Opportunities and barriers arising from the COVID-19 pandemic for health campaign integration across immunizations, neglected tropical diseases, insecticide-treated bed nets, and vitamin A supplementation: A qualitative key informant interview study
Notice bibliographique
Résumé
In low- and middle-income countries, health campaigns play a crucial role in addressing high-priority health concerns such as neglected tropical diseases (NTDs), malaria, vaccine-preventable diseases and nutrition (vitamin A supplementation). Many health campaigns are conducted throughout the calendar year, resulting in multiple campaigns annually in some communities. Campaign integration offers an opportunity to increase efficiencies across programs and limit the strain on healthcare workers, communities, and health systems. The response to the COVID-19 pandemic provided opportunities for campaign integration to mitigate losses from missed campaign deliveries. As the interest in integration grows, there is a need to understand existing barriers, bottlenecks, and opportunities for better integration, whether through co-delivery or increased collaboration. This qualitative study aimed to understand the opportunities and barriers to campaign co-delivery and collaboration from the perspective of 26 stakeholders involved in vaccine-preventable diseases, vitamin A supplementation, NTDs, and malaria programs. Key informants included campaign managers, implementing partners, donors, and decision-makers at the country and state levels in five countries: Côte d'Ivoire, Ethiopia, Guyana, Indonesia, and Nigeria. Results indicated that campaigns were integrated at various levels, from partial integration and co-delivery to fully integrated delivery within existing health services. Most emerging factors were categorized as either facilitating or hindering campaign integration. Enablers to campaign integration included joint planning and appreciation for human resources, while target population variation, prioritization of one intervention by another, and overburdening of healthcare workers, community health workers and community drug distributors were identified as specific barriers. An emerging theme was the importance of leadership, reinforcing the need for country ownership, political will, and positive stakeholder relationships. Further research is warranted to identify optimal combinations of campaign commodities, strategies to ensure stakeholder engagement throughout the integration process, methods to factor in local community context, and the expansion of lessons learned from the COVID-19 pandemic.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».