在尼日利亚促进2019冠状病毒病(COVID-19)疫苗接种部署行动公平性的关键决定因素是什么?范围审查

Asua Okolie , Shahreen Rahman , Anita Kothari , Obidimma Ezezika
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引用次数: 0

摘要

目的本综述旨在利用综合实施研究框架(CFIR)确定尼日利亚2019冠状病毒病(COVID-19)疫苗公平分配的障碍和促进因素。方法采用web of Science、MEDLINE、EMBASE、CAB Direct、CINAHL 5个数据库的综合检索策略。作为范围评估的一部分进行的搜索产生了2751次引用。筛选后,有7项研究符合纳入标准。使用CFIR结构提取和分析数据,以确定公平疫苗分配的主要障碍和促进因素。结果确定了六个障碍:有限的物质和社会经济准入、贿赂、裙带关系和翻译信息的可用性不足。促进措施包括社区作为当地监测机构的参与、不事先通知的工作人员检查、针对社区需求的卫生保健工作者培训,以及本地化的外展战略,如叮当声和电话呼叫计划。CFIR结构,包括当地条件、裁剪策略、可用资源和物理基础设施,为分析研究结果提供了一个框架。结论本综述突出了尼日利亚疫苗公平分配的重大障碍和有希望的促进因素。有针对性的干预措施,如社区参与、反腐败措施和有文化针对性的战略,对于应对这些挑战和改善获取至关重要。这些发现强调需要采取地方化的、注重公平的方法来加强尼日利亚和其他资源匮乏地区的疫苗分发系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What are the key determinants to fostering equity within coronavirus disease 2019 (COVID-19) vaccination deployment initiatives in Nigeria? A scoping review

Objective

This review aimed to identify the barriers and facilitators to equitable coronavirus disease 2019 (COVID-19) vaccine distribution in Nigeria using the consolidated framework for implementation research (CFIR).

Methods

A comprehensive search strategy was applied across five databases—Web of Science, MEDLINE, EMBASE, CAB Direct, and CINAHL. The search, conducted as part of a scoping review, yielded 2,751 citations. Seven studies met the inclusion criteria after screening. Data were extracted and analyzed using CFIR constructs to identify key barriers and facilitators to equitable vaccine distribution.

Results

Six barriers were identified: limited physical and socioeconomic access, bribery, nepotism, and insufficient availability of translated information. Facilitators included community involvement as local monitoring agents, unannounced staff inspections, healthcare worker training tailored to community needs, and localized outreach strategies such as jingles and call-in programs. CFIR constructs, including Local Conditions, Tailoring Strategies, Available Resources, and Physical Infrastructure, provided a framework for analyzing the findings.

Conclusion

This review highlights significant barriers and promising facilitators to equitable vaccine distribution in Nigeria. Targeted interventions, such as community engagement, anti-corruption measures, and culturally tailored strategies, are critical to addressing these challenges and improving access. These findings underscore the need for localized, equity-focused approaches to enhance vaccine distribution systems in Nigeria and other low-resource settings.
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来源期刊
Global health journal (Amsterdam, Netherlands)
Global health journal (Amsterdam, Netherlands) Public Health and Health Policy
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