,斐济卫生部和联合国儿童基金会在2022年共同努力,旨在解决这一差距.
研究的目的:
- 为卫生工作者和社区影响者共同设计,交付和评估疫苗教育和沟通培训计划.
- 在斐济加强推广COVID-19和常规免疫接种.
- 评估该计划对疫苗信心和社区成员打算接种疫苗的影响.
主要方法:
- 疫苗冠军计划涉及联合设计,培训和为期6个月的社区讨论会实施阶段.
- 评估使用了RE-AIM框架,采用混合方法收集数据 (采访,调查,现场笔记) 进行全面分析.
- 测量的主要结果包括冠军的知识,自我效能,对COVID-19疫苗的信任以及社区成员的疫苗接种意图.
主要成果:
- 35名疫苗冠军 (卫生工作者,影响者) 接受了培训;30人进行了54次讨论会,覆盖了1717名社区成员.
- 培训增强了冠军的沟通,自我效能和对COVID-19疫苗的信任.
- 社区成员打算接种疫苗的意愿在会议后显著增加,从41%增加到83%.
结论:
- 培训社区卫生工作者和影响者成为疫苗冠军有效地促进了疫苗的信心和接种.
- 政府的支持和利益相关者的参与对于这些公共卫生计划的可持续性至关重要.
- 严格的评估框架对于建立疫苗推广干预措施更强有力的证据基础至关重要.
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