将 COVID-19 疫苗接种与常规免疫接种有效结合：刚果民主共和国金沙萨的案例研究。

IF 4.5 3区医学 Q2 IMMUNOLOGY

Vaccine Pub Date : 2024-10-05 DOI:10.1016/j.vaccine.2024.126392

Guillaume Mwamba , Emily Margaret Gibson , Carla Toko , Christelle Tunda , Yves Rolland Kouabenan , Joseph Musenga , Benedicte Waula , Freddy Nkosi , Mireille Mutuale Ciabu Nkima , Jean Mupenda , Emily Lawrence , Mariam Zameer , Patou Musumari

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引用次数: 0

摘要

背景：为了应对在大流行病期间保持 COVID-19 疫苗接种覆盖率的挑战，VillageReach 与刚果民主共和国金沙萨公共卫生预防部合作，将 COVID-19 疫苗接种与两家初级医疗保健机构的常规免疫服务相结合。该项目于 2022 年 7 月启动，是刚果民主共和国的首个此类项目，旨在评估多模式疫苗接种方法的有效性和可扩展性：本案例研究通过对关键信息提供者的访谈和整合前后服务提供数据的分析进行快速评估，探讨了整合 COVID-19 和常规免疫接种的运行动态和结果：结果表明，整合方法不仅保持了 COVID-19 疫苗的覆盖率，还显著提高了常规免疫接种率，特别是在免疫接种不足和零剂量儿童中。总体而言，在金沙萨，疫苗接种点、外联和综合医疗机构共接种了 229,983 支 COVID-19 疫苗（33%），其中 53% 由社区医疗工作者转介。此外，998 名免疫接种不足的儿童接受了常规免疫接种，其中 126 人为零剂量儿童。成功的关键因素包括社区卫生工作者的持续参与、针对社区的策略、方便的疫苗接种点以及强大的数据管理。研究结果表明，这种综合策略可以有效提高城市贫困社区的免疫覆盖率，为刚果民主共和国及其他地区的类似行动提供了宝贵的启示：本研究提倡对创新免疫模式进行持续投资，以加强大流行后的初级医疗保健系统。

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Effective integration of COVID-19 vaccination with routine immunization: A case study from Kinshasa, DRC

Background

In response to the challenge of maintaining COVID-19 vaccination coverage amidst the pandemic, VillageReach, in collaboration with the Ministry of Public Health Prevention and Hygiene in Kinshasa, DRC, integrated COVID-19 vaccination with routine immunization services at two primary healthcare facilities. This initiative, launched in July 2022, represented the first of its kind in the DRC, aiming to assess the effectiveness and scalability of a multimodal vaccination approach.

Methods

Through a rapid appraisal involving key informant interviews and analysis of pre- and post-integration service delivery data, this case study explores the operational dynamics and outcomes of integrating COVID-19 and routine immunizations.

Results

Results demonstrated that the integrated approach not only maintained COVID-19 vaccine coverage but also significantly enhanced routine immunization uptake, particularly among under-immunized and zero-dose children. Overall, the vaccination sites, outreach, and integrated health facilities administered 229,983 (33 %) of COVID-19 vaccines in Kinshasa, of which 53 % were referred by community health workers. Additionally, 998 under-immunized children received routine immunizations, of whom 126 were zero-dose children. Key success factors included sustained community health worker engagement, neighborhood-specific strategies, accessible vaccination points, and robust data management. The findings suggest that such integrative strategies can effectively bolster immunization coverage in urban poor communities, offering valuable insights for similar initiatives in the DRC and beyond.

Conclusion

This study advocates for sustained investment in innovative immunization models to strengthen primary healthcare systems post-pandemic.

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来源期刊

Vaccine 医学-免疫学

CiteScore

8.70

自引率

5.50%

发文量

992

审稿时长

131 days

期刊介绍： Vaccine is unique in publishing the highest quality science across all disciplines relevant to the field of vaccinology - all original article submissions across basic and clinical research, vaccine manufacturing, history, public policy, behavioral science and ethics, social sciences, safety, and many other related areas are welcomed. The submission categories as given in the Guide for Authors indicate where we receive the most papers. Papers outside these major areas are also welcome and authors are encouraged to contact us with specific questions.