评估用于免疫计划实施的地理空间数据的使用情况以及对刚果民主共和国免疫覆盖率和公平性的相关影响
Dosithée Ngo-Bebe1, Patricia Mechael2,3, Fulbert Nappa Kwilu1
1Kinshasa School of Public Health, University of Kinshasa, Kinshasa, Democratic Republic of Congo.
BMC public health
|January 25, 2025
概括
地理导向免疫微计划改善了刚果民主共和国的疫苗接种服务. 综合性别的方法加强了社区参与,导致持续的高免疫覆盖率和更好地识别零剂量儿童.
科学领域:
- 公共卫生 公共卫生
- 地理空间数据分析.
- 疫苗接种计划 疫苗接种计划
背景情况:
- 刚果民主共和国 (DRC) 国家扩展疫苗接种计划旨在加强疫苗接种服务.
- 在9个省份实施了地理导向免疫微计划,以改善规划和交付.
- 该计划的重点是识别和免疫零剂量儿童,并提高整体免疫覆盖率.
研究的目的:
- 评估地理参考免疫微计划的吸收,使用和接受.
- 评估性别培训对数据收集和利用的影响.
- 分析微计划对免疫覆盖率的影响,特别是对于零剂量儿童.
主要方法:
- 采用混合方法设计,包括调查,采访和直接观察.
- 这项研究涉及三省15个卫生区的113个卫生设施 (两个干预,一个控制).
- 对2020-2022年免疫覆盖率数据进行了二次分析,以评估覆盖率的变化.
主要成果:
- 地理引用的微计划得到了很好的接待,并导致常规免疫计划和交付发生了重大变化.
- 性别干预积极影响了克服社会文化规范和参与社区的方法.
- 定量分析表明,Haut-Lomami地区的高免疫覆盖率持续趋势,其中3个抗原覆盖率有所改善.
结论:
- 地理引用数据对规划和提供常规免疫服务做出了积极的贡献.
- 建议进行进一步的分析,以评估性别干预对免疫覆盖率和公平性的长期影响.
- 该研究强调了地理空间数据和性别包容性战略在加强疫苗接种计划方面的潜力.
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