Routine child immunizations in India during the COVID-19 pandemic.
Routine child immunizations in India during the COVID-19 pandemic.
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DOI：
10.1016/j.ssmph.2023.101383
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发表时间：
2023-06
影响因子：
4.7
通讯作者：
Thirumurthy, Harsha
中科院分区：
文献类型：
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作者：
Chakrabarti, Averi;Bair, Elizabeth F.;Thirumurthy, Harsha
2019冠状病毒病大流行期间卫生服务的提供和利用受到干扰，可能导致全球许多儿童无法获得重要的预防性卫生服务。我们调查了大流行对印度常规儿童疫苗接种的影响，印度拥有世界上最大的儿童免疫接种计划。利用印度政府卫生管理信息系统的数据和中断的时间序列分析，我们估计了大流行期间常规儿童疫苗接种相对于大流行前典型每月疫苗接种的地区水平变化。我们的研究结果显示，在疫情期间，儿童疫苗接种大幅减少，其中在2020年4月实施严格的全国封城措施时，下降幅度尤其大。例如，与大流行前观察到的典型每月疫苗接种水平相比，2020年4月脊髓灰质炎系列中最后所需剂量的地区一级接种下降了约60%。疫苗接种随后有所增加，但基本上仍低于COVID-19爆发前的水平。2021年，在印度第二波COVID-19感染期间，疫苗接种人数进一步下降。异质性分析表明，在封锁最严格的地区和基线卫生系统能力较低的地区，疫苗接种下降最多。迫切需要采取纠正行动，例如补接种疫苗活动，以限制在COVID-19大流行期间错过常规免疫接种的儿童将产生的有害后果。我们利用卫生管理信息系统数据研究了2019冠状病毒病大流行期间印度的儿童免疫接种趋势。与大流行前相比，大流行期间儿童疫苗接种率大幅下降。在实施封锁最严格和卫生系统能力较低的地区，下降幅度更大。迫切需要采取纠正行动，限制错过常规免疫接种的儿童的有害后果。
Disruptions in health service delivery and utilization during the COVID-19 pandemic may have caused many children worldwide to not receive vital preventative health services. We investigate the pandemic’s effects on routine childhood vaccinations in India, which has the world’s largest child immunization program. Using data from the Government of India’s health management information system and interrupted time series analyses, we estimate district-level changes in routine child vaccinations during the pandemic relative to typical monthly vaccinations in the pre-pandemic period. Our results indicate there were significant reductions in child vaccinations during the pandemic, with declines being extremely large in April 2020 when a strict national lockdown was in place. For example, district-level administration of the final required dose in the polio series declined by about 60% in April 2020 relative to the typical monthly vaccination levels observed prior to the pandemic. Vaccinations subsequently increased but largely remained below levels observed before the outbreak of COVID-19. Additional declines in vaccinations occurred in 2021 during the second wave of COVID-19 infections in India. Heterogeneity analyses suggest that vaccinations declined the most in districts with the strictest lockdowns and in districts with low health system capacity at baseline. There is a vital need for corrective actions, such as catch-up vaccination campaigns, to limit the deleterious consequences that will arise for the children who missed routine immunizations during the COVID-19 pandemic. We study child immunization trends in India during the COVID-19 pandemic with health management information system data. There were large declines in child vaccinations during the pandemic relative to the pre-pandemic period. Declines were larger in districts where lockdowns were imposed most strictly and where health system capacity was lower. There is urgent need for corrective actions to limit deleterious consequences for children who missed routine immunizations.
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影响因子：
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作者：
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通讯作者：
Dinka, Temesgen Geleta
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作者：
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作者：
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通讯作者：
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作者：
Bharadwaj J;Sharma SK;Darbari A;Patil P
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DOI：
10.1007/s40888-021-00233-9
发表时间：
2022
期刊：
Economia politica (Bologna, Italy)
影响因子：
--
作者：
Gupta S;Seth P;Abraham M;Pingali P
通讯作者：
Pingali P