提高莫桑比克和马拉维的儿童免疫覆盖率:研究混合方法评估"让我们谈谈疫苗"多站点社区参与项目的研究协议
Linda Shuro1, Emily Lawrence2, Lucia Knight3
1School of Public Health, Faculty of Community and Health Sciences, University of the Western Cape, Cape Town, South Africa.
PloS one
|November 20, 2024
概括
基于社区的参与性研究和以人为中心的设计改善了低收入国家儿童免疫接种的机会. 这些方法共同创建了克服障碍的干预措施,提高了疫苗接种率和公共卫生结果.
科学领域:
- 公共卫生 公共卫生
- 全球健康 全球健康
- 加强卫生系统 加强卫生系统
背景情况:
- 在低收入和中等收入国家,儿童疫苗接种面临着挑战,COVID-19大流行加剧了这一挑战.
- 基于社区的参与型研究 (CBPR) 和以人为中心的设计 (HCD) 为量身定制的公共卫生干预提供了潜力.
- VillageReach的"让我们谈谈疫苗"项目利用CBPR和HCD来解决马拉维和莫桑比克的常规免疫接种和接种问题.
研究的目的:
- 评估CBPR和HCD方法在改善儿童免疫覆盖率方面的有效性.
- 评估共同创建的干预措施的实施过程 (覆盖范围,采用,实施,维护).
- 描述变化理论,并将复杂的系统思维整合到卫生系统中,加强免疫计划.
主要方法:
- 根据Reach Effectiveness Adoption Implementation Maintenance (RE-AIM) 的框架进行前性评估.
- 对定性数据的专题分析和对免疫结果的干预有效性的中断时间序列分析.
- 综合复杂的系统思维和健康系统强化结构.
主要成果:
- 评估马拉维和莫桑比克共同创建的干预措施和实施过程.
- 对特定的两次免疫接种结果的干预有效性的分析.
- 识别社区响应免疫计划的最佳实践,机遇和挑战.
结论:
- 这项评估提供了关于社区驱动的常规免疫解决方案影响的证据.
- 调查结果将为开发一个框架提供信息,用于扩大基于社区的方法,以改善儿童免疫接种和接种.
- 该研究强调了在全球卫生倡议中改进社区响应性编程的机会.
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