批量质量保证采样用于评估新疫苗的覆盖范围:试点研究
Rhythm Hora1, Arindam Ray2, Imkongtemsu Longchar3
1John Snow India, New Delhi, India.
Vaccine: X
|November 19, 2024
概括
批量质量保证采样 (LQAS) 有效地监测新疫苗覆盖率,识别需要专注关注的领域. 这种方法被证明与同步现场监测可比,用于评估印度的免疫率.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 流行病学 流行病学
背景情况:
- 疫苗可预防的疾病仍然是全球五岁以下儿童死亡的主要原因.
- 高疫苗接种率对于降低疾病负担至关重要,需要有效的监测策略.
- 鉴定疫苗接种覆盖率低于最佳的地区对于免疫计划来说是一个挑战.
研究的目的:
- 试点批量质量保证采样 (LQAS) 用于对新推出的疫苗进行现场监测.
- 在评估免疫覆盖率方面,将LQAS的有效性与例行并发现场监测进行比较.
主要方法:
- 在印度纳加兰德州的Medziphema区进行了一项基于社区的横截面研究.
- 批量质量保证采样 (LQAS) 涉及55名儿童 (0-23个月) 在5个初级卫生中心 (批量).
- 同时的实地监测包括同一年龄组的30名儿童 (0-23个月) 的随机样本.
- 数据收集使用了对数字工具的预先测试问卷,验证免疫卡和护理人员回忆.
- 使用SPSS版本25.0.0进行统计分析.
主要成果:
- 适应年龄的PCV疫苗接种覆盖率为93.3%,同时进行实地监测,为90.9%,使用LQAS.
- 两种方法之间没有观察到统计学上显著的差异 (p > 0.05).
- 根据LQAS的研究结果,LQAS显示了识别表现不佳地区的潜力.
结论:
- 批量质量保证采样 (LQAS) 是监测新疫苗免疫覆盖率的可行方法.
- 对于有针对性的干预,LQAS提供了识别具有低绩效的特定口袋的优势.
- 这项研究支持使用LQAS作为公共卫生免疫计划中的有效工具.
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