Saso Anja, Skirrow Helen, Kampmann Beate
The Vaccine Centre, Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London WC1 7HT, UK.
Vaccines and Immunity Theme, MRC Unit the Gambia at LSHTM, Banjul P.O. Box 273, Gambia.
Vaccines (Basel). 2020 Sep 22;8(3):556. doi: 10.3390/vaccines8030556.
The COVID-19 pandemic response has caused disruption to healthcare services globally, including to routine immunizations. To understand immunization service interruptions specifically for maternal, neonatal and infant vaccines, we captured the local experiences of members of the Immunising Pregnant Women and Infants Network (IMPRINT) by conducting an online survey over 2-weeks in April 2020. IMPRINT is a global network of clinicians and scientists working in maternal and neonatal vaccinology. The survey included discrete questions to quantify the extent of disruption as well as free-text options to explore the reasons behind reported disruptions. Of the 48 responses received, the majority (75%) were from low-and-middle-income countries (LMICs). Of all respondents, 50% or more reported issues with vaccine delivery within their country. Thematic analysis identified three key themes behind immunization disruption: "access" issues, e.g., logistical barriers, "provider" issues, e.g., staff shortages and user "concern" about attending immunization appointments due to COVID-19 fear. Access and provider issues were more commonly reported by LMIC respondents. Overall, respondents reported uncertainty among parents and healthcare providers regarding routine immunization. We conclude that further quantification of routine vaccination disruption is needed, alongside health service prioritization, logistical support and targeted communication strategies to reinforce routine immunizations during the COVID-19 response.
应对新冠疫情对全球医疗服务造成了干扰,包括常规免疫接种。为了解孕产妇、新生儿和婴幼儿疫苗的免疫接种服务中断情况,我们于2020年4月通过开展为期两周的在线调查,收集了免疫接种孕妇和婴幼儿网络(IMPRINT)成员的当地经验。IMPRINT是一个从事孕产妇和新生儿疫苗学研究的全球临床医生和科学家网络。该调查包括量化干扰程度的离散问题以及探究报告的干扰背后原因的自由文本选项。在收到的48份回复中,大多数(75%)来自低收入和中等收入国家(LMICs)。在所有受访者中,50%或更多的人报告了本国疫苗配送方面的问题。主题分析确定了免疫接种中断背后的三个关键主题:“获取”问题,如后勤障碍;“提供者”问题,如人员短缺;以及用户因担心新冠病毒而对前往接种预约的“担忧”。低收入和中等收入国家的受访者更常报告获取和提供者问题。总体而言,受访者报告家长和医疗服务提供者对常规免疫接种存在不确定性。我们得出结论,在应对新冠疫情期间,除了卫生服务优先级安排、后勤支持和有针对性的沟通策略以加强常规免疫接种外,还需要进一步量化常规疫苗接种的干扰情况。
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