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Measles control in Kenya: An evaluation of the measles campaign strategy and population characteristics.

机译:肯尼亚的麻疹控制:对麻疹运动策略和人口特征的评估。

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In 1978, the Declaration of Alma-Ata encouraged governments to strive toward "Health for All" (World Health Organization, 1978) by assuring all populations receive at least a minimum level of selective primary health care activities. Although immunization against major infectious diseases was among this vital list of activities, we continue to have major gaps in immunization services today with one-quarter of the world's children without protection from vaccine-preventable disease. The World Health Organization (WHO) has taken a leadership role in providing direction toward a solution. The development and implementation of public health strategies has led to successful reduction of childhood mortality from vaccine preventable diseases. Among the strategies used are the mass immunization campaigns which provides "catch-up" (World Health Organization/PAHO, 1999) immunization coverage to a large percentage of children. In a short designated period, the mass immunization campaign begins the control and disease elimination process by increasing the proportion of children with immunity in a given population. Another strategy public health literature has found significant to any successful health implementation is the social mobilization of a community to accept and participate in the program. This descriptive, retrospective study focuses on evaluating the Measles Initiative's (MI) simultaneous mass campaigns in the provinces of Kenya in June 2002, and in particular, public health strategies used to achieve successful coverage rates and begin the elimination process of the vaccine-preventable disease measles in the region of Africa. Evaluation will focus on the implementation process of the MI campaign strategy, post-campaign impact data and population characteristics that were a consideration in the social mobilization process.
机译:1978年,《阿拉木图宣言》鼓励各国政府向“全民健康”迈进(世界卫生组织,1978年),确保所有人口至少接受最低水平的选择性初级卫生保健活动。尽管针对主要传染病的免疫接种是这一重要活动之一,但今天,我们在免疫服务方面仍然存在重大差距,全球四分之一的儿童无法预防疫苗可预防的疾病。世界卫生组织(WHO)在提供解决方案指导方面发挥了领导作用。公共卫生战略的制定和实施已成功降低了疫苗可预防疾病造成的儿童死亡率。在所采用的策略中,有大规模的免疫运动,它为大部分儿童提供了“赶上”的免疫接种(世界卫生组织/泛美卫生组织,1999)。在指定的短期内,大规模免疫运动通过增加给定人群中免疫儿童的比例来开始控制和消除疾病的过程。公共卫生文献发现的另一项对成功实施卫生至关重要的策略是动员社区接受和参与该计划。这项描述性,回顾性研究的重点是评估2002年6月在肯尼亚各省开展的麻疹倡议(MI)同期群众运动,尤其是用于实现成功覆盖率并开始消除可预防疫苗的疾病的公共卫生策略非洲地区的麻疹。评估将集中在社会动员过程中考虑的MI运动策略的实施过程,运动后影响数据和人口特征。

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