Department of Allied and Public Health, School of Health, Sport and Bioscience, University of East London, London, UK.
Division of Sustainable Development, College of Science and Engineering, Hamad Bin Khalifa University, Qatar Foundation, Doha, Qatar.
Medicine (Baltimore). 2024 Jun 14;103(24):e38565. doi: 10.1097/MD.0000000000038565.
Malaria remains an endemic public health concern in Africa, significantly contributing to morbidity and mortality rates. The inadequacies of traditional prevention measures, like integrated vector management and antimalarial drugs, have spurred efforts to strengthen the development and deployment of malaria vaccines. In addition to existing interventions like insecticide-treated bed nets and artemisinin-based combination therapies, malaria vaccine introduction and implementation in Africa could drastically reduce the disease burden and hasten steps toward malaria elimination. The malaria vaccine rollout is imminent as optimistic results from final clinical trials are anticipated. Thus, determining potential hurdles to malaria vaccine delivery and uptake in malaria-endemic regions of sub-Saharan Africa will enhance decisions and policymakers' preparedness to facilitate efficient and equitable vaccine delivery. A multisectoral approach is recommended to increase funding and resources, active community engagement and participation, and the involvement of healthcare providers.
疟疾仍然是非洲地方性公共卫生关注的问题,对发病率和死亡率有重大影响。传统预防措施(如综合病媒管理和抗疟药物)的不足,促使人们努力加强疟疾疫苗的开发和部署。除了现有的干预措施,如经杀虫剂处理的蚊帐和青蒿素为基础的联合疗法,在非洲引入和实施疟疾疫苗可以大大减轻疾病负担,并加速消除疟疾的步伐。由于最终临床试验预计会有乐观的结果,因此疟疾疫苗的推出迫在眉睫。因此,确定撒哈拉以南非洲疟疾流行地区疟疾疫苗提供和接种的潜在障碍,将有助于决策者做出决策并做好准备,以促进疫苗的有效和公平提供。建议采取多部门办法,增加资金和资源,积极开展社区参与和参与,以及医疗保健提供者的参与。