The first year of COVID-19 vaccine roll-out in Africa: challenges and lessons learned.
The first year of COVID-19 vaccine roll-out in Africa: challenges and lessons learned.
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DOI：
10.11604/pamj.supp.2022.41.2.33686
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发表时间：
2022
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在引入COVID-19疫苗后的第一年，世卫组织非洲区域47个国家中只有6.8%的总人口接受了全面疫苗接种。在紧急情况下，行动内审查有助于各国评估其进展情况，并记录哪些是有效的，哪些是无效的。我们审查并确定了22个非洲国家COVID疫苗推广行动内部审查报告中记录的主要经验教训和挑战。所有国家都记录了高级别政治承诺，但COVID-19疫苗和资金严重短缺。7个国家指出，由于缺乏资金或由于疫苗供应的种类和数量不可预测，在微观规划方面存在差距。业务资金短缺也影响到保健工作人员的培训，阻碍了服务提供的扩大。这些国家实施了多渠道沟通和社会动员活动，以及社交媒体参与和社会倾听。然而，在及时应对疫情方面，国家能力有限。在大多数国家，保健工作者和一般民众的犹豫不决是一个挑战。各国在探索各种COVID-19疫苗接种提供模式方面取得了宝贵经验，包括将COVID-19疫苗接种纳入常规卫生保健规划。有必要定期监测或开展研究，衡量公众对COVID-19疫苗接种的看法，以推动创造需求的努力，并利用证据解决犹豫不决的问题。
in the first year following the introduction of COVID-19 vaccines, only 6.8% of the total population in the 47 countries in the WHO African Region have received full vaccination. In an emergency context, the intra-action review helps countries to assess their progress and document what has worked and not worked. we reviewed and identified the key lessons and challenges documented in the reports from intra-action review of COVID vaccine roll out in 22 African countries. all countries documented high level political commitment, but a serious shortage of COVID-19 vaccines and funding. Seven countries identified gaps in microplanning because of lack of funding or due to the unpredictability in the type and volume of vaccine supplies. The shortage of operational funding also affected training of health workers and hampered the expansion of service delivery. The countries implemented multi-channel communications and social mobilisation activities, alongside social media engagement and social listening. However, country capacity was limited in terms of timely responding to infodemics. Hesitancy among health workers and the general population was a challenge in most of the countries. countries have gained valuable experiences exploring various COVID-19 vaccination delivery models, including implementing the integration of COVID-19 vaccination within routine health care programs. There is a need to regularly monitor or do studies measuring public perceptions towards COVID-19 vaccination in order to drive the demand generation efforts, as well as use evidence in addressing hesitancy.