Mihigo Richard, Okeibunor Joseph, Anya Blanche, Mkanda Pascal, Zawaira Felicitas
WHO Regional Office for Africa, Brazzaville, Congo.
Pan Afr Med J. 2017 Jun 21;27(Suppl 3):12. doi: 10.11604/pamj.supp.2017.27.3.12127. eCollection 2017.
Immunization has made significant contribution to public health in the African Region, including elimination, eradication and control of life threatening diseases. Hospitalization due to vaccine preventable diseases has been drastically reduced due to introduction of new effective vaccines. However, optimizing the benefits of immunization by achieving high universal coverage has met with many challenges. The Regional immunization coverage, though raised from its low 57% in 2000 to 76% in 2015 has remained below expected target. Worse still, it has stagnated around 70% for a prolonged period. Cases of inequity in access to immunization service continue to exist in the region. This paper therefore explored the different challenges to immunization in the African Region. Some of the challenges it identifies and discusses include issues of sustainable funding and resources for immunization, vaccine stock-outs, and logistics. Others include data issues and laboratory infrastructure. The paper also attempted some possible solutions.
免疫接种对非洲区域的公共卫生做出了重大贡献,包括消除、根除和控制威胁生命的疾病。由于引入了新的有效疫苗,因疫苗可预防疾病而住院的情况已大幅减少。然而,通过实现高覆盖率来优化免疫接种的益处面临诸多挑战。该区域的免疫接种覆盖率虽从2000年的低水平57%提高到了2015年的76%,但仍低于预期目标。更糟糕的是,它在较长一段时间内一直停滞在70%左右。该区域在获得免疫接种服务方面的不公平现象依然存在。因此,本文探讨了非洲区域免疫接种面临的不同挑战。它所确定和讨论的一些挑战包括免疫接种的可持续资金和资源问题、疫苗短缺以及物流问题。其他挑战包括数据问题和实验室基础设施。本文还尝试提出了一些可能的解决方案。