系统审查支持公平的战略,以改善优先人群的疫苗接种
Adeline Tinessia1, Majdi M Sabahelzain1, Catherine King1
1Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia; Sydney Infectious Diseases Institute, Faculty of Medicine and Health, The University of Sydney, New South Wales, Australia.
Vaccine
|September 9, 2025
概括
支持公平的战略可以提高弱势群体的疫苗接种率. 针对社区,服务和政策障碍的定制方法对于实现疫苗接种公平至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康 公平 卫生 公平
- 免疫接种计划 免疫接种计划
背景情况:
- 越来越多的人认识到支持公平战略在解决健康差距方面的重要性.
- 有限的经验证据证明了这些疫苗接种策略在优先群体中的有效性.
- 需要进行系统审查,分析改善弱势群体接种疫苗的策略.
研究的目的:
- 系统地审查和综合有关改善优先群体疫苗接种的支持公平战略的证据.
- 确定和绘制战略,解决疫苗接种,覆盖率和及时性方面的障碍.
- 分析这些策略如何与塔纳哈西覆盖框架保持一致.
主要方法:
- 使用标准方法进行系统的证据综合.
- 在2025年3月在四个主要的文献数据库中进行的搜索.
- 专题分析,绘制策略,并将其与塔纳哈西框架协调一致.
主要成果:
- 59项研究在五个免疫系统领域中确定了25种支持公平的疫苗接种策略.
- 策略改善了疫苗接种/覆盖率 (54项研究) 和及时性 (6项研究).
- 大多数策略集中在社区参与和接受度上;很少有人解决系统层面的障碍.
结论:
- 支持公平的策略对于解决贫困人口的疫苗接种不平等至关重要.
- 实现疫苗接种公平需要特定背景的方法.
- 解决社区参与,服务提供,信息系统和政策/治理方面的个人和系统障碍是关键.
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