实施 Reach Every District（RED）方法：来自苏丹北方的经验。

Implementation of the reaching every district (RED) approach: experience from North Sudan.

机构信息

US Centers for Disease Control and Prevention, Atlanta, GA, USA.

出版信息

East Mediterr Health J. 2011 Nov;17(11):804-12. doi: 10.26719/2011.17.11.804.

DOI:10.26719/2011.17.11.804

Abstract

The purpose of this evaluation was to assess the extent and quality of implementing the Reaching Every Distrtic (RED) approach in North Sudan and its impact on immunization coverage. The evaluation was conducted in all 70 districts of North Sudan, excluding Darfur. District RED implementation data for 2006 were collected from district staff and used to quantify implementation by calculating Implementation Scores (IS) using a 10-point scale, with 10 being fully implemented. Overall RED IS ranged from 1.6 to 8.9. The percentage of districts with diphtheria-pertussis-tetanus (DPT) 3 coverage > or = 80% increased as the overall RED IS increased, 78%, 87%, and 96% in low-, medium- and high-scoring groups respectively. The degree of RED implementation varied across districts. Although it is not possible to directly attribute the overall increase in DPT3 coverage to RED implementation, RED implementation quality might be associated with improved DPT3 coverage.

摘要

本次评估旨在评估北苏丹实施“每个地区都能覆盖（REACH）”方法的程度和质量，以及该方法对免疫接种覆盖率的影响。评估在北苏丹的所有 70 个地区（不包括达尔富尔地区）进行，评估人员从地区工作人员那里收集了 2006 年的 REACH 实施数据，并用 10 分制计算实施得分（IS），10 分表示完全实施。总体 REACH IS 范围从 1.6 到 8.9。白喉-百日咳-破伤风（DPT）3 覆盖率≥80%的地区百分比随着总体 REACH IS 的增加而增加，分别为 78%、87%和 96%，低、中、高得分组分别为 78%、87%和 96%。REACH 的实施程度在各地区有所不同。虽然不可能直接将 DPT3 覆盖率的整体提高归因于 REACH 的实施，但 REACH 的实施质量可能与提高 DPT3 覆盖率有关。