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国家免疫规划 - 免疫强化行动:新方法和干预措施。

National Immunization Programme - Mission Indradhanush Programme: Newer Approaches and Interventions.

机构信息

Department of Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, 249203, India.

出版信息

Indian J Pediatr. 2019 Jul;86(7):633-638. doi: 10.1007/s12098-019-02880-0. Epub 2019 Mar 20.

Abstract

Vaccines are globally accepted as instrumental in drastically bringing down vaccine preventable diseases (VPDs) related mortality and morbidity. Despite global relentless efforts, about 19.3 million children still go missing for full immunization and are at risk for VPDs. Government of India has tried to rejuvenate its four decades old Universal Immunization Programme (UIP) by recently launching Mission Indradhanush in 2014, followed by Intensified Mission Indradhanush in 2017 to boost up immunization coverage. UIP have also brought in newer vaccines, changed dose schedules, open vial policy and a robust surveillance system. Even then, country's average immunization coverage is much below par. Thus, there is a pressing need for transforming immunization program from simple vaccine delivery platform to a comprehensive disease control programme. Country should introduce newer vaccines through evidence-based policies and increase access to immunization services through system strengthening.

摘要

疫苗被全球公认为在大幅降低疫苗可预防疾病(VPD)相关死亡率和发病率方面发挥了重要作用。尽管全球不懈努力,但仍有约 1930 万儿童未能完全接种疫苗,面临 VPD 风险。印度政府最近在 2014 年推出了 Indradhanush 计划,旨在重振其 40 多年历史的全民免疫计划(UIP),随后在 2017 年推出了强化 Indradhanush 计划,以提高免疫覆盖率。UIP 还引入了新的疫苗,改变了剂量方案、开启了小瓶政策和一个强大的监测系统。即便如此,该国的平均免疫覆盖率仍远低于标准。因此,迫切需要将免疫规划从简单的疫苗接种平台转变为全面的疾病控制规划。国家应通过循证政策引入新疫苗,并通过加强系统来增加获得免疫服务的机会。

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