Monolbaev Kubanychbek, Kosbayeva Alyia, Lazzerini Marzia
WHO Country Office, Bishkek 720040, Kyrgyzstan.
United Nations Children's Fund (UNICEF), 160 Chui Avenue, Bishkek 720040, Kyrgyzstan.
Children (Basel). 2023 Oct 12;10(10):1681. doi: 10.3390/children10101681.
(1) Background: This implementation study reports on the results of the mobile vaccination teams' (MVTs) activities during the first two years of the COVID-19 pandemic in Kyrgyzstan, when other vaccination services were disrupted. (2) Methods: Through a national health system-strengthening project under an order of the Ministry of Health, in 2020, the number of MVTs was increased, focusing on internal immigrant settlements around the cities of Bishkek and Osh and geographically remote areas. MVTs provided free vaccination services. (3) Results: MVTs vaccinated a total of 125,289 and 158,047 children in 2020 and 2021, respectively. The higher contribution of MVTs to vaccination coverage was in children under 5 years of age, with the three top vaccines being IPV (8.9%), MMR (7%), and PCV (6.6%). In 2021, 13,000 children who had not received an IPV vaccination and 8692 children who had not received the Pentavalent vaccine (DPT-HBV-Hib) were reached. The number of cases of vaccine-preventable disease reported in official statistics has reduced over time. (4) Conclusions: MVTs increased vaccination coverage in Kyrgyzstan, in particular in remote regions and migrant settlements, where it accounted for a considerable proportion of the vaccinated. This study adds to previous evidence in the literature of the role of MVTs as a strategy to improve immunization in hard-to-reach populations, particularly children.
(1) 背景：本实施研究报告了吉尔吉斯斯坦在新冠疫情头两年期间流动疫苗接种团队（MVT）的活动成果，当时其他疫苗接种服务受到干扰。(2) 方法：2020年，根据卫生部的一项命令，通过一个国家卫生系统强化项目，增加了流动疫苗接种团队的数量，重点关注比什凯克和奥什市周边的国内移民定居点以及地理上偏远的地区。流动疫苗接种团队提供免费疫苗接种服务。(3) 结果：流动疫苗接种团队在2020年和2021年分别为125,289名和158,047名儿童接种了疫苗。流动疫苗接种团队对疫苗接种覆盖率的贡献在5岁以下儿童中更高，三大主要疫苗分别是脊髓灰质炎灭活疫苗（IPV，8.9%）、麻疹-腮腺炎-风疹联合疫苗（MMR，7%）和肺炎球菌结合疫苗（PCV，6.6%）。2021年，接触到了13,000名未接种脊髓灰质炎灭活疫苗的儿童和8692名未接种五联疫苗（白喉-百日咳-破伤风-乙肝- Hib）的儿童。官方统计报告的疫苗可预防疾病病例数随时间减少。(4) 结论：流动疫苗接种团队提高了吉尔吉斯斯坦的疫苗接种覆盖率，特别是在偏远地区和移民定居点，在这些地方流动疫苗接种团队接种的人数占了相当大的比例。本研究补充了文献中先前关于流动疫苗接种团队作为改善难以到达人群（尤其是儿童）免疫接种策略的作用的证据。
