使用定性系统映射来分析LMIC中常规儿童免疫接种行为和社会 (BeSD) 决定因素之间的联系
Lalitha Vadrevu1, Shradha S Parsekar2, Monica Jain2
1International Initiative for Impact Evaluation, 3ie, Unit no. 306, 3rd Floor, Rectangle- 1, D-4, Saket District Centre, Saket New Delhi, 110017, India. lsv2115@caa.columbia.edu.
BMC public health
|December 18, 2024
概括
了解疫苗接种需要分析行为和社会驱动因素 (BeSD). 定性系统映射揭示了复杂的相互关系,突出了信任和服务质量作为有效免疫计划的关键杆点.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 行为科学 行为科学
背景情况:
- 有效的免疫计划取决于了解影响疫苗接种的因素.
- 行为和社会驱动因素 (BeSD) 是常规免疫策略的关键组成部分.
- 定性系统映射 (QSM) 提供了一种新的方法来分析这些复杂的相互作用.
研究的目的:
- 分析常规免疫接种的行为和社会驱动因素 (BeSD) 之间的相互关系.
- 在BeSD框架内确定提高疫苗接种率的关键杆点.
- 了解影响免疫计划有效性的复杂动态.
主要方法:
- 一个系统的审查92个实验和准实验性影响评估 (IE) 从11个LMIC (2010-2020).
- 应用世卫组织的BeSD框架来编码IE内部的决定因素.
- 定性系统映射 (QSM) 可视化和分析BeSD决定因素之间的关系和影响 (在度和外度).
主要成果:
- 免疫知识,对卫生系统的信任,服务质量和社区参与度都显示出高分,这表明它们受到多种因素的影响.
- 护理人员对服务质量,提供者可用性,宗教领袖,社区参与和身体可访问性的看法都有很高的分数,这表明它们影响了其他决定因素.
- 确定了两个重要的反循环:医疗提供者的可用性/身体可用性和对免疫质量的信任/感知.
结论:
- 免疫接种的决定因素是密切相关的,BeSD驱动器作为关键的杆点.
- 护理人员对免疫服务的经验和对卫生系统的信任显著影响了接种率.
- 解决对疫苗接种的恐惧需要理解其与机会和货币成本的联系,为特定背景的研究和干预提供信息.
关键词:
成为SD的疫苗接种的行为和社会决定因素在CLD中,我们可以使用CLD.原因循环图形 原因循环图形这是一个LMIC.在QSM中,QSM是QSM.质量审查是一种质量审查.定性系统映射定性系统映射常规免疫接种 常规免疫接种更多相关视频
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