Mesh : Humans Disease Eradication Vaccination Immunization Asia / epidemiology Poliomyelitis / epidemiology prevention & control

来  源:   DOI:10.1155/2023/4801424   PDF(Pubmed)

Abstract:
Polio supplementary immunization activities (SIAs) are one of the polio eradication pillars in the Global Polio Eradication Initiative (GPEI) that increased the immunization coverage and made progress towards polio eradication. However, socioecological challenges faced during SIAs contribute to suboptimal campaign quality. The aim of this review is to identify the reported challenges during polio supplementary immunization activities (SIAs) and associated improvement strategies based on the socioecological model (SEM).
Articles were searched from three databases which were WOS, Scopus, and PubMed. The systemic review identified the primary articles related to SIA that focused on the impact of immunization coverage, challenges, and improvement strategies. The inclusion criteria were open access English articles that were published between 2012 and 2021 and conducted in the Asia region.
There are nine articles described and explained regarding some form of supplementary immunization activities (SIAs) in their findings across Asia region. The majority of studies selected reported on post vaccination coverage and revealed a multifaceted challenge faced during SIAs which are widely diverse range from the microlevel of interpersonal aspects up to the macrolevel of government policy. Upon further analysis, the intervention at community level was the most dominant strategies reported during the SIA program.
An effective SIAs program provides the opportunity to increase the national capacity of the polio immunization program, reducing inequities in service delivery and offering additional public health benefits in controlling polio outbreaks in both endemic and nonendemic countries. Strengthening routine immunization (RI) programmes is also important for the sustainability of SIA\'s programs. Despite the challenges and hurdles, many Asian countries exhibited great political willingness to boost polio immunization coverage through SIA efforts.
摘要:
UNASSIGNED:脊髓灰质炎补充免疫活动(SIA)是全球根除脊髓灰质炎倡议(GPEI)中根除脊髓灰质炎的支柱之一,该倡议增加了免疫覆盖率并在根除脊髓灰质炎方面取得了进展。然而,SIA期间面临的社会生态挑战导致运动质量次优。这篇综述的目的是根据社会生态模型(SEM)确定脊髓灰质炎补充免疫活动(SIA)中报告的挑战以及相关的改进策略。
UASSIGNED:从WOS的三个数据库中搜索了文章,Scopus,和PubMed。系统审查确定了与SIA相关的主要文章,这些文章侧重于免疫覆盖率的影响,挑战,和改进策略。入选标准是2012年至2021年之间发表的在亚洲地区进行的开放获取英语文章。
UNASSIGNED:在整个亚洲地区的研究结果中,有9篇文章对某种形式的补充免疫活动(SIA)进行了描述和解释。选择的大多数研究报告了疫苗接种后的覆盖率,并揭示了SIA面临的多方面挑战,从人际关系方面的微观层面到政府政策的宏观层面,范围广泛。经进一步分析,社区层面的干预是SIA计划中报告的最主要的策略.
UNASSIGNED:有效的SIA计划为提高脊髓灰质炎免疫计划的国家能力提供了机会,在控制脊髓灰质炎流行和非流行国家,减少服务提供方面的不平等,并提供额外的公共卫生福利。加强常规免疫(RI)计划对于SIA计划的可持续性也很重要。尽管有挑战和障碍,许多亚洲国家表现出极大的政治意愿,希望通过SIA努力提高脊髓灰质炎免疫覆盖率。
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