Vivancos Roberto, Martinez Rebeca
Biomedical Research Centre, School of Medicine Health Policy and Practice, University of East Anglia, NR4 7TJ, UK.
J Trop Pediatr. 2008 Feb;54(1):62-5. doi: 10.1093/tropej/fmm091. Epub 2007 Oct 26.
Vaccine preventable diseases are making a come back in Africa. Investments in national programmes of immunization have yielded noticeable improvements in coverage and disease epidemiology. We reviewed diphtheria-pertussis-tetanus coverage (a multi-dose regime antigen) using data routinely collected at health centre level on immunization coverage and classifying health areas according to coverage of first dose and dropout rates between first and third doses. This analysis classifies health areas in four categories depending on access and quality of immunization services. We argue that this simple analysis can be used by district medical offices paired with a supervision system to improve immunization services.
疫苗可预防疾病正在非洲卷土重来。对国家免疫规划的投资已在覆盖率和疾病流行病学方面取得显著改善。我们利用在卫生中心层面定期收集的免疫覆盖率数据，并根据首剂覆盖率和首剂与第三剂之间的漏种率对卫生区域进行分类，回顾了白喉-百日咳-破伤风（一种多剂次抗原制剂）的覆盖率。该分析根据免疫服务的可及性和质量将卫生区域分为四类。我们认为，这种简单的分析可由地区医疗办公室结合监督系统用于改善免疫服务。
