克服挑战,在喀麦隆实现高HPV疫苗接种率:从性别中立和单剂量计划以及社区参与中吸取的经验教训
Andreas Ateke Njoh1,2, Dur-E-Nayab Waheed3, Tchokfe Shalom Ndoula Josue Kedakse1
1Expanded Program on Immunization, Ministry of Public Health, Yaoundé, Cameroon.
BMC public health
|May 9, 2025
概括
喀麦隆通过采用性别中立的单剂量政策和实施定期强化常规免疫接种 (PIRI) 来改善HPV疫苗接种范围. 这些策略显著提高了女孩和男孩的HPV疫苗接种率,克服了最初的挑战.
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:
- 人类乳头瘤病毒 (HPV) 感染是一个重大的全球健康问题,导致各种癌症和生殖器.
- 喀麦隆面临着HPV的高疾病负担,疫苗接种覆盖面临的挑战阻碍了预防工作.
- 本研究检查了喀麦隆HPV疫苗接种进展情况,重点关注性别中立的单剂量方法和定期加强常规免疫接种 (PIRI).
研究的目的:
- 评估新战略对喀麦隆HPV疫苗接种覆盖率的影响.
- 确定在实施HPV疫苗接种计划中遇到的挑战和经验教训.
- 分析性别中立,单剂量疫苗接种和PIRI干预措施的有效性.
主要方法:
- 一项生态横截面研究分析了2020-2023年使用喀麦隆DHIS2.2的HPV疫苗接种数据.
- 利用中断时间序列分析来评估PIRI和性别中立的单剂量疫苗接种对吸收的影响.
- 使用Shapiro-Wilk测试进行正常性和细分回归分析,统计学意义设置为p < 0.05.
主要成果:
- 女孩的HPV疫苗接种率最初仍然很低 (~20%),但在政策变化后显著改善.
- 在PIRI之后,70%的地区和国家一级的女孩接种疫苗率立即有所改善.
- 性别中立的单剂量政策导致30%的地区和国家立即增加覆盖率,女孩的总体覆盖率增加了三倍,男孩达到26%.
结论:
- 尽管有最初的挑战和谣言,但喀麦隆的HPV疫苗接种计划已经取得了实质性的改进.
- 采用性别中立的,单剂量HPV疫苗政策和PIRI策略在增加疫苗接种覆盖率方面已经有效.
- 这些干预措施证明了一种成功的公共卫生方法,旨在在资源有限的环境中提高疫苗接种率.
关键词:
喀麦隆 - 喀麦隆 - 喀麦隆宫癌是发生在宫癌的原因之一.性别中立的疫苗接种方式在HPV中,HPV是HPV.加强了沟通的沟通.皮里 (PIRI) 是一个比利时人.单剂量的一次剂量.疫苗接种 疫苗接种更多相关视频
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