长期冲突中的疫苗管理:叙利亚西北部的案例
Ronja Kitlope Baatz1, Abdulkarim Ekzayez2,3, Yasser Najib4
1Deventer Hospital, Deventer, Netherlands. r.k.baatz@protonmail.com.
BMC health services research
|September 12, 2024
概括
叙利亚西北部由叙利亚免疫组织 (SIG) 领导的有效的疫苗接种治理在外展方面表现出优势,但在透明度和可持续性方面面临挑战. 提高当地所有权和国际支持是未来成功的关键.
科学领域:
- 公共卫生 公共卫生
- 卫生治理 卫生治理
- 冲突研究 冲突研究
背景情况:
- 冲突地区的疫苗接种计划面临着独特的治理挑战.
- 叙利亚西北部为提供基本医疗服务提供了一个复杂的环境.
研究的目的:
- 评估叙利亚西北部疫苗接种治理的有效性,效率,包容性,透明度,问责和可持续性.
- 确定当前疫苗接种治理结构的优缺点.
主要方法:
- 采用了混合方法的方法,调整了西迪基的健康治理框架.
- 数据收集包括14个关键信息人采访,一个验证工作坊和民族学观察.
- 结果被三角化,以全面了解疫苗接种治理.
主要成果:
- 创新方法加强了像叙利亚免疫组织 (SIG) 这样的地方性结构.
- 通过冷链可靠性和外展来证明有效性,但对损失和覆盖链接的数据分析有限.
- 包容性优先考虑弱势群体,但数据缺口和基于纸张的系统阻碍了分析;SIG有远见,但有限的合作伙伴参与.
- 透明度和问责制受到公共文件缺乏和监督分散的挑战;可持续性严重依赖捐助者资金.
结论:
- 叙利亚西北部的疫苗治理复杂,SIG发挥着关键作用.
- 提高透明度,提高地方所有权和参与决策对于改善至关重要.
- 国际支持和结构化的反机制对于计划的成功和可持续性至关重要,特别是在潜在的过渡阶段.
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