外包是否能提高巴基斯坦12-24个月龄段儿童的免疫覆盖率?
Shiraz Shaikh1, Kashif Shafique1
1School of Public Health, Dow University of Health Sciences Karachi, Pakistan.
概括
巴基斯坦在辛德省的疫苗接种计划管理没有显著的整体覆盖率增加. 然而,与非外包区相比,外包区在9个月后的合规性明显下降.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 全球健康 全球健康
背景情况:
- 2017年,巴基斯坦开始将其疫苗接种计划管理外包给新德省两个地区的非政府组织.
- 该倡议旨在评估私营部门参与公共卫生计划的有效性.
研究的目的:
- 评估外包疫苗接种计划管理对巴基斯坦辛德省选定的地区免疫覆盖率的影响.
- 为了比较外包和非外包地区的儿童之间的免疫状态.
主要方法:
- 一项比较研究涉及1600名12-24个月龄的儿童在四个地区 (两个外包,两个非外包) 在辛德省.
- 数据收集包括社会人口统计和免疫信息,使用STATA与千平方,Man-Whitney U测试和回归建模来评估9个月的差异进行分析.
主要成果:
- 在外包地区 (78.8%) 与非外包地区 (75.8%) 的总体免疫覆盖率略高,没有统计意义 (P=0.067).
- 在9个月后发现了一个统计学上显著的差异,外包区的合规率下降了15.0%,而非外包区的合规率下降了19.7% (P=0.036).
结论:
- 外包接种疫苗计划管理带来了部分改善,在两个外包区中只在一个地区观察到更好的覆盖率.
- 建议进行进一步的研究,以探索免疫覆盖率观察到的差异背后的原因,并评估外包疫苗计划的成本效益.
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