增加儿童疫苗接种覆盖率的倡议:国际比较
Madelon Kroneman1, Alfons Fermin1, Bernd Rechel2
1Nivel (Netherlands Institute for Health Services Research), Otterstraat 118 - 124, 3513 CR Utrecht, Netherlands.
Health policy (Amsterdam, Netherlands)
|May 31, 2025
概括
许多国家实施了激励和教育活动等战略,以提高儿童疫苗接种率. 然而,关于它们在增加疫苗接种率方面的有效性的证据仍然有限.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 儿童疫苗接种覆盖率往往低于世界卫生组织 (WHO) 建议的水平.
- 疫苗接种率的波动构成了重大的公共卫生挑战.
研究的目的:
- 调查和分类各种国家实施的干预措施,以提高儿童疫苗接种率.
- 评估报告的效果和这些干预措施的有效性证据.
主要方法:
- 使用了一个结构化数据收集模板,由来自欧洲,以色列,美国和加拿大的国家专家完成.
- 从22个国家收集了关于2014年至2019年期间引入的措施的数据.
- 根据类型,目标人群和报告结果分析了干预措施.
主要成果:
- 确定了四种主要干预类型:限制性措施,财政激励,后勤支持和促销活动.
- 限制措施包括强制性疫苗接种政策和学校入学限制.
- 沟通和知识增强举措是常见的,并指出对提供商的财政激励有一些积极的影响.
结论:
- 大多数实施的战略集中在沟通和教育上,以改善疫苗接种覆盖率.
- 显而易见的是,缺乏可靠的证据证明这些措施对整体疫苗接种率的影响.
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