发展疫苗可预防疾病的社区监测系统:印尼的经验教训
Galuh Sitorukmi1, Cici Permata Rusadi1, Lutfan Lazuardi1,2
1Center For Health Policy and Management Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada, Yogyakarta, Indonesia.
Global health action
|August 28, 2025
概括
在印尼开展社区监测疫苗可预防的疾病至关重要. 加强这一系统需要明确的指导方针,综合报告和训练有素的社区卫生志愿者,以便更好地监测疾病.
科学领域:
- 公共卫生
- 流行病学
- 加强卫生系统
背景情况:
- 印度尼西亚的常规免疫计划在COVID-19大流行期间面临重大干扰.
- 这种干扰导致疫苗可预防疾病 (VPD) 的增加.
- 针对COVID-19有效的基于社区的监测 (CBS) 对VPD监测的应用有限.
研究的目的:
- 调查目前为VPD开发CBS的做法和挑战.
- 通过社区参与,确定加强VPD监测的机会.
- 探索社区卫生志愿者 (CHV) 在VPD监测中的潜力.
主要方法:
- 在印度尼西亚的斯莱曼县进行了一项融合混合方法研究.
- 通过采访41名利益相关者 (卫生工作人员,医疗保健专家,社区领导人) 收集了定性数据.
- 通过对70名5岁以下儿童的照顾者进行调查,收集了定量数据.
主要成果:
- 社区参与疾病监测是存在的,但对于VPD是不一致的.
- 主要挑战包括有限的CHV知识,高的工作量,缺乏数字素养和资源短缺.
- 现有的报告系统往往没有整合,阻碍了有效的监测.
结论:
- 为了加强VPD的CBS,对社区到卫生设施报告的正式指导方针至关重要.
- 需要整合数字和传统报告系统,并改善协调.
- 有证书的CHV培训和可持续的政策/融资框架对于长期的成功至关重要.
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