设计"深度"儿童免疫干预:实施前的定性研究
Amber Sacre1,2, Adam Todd3,4, Clare Bambra5,2
1Population Health Sciences Institute, Newcastle University, Newcastle, UK amber.sacre@newcastle.ac.uk.
BJGP open
|October 8, 2025
概括
在英格兰,一项新的儿童免疫试点干预计划旨在增加弱势儿童接种疫苗. 提出的灵活的家庭服务得到了很好的接待,尽管实际问题需要进一步关注.
科学领域:
- 公共卫生 公共卫生
- 免疫接种计划 免疫接种计划
- 健康 公平 卫生 公平
背景情况:
- 在英格兰,儿童接种疫苗的数量正在下降,增加了疫苗可预防疾病 (VPD) 的风险.
- 在社会经济弱势地区的儿童面临着疫苗接种的重大障碍,导致接种率较低.
- 针对这些易受伤害的群体是预防VPD爆发的关键.
研究的目的:
- 评估一项拟议的儿童"赶上"免疫试点干预.
- 该干预针对东北和坎布里亚北部"深端"网络 (NENC DE) 的一般做法.
- 专注于服务于具有高度社会经济劣势的人群的实践.
主要方法:
- 进行了实施前评估.
- 半结构性定性访谈采用有目的和雪球采样方法.
- 在干预的初始调试阶段进行了15次采访,并使用框架方法进行了分析.
主要成果:
- 拟议的干预措施,特别是家庭流动疫苗接种服务,引起了大量的兴趣.
- 预计漫游服务将减少家庭的实际访问障碍.
- 人们对物理空间和员工安全表示担忧,同时担心弱势儿童疫苗接种率可能会增加.
结论:
- 鼓励干预提供者保持服务的灵活性和定制性.
- 需要进一步的研究来评估干预的影响和有效性.
- 该试点旨在提高贫困社区儿童免疫率.
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