Human and animal vaccination delivery to remote nomadic families, Chad
Human and animal vaccination delivery to remote nomadic families, Chad
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DOI：
10.3201/eid1303.060391
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发表时间：
2007-03-01
影响因子：
11.8
通讯作者：
Zinsstag, Jakob
中科院分区：
文献类型：
--
作者：
Schelling, Esther;Bechir, Mahamat;Zinsstag, Jakob
由于财政、后勤和服务提供方面的限制，非洲偏远农村地区的人畜疫苗接种服务往往无法实现足够的覆盖率。在乍得，从2000年到2005年，我们证明了游牧牧民和他们的牲畜结合疫苗接种计划的可行性。医生和兽医之间共享运输物流和设备降低了总成本。联合提供人类和动物保健服务适合难以接触到的牧民，并受到他们的高度重视。在干预区，首次有近10%的游牧儿童（> 1-11个月）每年接受全面免疫接种，在联合疫苗接种期间，每天接受疫苗接种的儿童和妇女人数多于只对个人而不对牲畜接种疫苗期间（130对100，p < 0.001）。通过优化利用有限的后勤和人力资源，公共卫生和兽医服务都变得更加有效，特别是在地区一级。
Vaccination services for people and livestock often fail to achieve sufficient coverages in Africa's remote rural settings because of financial, logistic, and service delivery constraints. In Chad from 2000 through 2005, we demonstrated the feasibility of combining vaccination programs for nomadic pastoralists and their livestock. Sharing of transport logistics and equipment between physicians and veterinarians reduced total costs. Joint delivery of human and animal health services is adapted to and highly valued by hard-to-reach pastoralists. In intervention zones, for the first time approximate to 10% of nomadic children (> 1-11 months of age) were fully immunized annually and more children and women were vaccinated per day during joint vaccination rounds than during vaccination of persons only and not their livestock (130 vs. 100, p < 0.001). By optimizing use of limited logistical and human resources, public health and veterinary services both become more effective, especially at the district level.