Oduwole Elizabeth O, Laurenzi Christina A, Mahomed Hassan, Wiysonge Charles S
Division of Health Systems and Public Health, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town 7505, South Africa.
Cochrane South Africa, South African Medical Research Council, Cape Town 7505, South Africa.
Vaccines (Basel). 2022 Mar 16;10(3):453. doi: 10.3390/vaccines10030453.
Vaccination, and particularly childhood vaccination, is widely acknowledged as one of the greatest public health interventions in history. Nevertheless, challenges exist that threaten the progress of childhood vaccination in many parts of the world. We investigated challenges to vaccination experienced by point-of-care vaccinators in the Cape Town Metropolitan District (Cape Metro), and reported on their current and proposed efforts to combat these challenges. Semi-structured interviews were conducted with 19 vaccinators in 16 purposively selected healthcare facilities in the Cape Metro from September to November 2019. Interviews were transcribed and analysed using thematic and narrative analysis methods. Challenges of both the demand and the supply side of routine vaccination were reported by the study participants, as were contextual challenges such as community safety issues. Defaulting was the most common challenge encountered, reported by 16 of the 19 participants. The use of computerized appointment systems, the enlistment of community health workers to track down defaulters, and the use of certificates to incentivize caregivers are part of the creative ways of mitigating some of the challenges encountered by these vaccinators. Their insightful recommendations can positively influence the landscape of childhood vaccination uptake in the Cape Metro and beyond if adapted and applied.
疫苗接种，尤其是儿童疫苗接种，被广泛认为是历史上最伟大的公共卫生干预措施之一。然而，全球许多地区仍存在威胁儿童疫苗接种进展的挑战。我们调查了开普敦都会区（开普敦地铁区）基层医疗接种人员在疫苗接种过程中遇到的挑战，并报告了他们目前为应对这些挑战所做的努力以及拟采取的措施。2019年9月至11月，我们在开普敦地铁区16家经过有目的选择的医疗机构中，对19名接种人员进行了半结构化访谈。访谈内容进行了转录，并采用主题分析和叙事分析方法进行了分析。研究参与者报告了常规疫苗接种需求侧和供应侧的挑战，以及社区安全问题等背景挑战。失约是19名参与者中16人报告的最常见挑战。使用计算机预约系统、招募社区卫生工作者追踪失约者以及使用证书激励照顾者，是缓解这些接种人员所遇到的一些挑战的创新方式。如果这些建议得到采纳和应用，它们富有见地的建议可以对开普敦地铁区及其他地区儿童疫苗接种的接受情况产生积极影响。
