Immunization coverage in Mozambique: From concepts to decision-making
Immunization coverage in Mozambique: From concepts to decision-making
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DOI：
10.1016/j.healthpol.2005.12.002
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发表时间：
2006-11-01
期刊：
影响因子：
3.3
通讯作者：
Bjune, Gunnar
中科院分区：
文献类型：
--
作者：
de Timoteo Mavimbe, Joao Carlos;Muquingue, Humberto Nelson;Bjune, Gunnar
免疫接种是降低儿童发病率和死亡率的有效战略。这一认识使许多国家集中精力，以免疫覆盖率数字的形式取得理想的成就。然而，对不同国家为实现高免疫覆盖率所作的努力关注较少。2002年8月期间，对莫桑比克一个偏远省份（尼亚萨）的14名地区卫生主任进行了访问。目的是确定免疫覆盖的结构以及它们如何执行所需的方案战略，以改善该地区的健康状况。我们发现，大多数管理者将免疫覆盖率视为数据，因此高覆盖率本身就是目的，而不是现实的反映。我们还发现，人口数据存在不确定性，这使得难以规划一个地区以下的活动。我们进一步认为，就免疫接种覆盖率提出的不同意见之间的创新性区别，使我们了解到地区卫生主任作为尼亚萨地区卫生管理团队的领导人所面临的不同挑战。提供了关于免疫覆盖的某些观点对国家和全球追求免疫目标的政策和地方决策的影响的线索。2005爱思唯尔爱尔兰有限公司版权所有。
Immunization is an effective strategy to reduce morbidity and mortality among children. This recognition has led many countries to concentrate efforts in establishing desirable achievements in the form of immunization coverage figures. However, less focus has been placed on effort made by different countries to attain high immunization coverage. During August 2002, 14 district health directors in a remote province of Mozambique (Niassa) were interviewed. The objective was to ascertain the construction of immunization coverage and how they implement the desired program strategies in order to improve the health status of the region. We found that most managers regarded the immunization coverage as data and thus high coverage as an end in itself, rather than as a reflection of the reality. We also found that there are uncertainties in population data which makes it difficult to plan activities bellow the level of a district. We argue further that the innovative distinction between the views proposed on the immunization coverage, provided us with an insight of the different challenges that district health directors face as leaders of the district health management team in Niassa. Clues on the implications of certain views of immunization coverage for policy and local decision-making in the national and global pursuit of immunization targets are provided. (c) 2005 Elsevier Ireland Ltd. All rights reserved.