评估尼日利亚儿童免疫公私伙伴关系先驱中私立医疗机构的贡献。
Assessing the Contributions of Private Health Facilities in a Pioneer Private-Public Partnership in Childhood Immunization in Nigeria.
作者信息
Oluoha Chukwuemeka, Umeh Chukwuemeka, Ahaneku Hycienth
机构信息
Executive Director, Abia state Primary Health Care Agency , Abia State, Nigeria.
Department of International Health, Boston University School of Public Health , MA, USA.
出版信息
J Public Health Afr. 2014 Jun 5;5(1):297. doi: 10.4081/jphia.2014.297. eCollection 2014 Feb 4.
The vision of Nigeria's immunization program is to reach and sustain routine immunization coverage of greater than 90% for all vaccines by 2020. In order to achieve this, Abia state embarked on a unique private-public partnership (PPP) between private health facilities and the Abia state ministry of health. The aim of this partnership was to collaborate with private health facilities to provide free childhood immunization services in the state - the first of its kind in Nigeria. This is a retrospective study of the 2011 Abia state, Nigeria monthly immunization data. In the 4 local governments operating the PPP, 45% (79/175) of the health facilities that offered immunization services in 2011 were private health facilities and 55% (96/175) were public health facilities. However, 21% of the immunization services took place in private health facilities while 79% took place in public health facilities. Private health facilities were shown to have a modest contribution to immunization in the 4 local governments involved in the PPP. Efforts should be made to expand PPP in immunization nationally to improve immunization services in Nigeria.
尼日利亚免疫规划的愿景是到2020年实现并维持所有疫苗的常规免疫接种覆盖率超过90%。为实现这一目标，阿比亚州在私立医疗机构与阿比亚州卫生部之间建立了独特的公私伙伴关系（PPP）。这种伙伴关系的目的是与私立医疗机构合作，在该州提供免费的儿童免疫服务，这在尼日利亚尚属首次。这是一项对2011年尼日利亚阿比亚州月度免疫数据的回顾性研究。在实施公私伙伴关系的4个地方政府中，2011年提供免疫服务的医疗机构中有45%（79/175）是私立医疗机构，55%（96/175）是公立医疗机构。然而，21%的免疫服务在私立医疗机构进行，79%在公立医疗机构进行。在参与公私伙伴关系的4个地方政府中，私立医疗机构对免疫接种的贡献不大。应努力在全国范围内扩大免疫方面的公私伙伴关系，以改善尼日利亚的免疫服务。
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