Streefland P H, Chowdhury A M, Ramos-Jimenez P
Royal Tropical Institute, Amsterdam, Netherlands.
Bull World Health Organ. 1999;77(9):722-30.
For immunization to be effective in the long run as a major global disease control intervention it is important to provide good quality vaccination services. Studies carried out in three countries in Asia (Bangladesh, India, and the Philippines) and two countries in Africa (Ethiopia and Malawi), and reported on in this article, document the fact that parents are willing to invest considerable effort in having their children vaccinated; however, there are a number of serious shortcomings in the quality of the routine vaccination services and strains are apparent at the interface between the vaccination providers and the users. These shortcomings are detracting from the sustainability of routine vaccination programmes and are promoting the growth of pools of nonimmunized and partially immunized children. To safeguard the continued operation and to enhance the coverage of routine vaccination programmes it is crucial that these difficulties be addressed.
从长远来看，免疫接种作为一项主要的全球疾病控制干预措施要想发挥成效，提供高质量的疫苗接种服务至关重要。本文所报道的在亚洲三个国家（孟加拉国、印度和菲律宾）以及非洲两个国家（埃塞俄比亚和马拉维）开展的研究表明，父母愿意投入大量精力为孩子接种疫苗；然而，常规疫苗接种服务质量存在一些严重缺陷，在疫苗接种服务提供者与使用者之间的界面上问题明显。这些缺陷正在损害常规疫苗接种计划的可持续性，并促使未接种疫苗和部分接种疫苗儿童群体不断扩大。为保障常规疫苗接种计划的持续实施并提高其覆盖率，解决这些困难至关重要。
