将COVID-19疫苗接种纳入卫生系统:来自七个国家的定性调查结果
Cheickna Touré1, Marty Makinen2, Adriana Almiñana2
1Results for Development Institute, Nairobi, Kenya ctoure@r4d.org.
BMJ global health
|August 26, 2025
概括
七个国家正在将COVID-19疫苗接种纳入紧急情况后的日常卫生服务. 挑战包括跨方案协调和可持续的疫苗采购,强调早期整合规划的必要性.
科学领域:
- 公共卫生
- 疫苗学
- 加强卫生系统
背景情况:
- 世界卫生组织在2023年5月宣布COVID-19不再是全球卫生紧急情况.
- 各国正在从紧急的COVID-19疫苗接种转变为常规的疫苗接种.
- 这项研究检查了七个国家的COVID-19疫苗接种与卫生服务的整合情况.
研究的目的:
- 介绍七个国家将COVID-19疫苗接种整合到卫生服务和系统中的经验.
- 在将COVID-19疫苗接种从紧急转变为常规供应方面发现挑战和机遇.
主要方法:
- 在贝宁,埃塞俄比亚,加纳,印度,利比里亚,莫桑比克和尼日利亚收集的数据:2023年8月至2024年4月.
- 与国家/次国家卫生官员,工作组,民间社会组织和合作伙伴进行了采访.
- 与医疗保健工作者进行的焦点小组讨论.
主要成果:
- 七个国家中有六个已将COVID-19疫苗接种与其他卫生服务整合或计划整合.
- 供应链的整合程度相对较高,而信息系统的整合程度较低.
- 协调卫生计划是一个重大挑战;大多数国家依靠外部资金进行疫苗接种.
结论:
- 主要挑战包括跨方案协调不足,缺乏可持续的采购策略,以及管理信息流行.
- 整合COVID-19疫苗接种可以加强终身免疫接种方法.
- 设计以早日整合至关重要,
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