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尼日利亚的微观规划核查和 2017/2018 年麻疹疫苗接种运动:经验教训。

Microplanning verification and 2017/2018 measles vaccination campaign in Nigeria: Lessons learnt.

机构信息

National Primary Health Care Development Agency, Abuja, Nigeria.

Technical Assistance Consultant, Global Alliance for Vaccines and Immunizations.

出版信息

Vaccine. 2021 Nov 17;39 Suppl 3:C46-C53. doi: 10.1016/j.vaccine.2021.04.007. Epub 2021 Apr 21.

DOI:10.1016/j.vaccine.2021.04.007
PMID:33892983
Abstract

INTRODUCTION

The measles supplemental immunisation activity is an effective strategy that improves vaccination coverage and reduces measles-related morbidity and mortality. However, the lack of compliance with microplanning processes, contributes to improper estimation of resources needed for a good SIA in Nigeria. We described the microplanning verification process for 2017/2018 measles vaccination campaign and highlighted the contribution of selected variables to the output of the microplan.

METHODS

We conducted microplanning verification in 2 phases. In Phase 1, we verified at least 30% of randomly selected microplans to assess compliance with the steps and processes of developing good microplans. In Phase 2 we conducted desk review of the entire states micoplans and verified some selected variables at the ward level to corroborate the findings of the microplans. We collected data using open data kit and verification checklist. We conducted data analysis using SPSS and Microsoft Excel version 2016.

RESULTS

All states in Nigeria verified their wards' microplans, 21 states (57%) verified more than 30% ,16 states (43%) verified less than 30%, Kebbi State verified the lowest (5.3%). Over 90% of microplans verified complied with the microplanning processes. We observed that overall, there was no significant difference in the number of target population, vaccination teams and qualified vaccinators after the verification process.

CONCLUSION

The microplans for 2017/2018 measles vaccination campaign were developed according to the required procesesses, the target population, vaccination teams and qualified vaccinators were physically and realistically estimated. Adherence to microplanning processes is critical to the success of immunization programs.

摘要

简介

麻疹补充免疫活动是一种有效的策略,可提高疫苗接种覆盖率,并降低与麻疹相关的发病率和死亡率。然而,由于缺乏对微观规划流程的遵守,导致无法正确估计尼日利亚良好 SIA 所需的资源。我们描述了 2017/2018 年麻疹疫苗接种运动的微观规划验证过程,并强调了选定变量对微观规划结果的贡献。

方法

我们分两个阶段进行微观规划验证。在第一阶段,我们验证了至少 30%的随机选择的微观计划,以评估其是否符合制定良好微观计划的步骤和流程。在第二阶段,我们对所有州的微观计划进行了桌面审查,并在病房层面验证了一些选定的变量,以证实微观计划的结果。我们使用开放数据工具包和验证清单收集数据。我们使用 SPSS 和 Microsoft Excel 版本 2016 进行数据分析。

结果

尼日利亚所有州都验证了其病房的微观计划,21 个州(57%)验证了超过 30%,16 个州(43%)验证了少于 30%, Kebbi 州验证的比例最低(5.3%)。超过 90%的经验证的微观计划符合微观规划流程。我们观察到,总体而言,在验证过程之后,目标人群、疫苗接种队伍和合格疫苗接种者的数量没有显著差异。

结论

2017/2018 年麻疹疫苗接种运动的微观计划是根据要求的流程制定的,目标人群、疫苗接种队伍和合格疫苗接种者的数量是实际和现实的估计。遵守微观规划流程对于免疫计划的成功至关重要。

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