Priya P Karpaga, Pathak Vineet Kumar, Giri Anjan Kumar
Community & Family Medicine, All India Institute of Medical Sciences , Raipur, India.
Hum Vaccin Immunother. 2020 Jul 2;16(7):1502-1507. doi: 10.1080/21645515.2019.1708164. Epub 2020 Feb 4.
Vaccination coverage in India has improved from 44% to 62%, an increase of 19% over a span of 10 y (2006-2016), the inequity continues among the vulnerable people belonging to tribal groups and migrant population. In order to leave no one behind strategy, their vaccination coverage, reasons for low coverage were analyzed from available literary sources through this review article. A systematic search for relevant articles was conducted and articles published in various journals over the past 5 y were included. The vaccine coverage among the vulnerable population ranged from 31% to 89% from various studies. It was found that parents' education status, income of the family and lack of awareness of the schedule were the most important reasons for vaccine hesitancy. Introduction of cash assistance integrated into other national program, digitalizing vaccination cards, involvement of local healers are few strategies suggested in this article.
印度的疫苗接种覆盖率已从44%提高到62%,在10年(2006 - 2016年)期间增长了19%,但属于部落群体和流动人口的弱势群体之间的不平等现象仍在持续。为了实现不让任何人掉队的战略,通过这篇综述文章从现有文献资料中分析了他们的疫苗接种覆盖率及覆盖率低的原因。对相关文章进行了系统检索,并纳入了过去5年在各种期刊上发表的文章。不同研究表明,弱势群体中的疫苗接种覆盖率在31%至89%之间。研究发现,父母的教育程度、家庭收入以及对疫苗接种时间表缺乏了解是导致疫苗犹豫的最重要原因。本文提出了一些策略,如将现金援助纳入其他国家项目、疫苗接种卡数字化、让当地治疗师参与等。