减少"零剂量"疫苗接种的创新和可持续解决方案:该地区如何应对?
Zeina Abdel Majeed1, Nada Ahmad1, Osama Mere2
1EMPHNET, Amman, Jordan.
Frontiers in public health
|October 2, 2025
概括
为了在地中海东部地区达到零剂量儿童,需要解决冲突,卫生系统脆弱性和社会经济障碍. 有针对性的战略,社区参与和可持续融资对于提高免疫率和实现健康公平至关重要.
科学领域:
- 公共卫生 公共卫生
- 免疫接种计划 免疫接种计划
- 全球卫生平等全球卫生平等
背景情况:
- 东地中海地区 (EMR) 免疫率下降和健康差异增加带来了重大挑战.
- 零剂量儿童集中在受冲突影响的地区,如巴基斯坦,阿富汗,苏丹和也门,非常容易受到疫苗可预防的疾病的影响.
- 圆桌会议召集了利益相关者,包括公共卫生专家和世卫组织,Gavi和CDC的代表,以解决EMR中零剂量流行问题.
研究的目的:
- 评估阻碍EMR免疫覆盖范围的区域障碍.
- 检查旨在达到零剂量儿童的具体国家倡议.
- 推符合2030年免疫议程目标的有针对性的策略.
主要方法:
- 专家演讲和小组讨论对零剂量流行原因的分析.
- 审查国家具体举措,并比较其他高负担地区的见解,包括撒哈拉以南非洲.
- 参与者互动以确定关键挑战,如冲突,卫生系统脆弱性和社会经济因素.
主要成果:
- 冲突,基础设施缺陷和社会障碍是低疫苗接种率的主要驱动因素,影响了EMR大约285万零剂量儿童.
- 虽然像"大追赶"运动这样的倡议是有希望的,但可持续的资金和运营能力的差距仍然存在.
- 社区参与,数据驱动的微型规划和综合卫生服务成为克服进入障碍的推策略.
结论:
- 协调和量身定制的方法,包括社区驱动的微型规划和增加的政治/财政支持,对于在脆弱环境中达到零剂量儿童至关重要.
- 加强初级卫生系统对于弥补疫苗接种差距,推进全民健康覆盖和在冲突地区建立性至关重要.
- 未来的政策必须强调跨部门合作,可持续融资和创新的外展,以确保整个EMR的免疫公平.
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