COVID-19 vaccine roll-out in middle-income countries: Lessons learned from the Jordan experience.

COVID-19 vaccine roll-out in middle-income countries: Lessons learned from the Jordan experience.
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DOI:
10.1016/j.vaccine.2021.06.078
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发表时间:
2021-08-09
期刊:
影响因子:
5.5
通讯作者:
Bellizzi S
Bellizzi S
中科院分区:
医学3区
文献类型:
--
作者:
Al-Shaikh A;Muthu N;Aidyralieva C;Profili MC;Bellizzi S

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约旦是一个中等偏上收入国家,受到了两波新冠肺炎的戏剧性影响,第一波在2020年11月,第二波在2021年3月中下旬达到峰值。甚至在报告首例新冠肺炎病例之前,该国就已经制定了第一个国家防备和应对计划,并一直在定期更新。同样,约旦已经制定了新冠肺炎疫苗推广的有效计划,从而在2020年底开始登记接种疫苗。疫苗接种计划的目标从为20%的人口接种疫苗改为为500多万居民接种疫苗,相当于18岁以上总人口的80%以上。确保双边协议和确保额外疫苗供应的能力使该国能够提高疫苗接种目标。类似于约旦公平的新冠肺炎反应,新冠肺炎疫苗接种计划涵盖所有人口,包括难民和移民。约旦国家免疫计划(NIP)是最有效和最成功的公共卫生计划之一,受到公众的高度信任。国家报告新冠肺炎前期间所有疫苗的免疫覆盖率都在90%以上。世界银行最近进行的一项调查报告说,一个国家开展大规模成人疫苗接种计划的能力并不取决于是否存在一个运行良好的儿童免疫系统[1]。这从最近建立的新冠肺炎疫苗接种电子登记、报告和监测系统中可见一斑。虽然儿童免疫接种仍然依赖纸质疫苗接种电子系统,但新冠肺炎疫苗接种数据系统建立在坚实的电子登记系统基础上,数据录入最少。
Jordan is an upper-middle income country which was dramatically affected by two waves of COVID-19, the first wave in November 2020 and the second peaking mid-to-late March 2021. The country has developed its first National preparedness and response plan even before the first case of COVID-19 had been reported and has been being updating periodically. Similarly, Jordan has developed an effective plan for COVID-19 vaccine roll-out, thereby starting the registration to vaccination during late 2020. The aim of the vaccination program was changed from vaccinating 20% of the population to vaccinate over 5 million residents, corresponding to over 80% of the total population over the age of 18 years. Securing bilateral agreements and the ability to ensure additional vaccine supplies enabled the country to increase its vaccination target. Similar to equitable COVID-19 response in Jordan, COVID-19 vaccination plan includes all population, including refugees and migrants.The National Immunization Program (NIP) of Jordan is one of the most effective and successful public health programs which is highly trusted by the public. Country has reported immunization coverage rates over 90% for all vaccines during pre-COVID-19 period. A recent survey conducted by the World Bank reported that a country’s ability to roll out mass adult vaccination programs doesn’t depend on the existence of a well-functioning childhood immunization system [1]. This is evident through the recently established electronic registration, reporting, and monitoring system for COVID-19 vaccination. While childhood immunization is still relying on a paper-based vaccination electronic system, the COVID-19 vaccination data system is built on a solid electronic registration system, with minimal data entry.