Butler Robb, MacDonald Noni E
Division of Communicable Diseases, Health Security and Environment, WHO Regional Office for Europe, Copenhagen, Denmark.
Department of Paediatrics, Dalhousie University, Canadian Centre for Vaccinology, IWK Health Centre, Halifax, Canada.
Vaccine. 2015 Aug 14;33(34):4176-9. doi: 10.1016/j.vaccine.2015.04.038. Epub 2015 Apr 18.
Despite relatively high vaccination coverage rates in the European Region, vaccine hesitancy is undermining individual and community protection from vaccine preventable diseases. At the request of its European Technical Advisory Group of Experts on Immunization (ETAGE), the Vaccine-preventable Diseases and Immunization Programme of the WHO Regional Office for Europe (WHO/EURO) developed tools to help countries address hesitancy more effectively. The Guide to Tailoring Immunization Programmes (TIP), an evidence and theory based behavioral insight framework, issued in 2013, provides tools to (1) identify vaccine hesitant population subgroups, (2) diagnose their demand- and supply-side immunization barriers and enablers and (3) design evidence-informed responses to hesitancy appropriate to the subgroup setting, context and vaccine. The Strategic Advisory Group of Experts on Immunization (SAGE) through its Working Group on Vaccine Hesitancy has closely followed the development, implementation, use and evolution of TIP concluding that TIP, with local adaptation, could be a valuable tool for use in all WHO regions, to help address countries' vaccine hesitancy problems. The TIP principles are applicable to communicable, noncommunicable and emergency planning where behavioral decisions influence outcomes.
尽管欧洲区域的疫苗接种覆盖率相对较高，但疫苗犹豫情绪正在削弱个人和社区对疫苗可预防疾病的防护。应欧洲免疫技术咨询专家组（ETAGE）的要求，世界卫生组织欧洲区域办事处（世卫组织欧洲区域办事处）的疫苗可预防疾病和免疫规划制定了相关工具，以帮助各国更有效地应对疫苗犹豫问题。《定制免疫规划指南》（TIP）是一个基于证据和理论的行为洞察框架，于2013年发布，提供了一些工具，用于（1）识别对疫苗犹豫的人群亚组，（2）诊断其在需求侧和供应侧的免疫障碍及促进因素，以及（3）针对亚组情况、背景和疫苗设计基于证据的应对疫苗犹豫的措施。免疫战略咨询专家组（SAGE）通过其疫苗犹豫问题工作组密切跟踪了《定制免疫规划指南》的制定、实施、使用和演变情况，得出结论认为，经过本地化调整的《定制免疫规划指南》可能是世卫组织所有区域都可使用的宝贵工具，有助于解决各国的疫苗犹豫问题。《定制免疫规划指南》的原则适用于行为决策会影响结果的传染病、非传染病和应急规划领域。
