Immunization programs to support primary health care and achieve universal health coverage

被引：10

作者：

Blanc, Diana Chang ^{[1
]}

Grundy, John ^{[2
]}

Sodha, Samir V. ^{[1
]}

O'Connell, Thomas S. ^{[4
]}

von Muhlenbrock, Hernan Julio Montenegro ^{[3
]}

Grevendonk, Jan ^{[1
]}

Ryman, Tove ^{[5
]}

Patel, Minal ^{[1
]}

Olayinka, Folake ^{[6
]}

Brooks, Alan ^{[7
]}

Wahl, Brian ^{[8
]}

Bar-Zeev, Naor ^{[8
]}

Nandy, Robin ^{[9
]}

Lindstrand, Ann ^{[1
]}

机构：

[1] World Hlth Org, Dept Immunizat Vaccines & Biol, Geneva, Switzerland

[2] James Cook Univ, Townsville, Qld, Australia

[3] World Hlth Org, Special Programme Primary Hlth Care, Geneva, Switzerland

[4] World Hlth Org, Dept Hlth Syst Governance & Financing, Geneva, Switzerland

[5] Bill & Melinda Gates Fdn, Seattle, WA USA

[6] US Agcy Int Dev, Washington, DC USA

[7] Bridges Dev, Geneva, Switzerland

[8] Johns Hopkins Univ, Int Vaccine Access Ctr, Dept Int Hlth, Bloomberg Sch Publ Hlth, Baltimore, MD USA

[9] United Nations Childrens Fund, Hlth Sect, Program Div, New York, NY USA

来源：

VACCINE | 2024年 / 42卷

关键词：

EPI; Immunization; PHC; Universal health coverage; MEASLES ELIMINATION; POLIO ERADICATION; VACCINATION; COUNTRIES; WORLDWIDE;

D O I：

10.1016/j.vaccine.2022.09.086

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Gains in immunization coverage and delivery of primary health care service have stagnated in recent years. Remaining gaps in service coverage reflect multiple underlying reasons that may be amenable to improved health system design. Immunization systems and other primary health care services can be mutually supportive, for improved service delivery and for strengthening of Universal Health Coverage. Improvements require that dynamic and multi-faceted barriers and risks be addressed. These include workforce availability, quality data systems and use, leadership and management that is innovative, flexible, data driven and responsive to local needs. Concurrently, improvements in procurement, supply chain, logistics and delivery systems, and integrated monitoring of vaccine coverage and epidemiological disease surveillance with laboratory systems, and vaccine safety will be needed to support community engagement and drive prioritized actions and communication. Finally, political will and sustained resource commitment with transparent accountability mechanisms are required. The experience of the impact of COVID-19 pandemic on essential PHC services and the challenges of vaccine rollout affords an opportunity to apply lessons learned in order to enhance vaccine services integrated with strong primary health care services and universal health coverage across the life course. (c) 2024 World Health Organization; licensee Elsevier Ltd. This is an open access article under the CC BY IGO license. (http://creativecommons.org/licenses/by/3.0/igo/).

引用

页码：S38 / S42

页数：5

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