开始接种乙脑疫苗-经验:在印度西孟加拉邦三级保健中心的混合方法研究

A. Samanta, DrJadav Chandra Sardar, P. Sengupta, A. Chatterjee, S. Lahiri
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摘要

背景:乙脑是印度一个新出现的公共卫生问题。在大规模接种疫苗后,印度已将乙脑疫苗纳入国家免疫计划。目的:探讨某三级保健中心在大规模疫苗接种期间收集的经验。研究方法:采用横断面调查与定性研究相结合的混合方法。在所有参与活动的PHNS中,通过对卫星中心LMO和fgdv的深度访谈,纳入定性研究,以更深入地了解一线工作人员和组长的经验和观点。结果:2437名接种者以1 ~ 5岁年龄组居多,6 ~ 10岁次之。被调查人群中只有一半的护理人员知道接种疫苗的目的,6%的人认为疫苗可以预防“登革热”。在大规模疫苗接种期间和接种后1个月内未报告急性呼吸道感染。定性分析表明,群众对疫苗接种热情高涨,人员和空间不足以满足大年龄组段的需求,接种期间不适当的匆忙接种,大规模接种期间常规接种受到损害。结论:开展如此大规模的大规模疫苗接种规划的先决条件是周密计划的系统的信息、教育和宣传活动,以及工作人员的事先部署和定向。
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Initiation of JE Vaccination-An Experience: A Mixed Method Study In A Tertiary Care Center of West Bengal, India
Background:JE is an emerging public health problem in India.JE vaccine has been incorporated in the National Immunization Schedule in India following mass vaccination. Objectives:To explore the experiences gathered during mass vaccination period in a tertiary care center. Methodology:A mixed method approach consisting of a cross-sectional survey and qualitative study was adopted. The qualitative study was included to obtain more in-depth understanding of the experiences and perspectives of frontline workers and the team leader in form of in depth interview of LMO of satellite center and FGDamong all PHNS involved in the activity. Result:Among 2437 vaccinees surveyed, majority belonged to 1-5 years age group followed by 6-10 years.Only half of the caregivers of surveyed population knew the purpose of vaccination and 6%perceived that the vaccine prevents ‘Dengue’. No AEFI was reported during and one months following the mass vaccination.Qualitative approach revealed huge enthusiasm among the people about the vaccine, lack of staff and space to cater large age group section and inappropriate rush during the vaccination sessions and impairment of routine vaccination during the mass vaccination period. Conclusion:Thoroughly planned systematic IEC activities and prior deployment and orientation of staffs are pre requisites for conducting suchlarge scale mass vaccination programme.
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