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Breaking the inertia in coverage: Mainstreaming under-utilized immunization strategies in the Middle East and North Africa region

机译：在覆盖范围内打破惯性：在中东和北非地区利用的免疫策略纳入主流

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Vaccination coverage rates have stagnated in the past several years in many middle-income countries (MICs), especially in the UNICEF Middle East and North Africa region, with political and economic turmoil as contributing factors. This paper reviews country experiences with three under-utilized strategies aimed at increasing vaccination coverage and reducing disparities between socio-economic and geographic groups in MICs. These strategies include: (1) identifying and accounting for displaced, mobile and neglected populations; (2) assessing and addressing missed opportunities for vaccination, including by expanding immunization into the second year of life and beyond; and (3) engaging effectively with the private/nongovernmental health providers in the coordination, provision and reporting of immunization services. The examples focus primarily on quality data collection, analysis, use and reporting aspects of the strategies. While data are limited, there is evidence from MICs that each of these strategies can have a positive impact on vaccination coverage, especially among marginalized populations. (C) 2018 The Authors. Published by Elsevier Ltd.
机译：疫苗接种覆盖率在许多中东地区（MICS）的过去几年中已经停滞不前，特别是在儿童基金会中东和北非地区，政治和经济动荡导致各种因素。本文评论国家经验，具有三种未利用的策略，旨在提高疫苗接种覆盖率，并减少麦克风中社会经济和地理群之间的差异。这些策略包括：（1）识别和核算流离失所，移动和被忽视的人口; （2）评估和解决错过的疫苗接种机会，包括将免疫扩大到生命及以后的第二年; （3）在私人/非政府卫生供应商中有效地参与协调，拨款和报告免疫服务。该示例主要关注策略的质量数据收集，分析，使用和报告方面。虽然数据有限，但有来自MIC的证据，这些策略中的每一个都可以对疫苗接种覆盖产生积极影响，特别是在边缘化群体中。 （c）2018年作者。 elsevier有限公司出版

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