加纳东部和奥提地区24个月以下儿童的常规免疫覆盖率及其决定因素
Chris Guure1, Yakubu Alhassan2, Samuel Dery2
1Department of Biostatistics, School of Public Health, University of Ghana, Accra, Ghana. cbguure@ug.edu.gh.
BMC pediatrics
|August 20, 2025
概括
加纳的常规免疫覆盖率显示出城市和农村和地区的显著差异. 有针对性的干预措施对于提高疫苗接种率至关重要,尤其是在城市地区进行全面免疫接种.
科学领域:
- 公共卫生
- 流行病学
- 儿童健康
背景情况:
- 疫苗接种对于减少全球儿童死亡率至关重要.
- 加纳面临着持续的疫苗接种差异, 阻碍了全民免疫接种.
- 亚国家级的不平等影响了加纳的疫苗接种和接种.
研究的目的:
- 评估加纳东部和Oti地区两岁以下儿童的常规免疫覆盖率.
- 确定疫苗接种覆盖范围的缺口,并为有针对性的干预提供信息.
- 评估研究区域中与完全免疫相关的因素.
主要方法:
- 一个横截面研究采用了多阶段分层采样方法.
- 从114名24至35个月的儿童收集了数据.
- 通过疫苗接种卡或护理人员召回来确定疫苗接种状态;使用描述性统计和后勤回归来分析数据.
主要成果:
- 全面接种疫苗覆盖率为18.7%,农村地区 (19.7%) 的比例高于城市地区 (17.4%).
- 基本抗原覆盖率为78.8%,农村地区 (82.4%) 的表现优于城市地区 (74.4%).
- 与东部地区相比,Oti地区的基本抗原和国家表覆盖率更高.
结论:
- 城市和农村以及加纳各地区的疫苗接种覆盖率存在显著差异.
- 针对性干预对于解决覆盖差距至关重要,尤其是在城市地区.
- 加强卫生系统,利用技术和加强社区参与是实现公平免疫覆盖的关键.
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