在埃塞俄比亚实施麻疹疫苗接种的挑战和推动因素:从定性研究的见解
Gulilat Gezahegn Wodajo1, Tezera Moshago Berheto2, Haimanot Kifle Telila3
1Immunization Service Desk, Federal Ministry of Health Ethiopia, Addis Ababa, Ethiopia.
PLOS global public health
|July 7, 2025
概括
埃塞俄比亚的麻疹疫苗接种覆盖率很低,尽管有疫苗,但仍然存在. 关键的挑战包括护理人员无法接触和卫生工作者资源限制,阻碍有效的免疫计划.
科学领域:
- 公共卫生 公共卫生
- 疫苗学 疫苗学 疫苗学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 埃塞俄比亚的麻疹疫苗接种率非常低,尽管有安全和免费的疫苗.
- 关于埃塞俄比亚麻疹疫苗接种实施挑战和促进因素的现有研究有限.
研究的目的:
- 调查麻疹疫苗接种实施的挑战和推动因素.
- 收集埃塞俄比亚医疗保健服务提供商和护理人员的见解.
主要方法:
- 在埃塞俄比亚东古拉吉地区进行了一项定性案例研究.
- 数据收集涉及15名卫生工作者和16名母亲的采访,15名退出服务的采访和6个焦点小组讨论.
- 使用感应主题分析来分析定性数据.
主要成果:
- 护理人员面临的挑战包括疫苗难以获得,缺乏计划意识,服务不可用,中断的外展,长时间等待,不良事件和不礼貌的员工.
- 卫生工作者面临的挑战包括资金,运输,设备,培训,不充分的查,库存不足和对浪费的恐惧.
- 从两个角度确定了实施的关键障碍.
结论:
- 在服务可用性,可访问性和疫苗供应链管理方面需要紧急改进.
- 加强卫生工作者的培训,改善福利包以及改善提供者-客户沟通是必不可少的.
- 解决这些多方面的挑战对于提高埃塞俄比亚麻疹疫苗接种率至关重要.
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