基于社区的干预,以改善科塔金纳巴卢,萨巴赫边缘化社区定居点的麻疹疫苗接种完成率:一个集群随机对照试验
Hazeqa Salleh1, Richard Avoi2, Haryati Abdul Karim3
1Department of Public Health Medicine, Faculty of Medicine & Health Sciences, University Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.
BMC infectious diseases
|April 12, 2025
概括
基于社区的干预改善了沙巴的麻疹含有疫苗 (MCV) 完成率,显示出社区的高度接受和满意度. 为了达到疫苗接种目标的最佳成功,需要进一步精细化.
科学领域:
- 公共卫生 公共卫生
- 疫苗接种是为了免疫.
- 社区卫生干预措施 社区卫生干预
背景情况:
- 在全球范围内,COVID-19大流行减少了麻疹免疫覆盖范围.
- 萨巴的边缘化人口面临麻疹免疫接种障碍.
- 流行后的麻疹疫情需要改进的疫苗策略.
研究的目的:
- 评估一个以社区为基础的干预措施,以提高含麻疹疫苗 (MCV) 完成率.
- 评估社区对干预措施的接受度和满意度.
- 解决弱势群体免疫覆盖率低的问题.
主要方法:
- 六个月的集群随机对照试验 (RCT).
- 干预:受过培训的社区志愿者使用MCV的提醒/召回.
- 对比:标准疫苗接种服务;使用AIM-IAM-FIM和CSQ-8进行评估.
主要成果:
- 在干预组中,MCV完成率为80.4%.
- 干预组的满意度得分明显高 (p < 0.001).干预组的满意度得分明显高 (p < 0.001).
- 社区对干预措施的高度接受 (97%).
结论:
- 基于社区的干预措施显示出增强MCV完成的潜力.
- 干预策略需要改进才能获得更大的成功.
- 参与边缘化社区对于实现疫苗接种目标至关重要.
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