Save the Children UK, 1 St. John's Lane, London EC1M 4AR, United Kingdom.
Vaccine. 2013 Apr 18;31 Suppl 2:B103-7. doi: 10.1016/j.vaccine.2012.11.088.
Addressing inequities in immunisation must be the main priority for the Decade of Vaccines. Children who remain unreached are those who need vaccination - and other health services - most. Reaching these children and other underserved target groups will require a reorientation of current approaches and resource allocation. At the country level, evidence-based and context-specific strategies must be developed to promote equity in ways that strengthen the system that facilitates vaccination, are sustainable and extend benefits across the life cycle. At the global level, more attention must go on ensuring sustainable and affordable supply for low- and middle-income countries to vaccine products that are appropriate for the contexts where needs are greatest. Finally, data must be disaggregated and used at all levels to monitor and guide progress to reach the unreached.
解决免疫接种方面的不平等问题必须成为疫苗十年的主要优先事项。那些未被覆盖的儿童是最需要接种疫苗和其他卫生服务的儿童。要接触到这些儿童和其他服务不足的目标群体,需要重新调整当前的方法和资源分配。在国家一级,必须制定基于证据和具体情况的战略,以促进公平,加强促进接种的系统,使可持续性和终身受益。在全球一级,必须更加关注确保为最需要的情况提供可持续和负担得起的中低收入国家疫苗产品的供应。最后,必须在各级对数据进行分类并加以利用,以监测和指导为接触未覆盖人群所取得的进展。