共同改进公民身份出生登记和0-23个月婴儿免疫接种覆盖率：塞内加尔Goudomp市政厅与卫生区合作使用社区工具的附加价值

IF 1.5 Q4 INFECTIOUS DISEASES

IJID regions Pub Date : 2025-01-16 DOI:10.1016/j.ijregi.2025.100568

Ibrahima Mamby Keita , Mamadou Couulibaly , Abdoulaye Diatta , Samba Ndiaye , Hameth Satigui Sow , Oumar Diarra , Ndeye Sarr , Aminata Kante , Beydi Niass , Ramatoulaye Mane , Malick Anne

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引用次数: 0

摘要

考虑到免疫接种的重要性，在Goudomp有必要通过社区工具“婴儿监测手册（IMB）”制定一项创新战略，以提高0-23个月婴儿的免疫接种覆盖率和出生登记。方法在Goudomp进行了一项由市政厅、卫生区行为体和社区卫生工作者共同创建和共同实施的战略前后评价研究。抽样是详尽的，考虑到所有已填满的imb。数据收集使用区卫生信息系统2平台，在Excel 2010软件上配置本地结构化封闭模板。结果Goudomp村/社区的免疫接种覆盖率为83%，其中99.5%是最新的，使3949名婴儿入组，其中77%是最新的扩大免疫规划（EPI）。其中76%的人已经完全接种了疫苗。事实上，在使用免疫球蛋白b之前，只有56%的扩大免疫免疫抗原达到至少90%的覆盖率，而在实施免疫球蛋白b战略后达到100%。后者还允许1351名婴儿（占扩大免疫计划监测婴儿的44%）被转到市政厅进行出生登记。最后，由于使用IMB， 53%的Goudomp市政厅在实施IMB战略后登记的出生人数比使用IMB之前多。结论simb符合塞内加尔EPI和出生登记要求。

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Joint improvement in birth registration on civil status and immunization coverage of infants aged 0-23 months: the added value of community tool use in collaboration between town halls and the health district in Goudomp, Senegal

Objectives

Given the importance of immunization, establishing an innovative strategy through a community tool, “infant monitoring booklet (IMB),” seemed necessary in Goudomp to improve immunization coverage and birth registration for infants aged 0-23 months.

Methods

A before-and-after evaluative study of the strategy, co-created and jointly implemented by town halls and health district actors and community health workers, was conducted in Goudomp. Sampling was exhaustive, taking into account all filled IMBs available. Data collection was performed using the District Health Information System 2 platform with a locally structured closed template configured on Excel 2010 software.

Results

The availability of IMBs in Goudomp's villages/neighborhoods was 83%, of which 99.5% were up to date, enabling the enrollment of 3949 infants, 77% of whom were up to date on the Expanded Program on Immunization (EPI). Of these, 76% had been fully vaccinated. Indeed, before using IMB, only 56% of the EPI antigens achieved at least 90% coverage, whereas it reached 100% after implementation of the IMB strategy. The latter also allowed 1351 infants, representing 44% of EPI-monitored infants, to be referred to town halls for birth registration. Finally, 53% of Goudomp's town halls registered more births after IMB's strategy implementation than before owing to IMB use.