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对低收入国家、中低收入国家、中高收入国家和高收入国家新冠疫苗接种行动的系统评估:对未来大流行的准备情况

A systemic evaluation of COVID-19 vaccination drives in LICs, LMICs, UMICs, and HICs: Preparedness for future pandemics.

作者信息

Kumar Pratyush, Sarkar Manali, Unnithan Vishnu B, Martínez Daniel J G, Arlettaz Maximiliano E, Gnanaraj Ramya, Júarez M Miguel F, Panchawagh Suhrud, Abhishek Kumar, Agrawal Poonam, Kaushal G P, Mbwogge Mathew, Morales Yurkina F, Alnaasan Muhannad, Kozum Reem, Pisfil-Farroñay Yhojar, Reddy Asmitha P, Shukla Rushikesh

机构信息

Bachelor of Medicine Bachelor of Surgery, Dr Baba Saheb Ambedkar Medical College and Hospital, Delhi, India.

Bachelor of Medicine Bachelor of Surgery, MGM Medical College, Navi Mumbai, Maharashtra, India.

出版信息

J Family Med Prim Care. 2024 Dec;13(12):5680-5688. doi: 10.4103/jfmpc.jfmpc_594_24. Epub 2024 Dec 9.

Abstract

INTRODUCTION

The COVID-19 pandemic has significantly impacted global healthcare systems. Vaccination is an effective strategy to battle the disease. Policies and distribution frameworks have varied widely across countries. The paper aims to highlight the global vaccination trends in these nations, based on their economic classification, which will illuminate key takeaways that will allow for better pandemic management policies.

METHODS

A list of the most populated countries across each income slab was drawn up, and information on their vaccination campaigns was collected from national government portals and official health department websites of these countries in a structured manner. Data collected for the attributes was qualitatively described and converted into binary responses for quantitative analysis. ANOVA test, Chi-square test, and regression models were employed.

RESULTS

A consistent decreasing trend was noted in the percentage of the population vaccinated as the spectrum from higher-income countries to lower-income countries was traversed for all dose statuses. Fewer types of vaccines were available in the lower-income countries. Though compliance with the CDC vaccination strategies guide was largely noted, a linear regression univariate analysis of vaccination drive parameters carried out for single-dose vaccination yielded statistically significant results for medical provider vaccine standardization (-value = 0.002), vaccination requirements (-values <0.001), and provider recommendation. (-values <0.001) Vaccine hesitancy was not dependent on economic status.

CONCLUSION

Concerted global initiatives like vaccine donation would assist efforts in mitigating disease spread. Prompt busting of baseless anti-vaccine narratives and strengthening healthcare infrastructure to meet national requirements should be given due importance.

摘要

引言

新冠疫情对全球医疗系统产生了重大影响。疫苗接种是对抗该疾病的有效策略。各国的政策和分配框架差异很大。本文旨在根据各国的经济分类突出这些国家的全球疫苗接种趋势,这将阐明关键要点,从而制定出更好的疫情管理政策。

方法

列出每个收入阶层人口最多的国家名单,并以结构化方式从这些国家的国家政府门户网站和官方卫生部门网站收集其疫苗接种运动的信息。对收集到的属性数据进行定性描述,并转换为二元响应进行定量分析。采用方差分析、卡方检验和回归模型。

结果

对于所有剂量状态,随着从高收入国家到低收入国家范围的变化,接种疫苗的人口百分比呈现出一致的下降趋势。低收入国家可用的疫苗种类较少。尽管在很大程度上注意到符合美国疾病控制与预防中心(CDC)疫苗接种策略指南的情况,但对单剂量疫苗接种的疫苗接种驱动参数进行的线性回归单变量分析得出,医疗服务提供者疫苗标准化(p值 = 0.002)、疫苗接种要求(p值<0.001)和提供者推荐(p值<0.001)具有统计学意义的结果。疫苗犹豫并不取决于经济状况。

结论

诸如疫苗捐赠等协调一致的全球举措将有助于减轻疾病传播。应重视迅速破除毫无根据的反疫苗言论,并加强医疗基础设施以满足国家需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b442/11709051/0ab020ec386c/JFMPC-13-5680-g001.jpg

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