Yusuf Zarah, Reda Sarah, Hanefeld Johanna, Jackson Cath, Chawla Balwinder Singh, Jansen Andreas, Lange Saskia, Martinez Jorge, Meyer Emily Dorothee, Neufeind Julia, Singh Aarti Shrikrishana, Wulkotte Elisa, Zaman Md Shamsuz, Karo Basel
London School of Hygiene and Tropical Medicine, London, United Kingdom.
Robert Koch Institute, Centre for International Health Protection, Information Centre for International Health Protection (INIG), Berlin, Germany.
Front Public Health. 2025 Jul 18;13:1592452. doi: 10.3389/fpubh.2025.1592452. eCollection 2025.
About one million Forcibly Displaced Myanmar Nationals (FDMN)/Rohingya refugees live in the refugee camps of Cox's Bazar, experiencing recurring vaccine-preventable disease outbreaks despite established vaccination programs. This scoping review focused on the evidence for individual and context barriers, drivers, and interventions for childhood vaccination uptake of FDMN/Rohingya refugees in Cox's Bazar. Four databases and grey literature were systematically searched. Theoretical frameworks were used to organize findings. 4,014 records were screened, and 21 articles included. The literature was heterogenous. Barriers and drivers for FDMN/Rohingya refugees receiving vaccination focused on motivation relating to trust, beliefs and fears (19 barriers and drivers in 11 articles), accessibility and information availability (19 barriers and drivers in 11 articles), as well as knowledge and ability (eight barriers and drivers in nine articles), and socio-cultural and gender-related norms and social support (seven barriers and drivers in eight articles). For health service providers facilitating vaccinations, context factors, such as the availability of vaccines and staff, were most frequently identified (13 barriers and drivers in 12 articles). Interventions mostly related to vaccination campaigns and information/education. They often lacked detail and formal evaluations. Future research and interventions on childhood vaccination should consider barriers and drivers for health service providers, the diversity of the camp population, and explore the role of community/religious leaders and gender-related social norms. Additionally, the reporting and evaluation of interventions should be strengthened.
https://doi.org/10.17605/OSF.IO/N6D3URL; https://osf.io/n6d3z.
约100万被迫流离失所的缅甸国民/罗兴亚难民生活在科克斯巴扎尔的难民营中，尽管已实施了疫苗接种计划，但仍反复出现可通过疫苗预防的疾病疫情。本范围综述聚焦于科克斯巴扎尔的被迫流离失所的缅甸国民/罗兴亚难民儿童疫苗接种的个体和背景障碍、驱动因素及干预措施的证据。系统检索了四个数据库和灰色文献。使用理论框架来组织研究结果。筛选了4014条记录，纳入21篇文章。文献具有异质性。被迫流离失所的缅甸国民/罗兴亚难民接种疫苗的障碍和驱动因素集中在与信任、信念和恐惧相关的动机（11篇文章中有19个障碍和驱动因素）、可及性和信息可得性（11篇文章中有19个障碍和驱动因素）、知识和能力（9篇文章中有8个障碍和驱动因素）以及社会文化和性别相关规范及社会支持（8篇文章中有7个障碍和驱动因素）。对于促进疫苗接种的卫生服务提供者而言，最常确定的背景因素是疫苗和工作人员的可及性（12篇文章中有13个障碍和驱动因素）。干预措施大多与疫苗接种运动及信息/教育有关。这些干预措施往往缺乏细节和正式评估。未来关于儿童疫苗接种的研究和干预措施应考虑卫生服务提供者的障碍和驱动因素、难民营人口的多样性，并探索社区/宗教领袖的作用以及与性别相关的社会规范。此外，应加强干预措施的报告和评估。
https://doi.org/10.17605/OSF.IO/N6D3URL；https://osf.io/n6d3z。
