从全球消灭脊灰行动吸取的经验教训:国际COVID-19疫苗接种运动路线图

IF 1.2 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
William B Belshe, Jared M Alswang, Alexander M Uplift-Brown, Luso Chilenga, John Chipolombwe, Vincent Y Seaman
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引用次数: 0

摘要

新冠肺炎疫苗被许多人誉为现代医学最伟大的成就之一,有可能最终遏制上世纪最致命的大流行。随着疫苗在发展中国家的推广,需要强有力、有条不紊、迅速的全球分发工作,以确保以公平的方式进行。考虑到世界各国巨大的地理、社会经济、文化和政治多样性,全球疫苗接种工作历来需要多方面、耗时和劳动密集的方法才能有效。然而,新冠肺炎疫苗接种运动具有全球根除脊髓灰质炎倡议33年的经验,这是一项旨在根除脊髓灰质炎的国际卫生倡议。利用从全球根除脊髓灰质炎倡议中吸取的经验教训,本文旨在确定新冠肺炎国际疫苗接种工作成功的供应和需求方面的障碍,以及可以克服的方法。最值得注意的是,卫生系统的缺陷、政治和文化信息、内乱和暴力冲突是新冠肺炎疫苗接种运动取得成功的巨大障碍。全球根除脊髓灰质炎倡议通过创新战略克服了许多同样的障碍,如针对具体情况的微观规划、强大的健康监测系统以及以社区为中心的教育和宣传计划。最终,尽管全球根除脊髓灰质炎倡议仍在为根除脊髓灰质炎而战斗,但它为新冠肺炎疫苗接种运动提供了一个路线图,以便以更迅速和公平的方式执行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Lessons learned from the Global Polio Eradication Initiative: A roadmap for the international COVID-19 vaccination campaign.

The COVID-19 vaccine is lauded by many as one of the greatest accomplishments in modern medicine, with the potential to definitively contain the deadliest pandemic of the last century. With the vaccine rollout now underway in the developing world, a robust, methodical, and swift global distribution effort is required to ensure that it will be done in an equitable manner. Taking into account the vast geographic, socioeconomic, cultural, and political diversity of countries around the world, global vaccination efforts have historically required multifaceted, time consuming, and labor-intensive approaches to be effective. However, with over 33 years of experience from the Global Polio Eradication Initiative - an international health initiative aimed at eradicating poliomyelitis - the COVID-19 vaccination campaign does not have to be approached blindly. Using lessons learned from the Global Polio Eradication Initiative, this paper aims to identify the supply- and demand-side barriers to the success of the international COVID-19 vaccination effort, and ways each can be overcome. Most notably, health systems shortcomings, political and cultural messaging, and civil unrest and violent conflict serve as daunting obstacles to the success of the COVID-19 vaccination campaign. The Global Polio Eradication Initiative has been able to overcome many of these same obstacles with innovative strategies such as context-specific microplanning, robust health surveillance systems, and community-centered education and advocacy programs. Ultimately, while the Global Polio Eradication Initiative is still fighting the battle of polio eradication, it has provided a roadmap for the COVID-19 vaccination campaign to be executed in a more swift and equitable manner.

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来源期刊
Malawi Medical Journal
Malawi Medical Journal Medicine-General Medicine
CiteScore
1.50
自引率
0.00%
发文量
27
审稿时长
>12 weeks
期刊介绍: Driven and guided by the priorities articulated in the Malawi National Health Research Agenda, the Malawi Medical Journal publishes original research, short reports, case reports, viewpoints, insightful editorials and commentaries that are of high quality, informative and applicable to the Malawian and sub-Saharan Africa regions. Our particular interest is to publish evidence-based research that impacts and informs national health policies and medical practice in Malawi and the broader region. Topics covered in the journal include, but are not limited to: - Communicable diseases (HIV and AIDS, Malaria, TB, etc.) - Non-communicable diseases (Cardiovascular diseases, cancer, diabetes, etc.) - Sexual and Reproductive Health (Adolescent health, education, pregnancy and abortion, STDs and HIV and AIDS, etc.) - Mental health - Environmental health - Nutrition - Health systems and health policy (Leadership, ethics, and governance) - Community systems strengthening research - Injury, trauma, and surgical disorders
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