在坦桑尼亚利用社区药品销售点进行疫苗接种:一项定性研究,为未来的实施提供信息
George Msema Bwire1, Goodluck G Nyondo1, Tusaligwe Mbilinyi1
1Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
The International journal of health planning and management
|January 25, 2026
概括
社区药房在疫苗服务方面比认证药品分发点 (ADDO) 更可行,但两者都需要政策,培训和基础设施改进才能成功整合. 建议对国家标准进行进一步的研究.
科学领域:
- 实施科学 实施科学
- 公共卫生 公共卫生
- 医疗服务研究 医疗服务研究
背景情况:
- 之前的一项调查表明,在坦桑尼亚,将疫苗接种服务纳入社区药品销售点 (CDO) 的可行性适度,但接受度低.
- 要了解影响将疫苗接种服务整合到社区药房和认证药品发行点 (ADDOs) 的可行性和可接受性的因素,需要提供定性见解.
研究的目的:
- 探索有关利益相关者的观点,探讨将疫苗接种服务纳入坦桑尼亚社区药品销售点 (CDO) 的可行性和可接受性.
- 确定影响药房疫苗接种计划成功实施的关键主题.
主要方法:
- 在解释性顺序混合方法方法中使用了描述性定性设计.
- 与有意抽样的利益相关者 (社区成员,卫生服务提供者,监管机构,供应链人员) 进行了半结构化访谈.
- 使用实施科学框架进行了主题分析,NVivo软件支持编码.
主要成果:
- 采访了三个地区的46名参与者,发现了六个关键主题:可行性,可接受性,培训,政策,基础设施和经济.
- 与ADDO相比,社区药房的可行性和可接受性更高,而ADDO在空间,冷链和人员方面面临重大挑战.
- 社区药房和ADDO都需要改善政策,培训和基础设施,以提供有效的疫苗服务.
结论:
- 由于优越的基础设施,人员和监管调整,社区药房在疫苗输送方面比ADDO处境更好.
- 政策改革,加强培训和强有力的支持系统对于两种类型的药房来说都至关重要,以克服实施障碍.
- 未来的研究应侧重于作战准备和制定安全,公平和可持续的药房免疫服务的国家标准.
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