Sethy Ghanshyam, Chisema Mike Nenani, Sharma Lokesh, Singhal Sanjay, Joshi Krupal, Nicks Patrick Omar, Laher Beverly, Mamba Kondwani Chidzammbuyo, Deokar Kunal, Damte Tedla, Phuka John
Health Specialist, UNICEF, Malawi.
Preventive Health Services & Program Manager-Expanded Program on Immunization (EPI), Lilongwe, Malawi.
Expert Rev Vaccines. 2023 Jan-Dec;22(1):180-185. doi: 10.1080/14760584.2023.2171398.
To boost COVID-19 vaccine uptake, an innovative 'vaccinate my village' (VMV) strategy using door-to-door vaccination by Health Surveillance Assistants (HSA) was adopted. In this study, we assessed the impact of the 'vaccinate my village' strategy on COVID-19 vaccine uptake.
This was a cross-sectional review of the data on COVID-19 vaccination obtained from the Ministry of Health, Malawi, from 11 March 2021 to September 2022.
From March 2021-4 September 2022,091,551 COVID-19 vaccine doses were administered, out of which 2,253,546 were administered over just six months as a part of VMV as compared to 1,838,005 doses were administered over 13 months as a part of other strategies. The proportion of Malawi's population receiving at least one dose of the COVID-19 vaccine increased substantially from 4.66 to 15.4 with the implementation of the VMV strategy (p = 0.0001). District-wise coverage of the COVID-19 vaccine also increased significantly after its implementation (p = 0.0001).
Door-to-door vaccination involving HSAs benefitted the COVID-19 vaccination program in Malawi by ensuring accessibility, availability, and acceptability.
为提高新冠疫苗接种率，采用了一项创新的“为我的村庄接种疫苗”（VMV）策略，即由健康监测助理（HSA）挨家挨户进行疫苗接种。在本研究中，我们评估了“为我的村庄接种疫苗”策略对新冠疫苗接种率的影响。
这是一项横断面回顾研究，数据来源于2021年3月11日至2022年9月马拉维卫生部的新冠疫苗接种数据。
从2021年3月至2022年9月4日，共接种了915,551剂新冠疫苗，其中作为VMV策略一部分，在短短六个月内就接种了2,253,546剂，而作为其他策略一部分，在13个月内接种了1,838,005剂。随着VMV策略的实施，马拉维至少接种一剂新冠疫苗的人口比例从4.66%大幅增至15.4%（p = 0.0001）。实施后，新冠疫苗的地区覆盖率也显著提高（p = 0.0）。
由健康监测助理进行挨家挨户的疫苗接种，通过确保可及性、可得性和可接受性，使马拉维的新冠疫苗接种计划受益。
