麻疹疫情应对资源动员方面的挑战：马达加斯加在 2018-2019 年麻疹疫情期间的经验。
Challenges related to resources mobilization for measles outbreak response: Madagascar experience during the 2018-2019 measles outbreak.
机构信息
World Health Organization Regional Office for Africa, Brazzaville, Congo.
World Health Organization Country Office, Madagascar.
出版信息
Pan Afr Med J. 2020 Aug 19;36:304. doi: 10.11604/pamj.2020.36.304.24514. eCollection 2020.
INTRODUCTION
on October 4, 2018, a measles outbreak was declared in Madagascar. This study describes challenges related to resources mobilization for the outbreak response.
METHODS
data were collected using minutes of coordination committee meetings, activities reports, operational action plans and situation reports.
RESULTS
the total cost of the outbreak response was estimated to US$ 11,281,381. Operational cost was the leading cost driver (42.45%) followed by vaccine cost (33.74%). Cases management, epidemiological surveillance, communication and social mobilization and routine immunization strengthening represented 23.81% of the total cost. The main funder of the outbreak response was the measles and rubella initiative.
CONCLUSION
good coordination, open dialogue, good use of financial resources and accountability of government and partners have enabled to gain the confidence of national and international donors.
引言
2018 年 10 月 4 日，马达加斯加宣布爆发麻疹疫情。本研究描述了与疫情应对资源动员相关的挑战。
方法
使用协调委员会会议记录、活动报告、业务行动计划和情况报告收集数据。
结果
疫情应对的总成本估计为 1128.1381 万美元。业务成本是主要的成本驱动因素（42.45%），其次是疫苗成本（33.74%）。病例管理、流行病学监测、沟通和社会动员以及常规免疫强化占总费用的 23.81%。疫情应对的主要资金来源是麻疹和风疹倡议。
结论
良好的协调、公开对话、善用财政资源以及政府和合作伙伴的问责制，使国家和国际捐助者增强了信心。
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