增加免疫覆盖率,所罗门群岛,2022年
Reta Angessa1, Rockson Siliota2, Jenniffer Anga2
1World Health Organization, Office of the Representative to Solomon Islands, Ministry of Health Bldg, Chinatown Honiara, Solomon Islands.
Bulletin of the World Health Organization
|September 25, 2024
概括
通过加强支持性监督和数据使用,所罗门群岛的常规免疫覆盖率得到恢复. 世界卫生组织 (WHO) 的"到达每一个地区" (RED) 方法在改善疫苗接种率方面证明是有效的,即使是在大流行期间.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 全球健康 全球健康
背景情况:
- 所罗门群岛马拉伊塔和西部省份的常规免疫覆盖率大幅下降,原因是2022年初COVID-19大流行引起的卫生服务中断.
- 2002年,所罗门群岛先前采用了世界卫生组织 (WHO) 的"到达每一个地区" (RED) 方法来改善免疫服务.
研究的目的:
- 评估加强支持性监督,监测和数据利用对所罗门群岛低覆盖率省份常规免疫覆盖率的影响.
- 评估世卫组织"到达每一个地区" (RED) 方法在恢复和改善疫苗接种率的有效性.
主要方法:
- 在2022年7月至9月期间实施加强支持性监督,系统监测和数据驱动决策.
- 卫生工作者有权识别挑战并制定提高绩效的策略,每月传播覆盖数据和实地调查结果.
主要成果:
- 在马拉伊塔省,五价疫苗第三剂的报道覆盖率从40%增加到121%,第一剂麻疹-红疹疫苗的报道覆盖率从30%增加到159%.
- 在西部省份,五价疫苗第三剂的报道覆盖率从38%上升到191%,而第一剂麻疹-红疹疫苗的覆盖率从44%上升到149%.
- 在全国范围内,其他省份报告的免疫覆盖率在五价疫苗中从64%增加到88%,在麻疹-红疹疫苗中从59%增加到137%.
结论:
- 加强支持性监督,系统监测和数据利用在恢复两个覆盖率低的省份的常规免疫覆盖率方面发挥了重要作用.
- 该研究表明,在改善免疫覆盖率方面,世卫组织"到达每一个地区" (RED) 方法的持续相关性和有效性,即使是在COVID-19流行病等公共卫生紧急情况期间.
- 这些发现支持全国范围内重新扩展WHO RED方法,以维持和改善所罗门群岛的免疫服务.
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