The Impact of COVID-19 on Supplies of Routine Childhood Immunization in Oromia Regional State, Ethiopia: A Mixed Method Study.
The Impact of COVID-19 on Supplies of Routine Childhood Immunization in Oromia Regional State, Ethiopia: A Mixed Method Study.
复制标题
DOI：
10.2147/rmhp.s386717
复制
发表时间：
2022
影响因子：
3.5
通讯作者：
Dinka, Temesgen Geleta
中科院分区：
文献类型：
--
作者：
Adilo, Takele Menna;Endale, Samson Zegeye;Demie, Takele Gezahegn;Dinka, Temesgen Geleta
在全球范围内，由于持续的2019冠状病毒病（COVID-19）大流行造成严重的卫生系统限制，国家免疫接种计划面临中断的风险。评估2019冠状病毒病对埃塞俄比亚奥罗莫州常规儿童免疫接种供应的影响。一个基于卫生设施的混合方法的研究设计进行。定量和定性数据收集使用预先测试的问卷和关键线人访谈问题指南，分别。进行描述性统计，如频率、平均值和标准差。采用二元逻辑回归分析评估COVID-19大流行与研究地区卫生设施疫苗相关供应品可用性之间的关联。定性数据采用主题内容分析法进行分析。在总共448名研究参与者中，214名（47.8%）报告称COVID-19扰乱了儿童疫苗的供应。很大一部分参与者同意BCG（62.1%），OPV（48%），IPV（40.4%）和PENTA（36.9%）疫苗供应中断。这些调查结果也得到了关键线人访谈的支持。担心无法保持物理距离（71.4%），其次是政府封锁（68.1%）和当地供应商/供应商供应不足（62.4%）是最常见的可能原因。大部分参与者（87.7%和81.7%）分别报告口罩和手套供应中断。至于二元逻辑回归分析，来自医院的研究参与者报告COVID-19影响的可能性高出1.72倍（1.01，2.68; 95% CI）。冠状病毒病-19严重破坏了奥罗米亚地区儿童免疫用品的供应。中断最多的疫苗和相关供应品是卡介苗、口服脊髓灰质炎疫苗、IPV、PENTA、口罩和手套。有效的疫苗供应管理对于防止COVID-19等大流行病期间的中断至关重要。
Globally, national immunization programs are at risk of disruption due to severe health system constraints caused by the ongoing Corona Virus Disease 2019 (COVID-19) pandemic. To assess the impact of COVID-19 on the availability of supplies of routine childhood immunization in the Oromia Regional State in Ethiopia. A health facility-based mixed-methods of study design was conducted. Both quantitative and qualitative data were collected using pre-tested questionnaires and key informant interview question guides, respectively. Descriptive statistics such as frequencies, means, and standard deviations were performed. Binary logistic regression analysis was employed to assess the associations between the COVID-19 pandemic and the availability of vaccine-related supplies at health facilities in study area. The qualitative data were analyzed using a thematic content analysis approach. Of the total 448 study participants, 214 (47.8%) reported that COVID-19 has disrupted childhood vaccines availability. A significant proportion of participants agreed with the disruption of BCG (62.1%), OPV (48%), IPV (40.4%), and PENTA (36.9%) vaccine availabilities. These findings were also supported with key informant interviews. Fear of not maintaining physical distance (71.4%) followed by government lockdown (68.1%) and inadequate supply by local providers/suppliers (62.4%) were the most frequently reported likely causes for the observed disruptions. A large proportion of participants (87.7% and 81.7%) reported disruptions in the supply of face masks and hand gloves, respectively. As to the binary logistic regression analysis, the study participants from hospitals were 1.72 (1.01, 2.68; 95% CI) times more likely to report the impacts of COVID-19. Corona Virus Disease −19 significantly disrupted the availability of supplies of childhood immunization in the Oromia region. The most disrupted vaccines and related supplies were BCG, OPV, IPV, PENTA, facemasks, and hand gloves. An effective vaccine supply management is crucial to prevent disruptions during pandemics such as COVID-19.