Porter R W, Steinglass R, Kaiser J, Olkhovsky P, Rasmuson M, Dzhatdoeva F A, Fishman B, Bragina V
Academy for Educational Development, Washington, DC 20009-5721, USA.
J Infect Dis. 2000 Feb;181 Suppl 1:S220-7. doi: 10.1086/315566.
As part of a broader program in health communication assistance, project staff from Basic Support for Institutionalizing Child Survival worked with staff from Russia's oblast (regional) public health agencies to design and implement communication activities supporting local diphtheria immunization efforts. Because aggressive community outreach efforts and strong administrative sanctions had already achieved impressive adult coverage rates for first doses of diphtheria toxoid vaccine, communication interventions emphasized the need for second and third doses. Outcomes were assessed through vaccination coverage data and more qualitative measures. In one project site, the increase in adult coverage (two or more doses) was very modest. In a second site, with a stronger communications component, coverage increased significantly (from 20% to 80%). Although it is not possible to disentangle completely the effects of communications from other aspects of oblast immunization programs, these and other outcome data suggest that health communications can play an important role in Russia's ongoing mass immunization efforts.
作为更广泛的卫生传播援助项目的一部分，儿童生存制度化基本支持项目的工作人员与俄罗斯州（地区）公共卫生机构的工作人员合作，设计并开展了支持当地白喉免疫工作的传播活动。由于积极的社区推广工作和强有力的行政制裁已经使成人白喉类毒素疫苗首剂接种率达到了令人瞩目的水平，传播干预措施强调了接种第二剂和第三剂的必要性。通过疫苗接种覆盖率数据和更多定性指标对结果进行了评估。在一个项目地点，成人接种覆盖率（两剂及以上）的增长非常有限。在另一个传播工作力度更大的地点，接种覆盖率显著提高（从20%提高到80%）。尽管不可能将传播的影响与州免疫项目的其他方面完全区分开来，但这些及其他结果数据表明，卫生传播在俄罗斯正在进行的大规模免疫工作中可以发挥重要作用。
