The Global Context of Vaccine Refusal: Insights from a Systematic Comparative Ethnography of the Global Polio Eradication Initiative.
The Global Context of Vaccine Refusal: Insights from a Systematic Comparative Ethnography of the Global Polio Eradication Initiative.
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DOI：
10.1111/maq.12229
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发表时间：
2015-06-18
影响因子：
2.2
通讯作者：
Nyirazinyoye, Laetitia
中科院分区：
文献类型：
--
作者：
Closser, Svea;Rosenthal, Anat;Nyirazinyoye, Laetitia
许多医学人类学最紧迫的研究问题都需要了解感染、金钱和思想是如何在全球范围内流动的。全球根除脊髓灰质炎行动（GPEI）是一项耗资90亿美元的项目，已在世界各地的运动中提供了200亿剂口服脊髓灰质炎疫苗。由于它的一系列全球性活动，传统的人类学研究方法无法在一个实地地点全面探索它。本文描述了GPEI的人种学研究，这是七个国家八个地点的研究人员之间的合作努力。我们开发了一种方法，以对当地情况的细致理解为基础，但结构上可以分析全球趋势。在这里，我们考察脊髓灰质炎疫苗的接受和拒绝，以了解全球现象（在本例中，捐助者和全球卫生组织支持疫苗接种运动而不是建立卫生系统的政策决定）如何影响当地行为。这篇文章受版权保护。版权所有。
Many of medical anthropology's most pressing research questions require an understanding how infections, money and ideas move around the globe. The Global Polio Eradication Initiative (GPEI) is a $9 billion project that has delivered 20 billion doses of oral polio vaccine in campaigns across the world. With its array of global activities, it cannot be comprehensively explored by the traditional anthropological method of research at one field site. This paper describes an ethnographic study of the GPEI, a collaborative effort between researchers at eight sites in seven countries. We developed a methodology grounded in nuanced understandings of local context but structured to allow analysis of global trends. Here, we examine polio vaccine acceptance and refusal to understand how global phenomena-in this case, policy decisions by donors and global health organizations to support vaccination campaigns rather than building health systems-shape local behavior. This article is protected by copyright. All rights reserved.