儿童常规免疫接种的行为和社会驱动因素在菲律宾选定的低覆盖地区
Soledad Natalia Dalisay1,2, Madilene Landicho3, Maria Margarita Lota4
1Department of Anthropology, College of Social Sciences and Philosophy, University of the Philippines, Diliman, Quezon City, Philippines. smdalisay@up.edu.ph.
菲律宾儿童疫苗接种率较低的原因是疫苗的可用性和可访问性问题. 解决这些障碍和改善卫生工作者沟通是提高免疫率的关键.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 卫生政策 卫生政策
背景情况:
- 菲律宾儿童接种疫苗的覆盖率远低于95%的目标.
- 免疫率下降导致麻疹,脊髓灰质炎和百日咳的爆发.
- 许多零剂量儿童表明常规免疫计划存在严重缺陷.
研究的目的:
- 确定影响菲律宾儿童接种疫苗的因素.
- 探索社区成员,项目经理和免疫障碍协调员的观点.
- 了解影响疫苗接种决策的行为和社会驱动因素.
主要方法:
- 在菲律宾三个疫苗覆盖率较低的地区进行的研究.
- 聚焦小组与0-11岁儿童的照顾者,以及与项目经理的关键信息人采访.
- 根据世界卫生组织的疫苗接种行为和社会驱动因素 (BeSD) 框架进行分析.
主要成果:
- 在各种社会生态层面的行为和社会驱动因素影响了疫苗的决定.
- 感知到的益处和副作用会影响个体接种疫苗的选择.
- 家庭,卫生工作者和社区领导人显著影响疫苗接种决策,除了疫苗可用性和地点可访问性等实际障碍外.
结论:
- 疫苗的可用性和地点的可访问性是菲律宾常规免疫接种的关键挑战.
- 过去的疫苗争议和COVID-19大流行影响了疫苗的可接受性.
- 建议加强宣传,为医疗保健工作者提供沟通培训,并整合计划,以改善疫苗接种率.
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