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对脊髓灰质炎脉冲免疫的认知。

Awareness of pulse polio immunisation.

作者信息

Gomber S, Taneja D K, Mohan K

机构信息

Department of Pediatrics, UCMS and G.T.B. Hospital, Delhi.

出版信息

Indian J Pediatr. 1996 Jan-Feb;63(1):99-103. doi: 10.1007/BF02823877.

Abstract

Mass polio immunisation campaign was launched in the national capital territory of Delhi with 2 doses of polio vaccine to be administered to children upto 3 years of age on October and December 4, 1994 respectively. Massive information, education & communication (IEC) efforts through mass media and interpersonal communication preceded the dates of the campaign. A study to assess the awareness of general population was carried out by interviewing 225 adult residents of Delhi using a structured questionnaire. These were drawn by two stage stratified random sampling. Zonewise assembly segments in the first stage and census enumeration blocks in the second stage formed the sampling frame. The study, carried out 3 days prior to date of administration of first dose of oral polio, revealed that 60.4% of population was aware of the programme being launched and 31.6% about aim of the programme. None of the respondents were aware of all the specific parameters put together correctly viz., objective, immunisation days, age group & immunisation status of children. The higher level of awareness was directly proportional to the level of education. The overwhelming success of the programme was indicated by immunisation of > 90% children upto 3 years of age all over Delhi in the first phase of the programme. The key to success of the programme despite low awareness is explained on the basis of unflinching efforts put in by vaccine centre level committees, integrated child development scheme (ICDS) and urban basic service (UBS) functionaries in mobilising people to reach various vaccination centres. Other states planning to launch such mass campaigns should pay attention to social mobilisation in addition to IEC efforts for successful completion of the programme.

摘要

1994年10月和12月4日,在德里国家首都辖区开展了大规模脊髓灰质炎免疫运动,为3岁及以下儿童分别接种两剂脊髓灰质炎疫苗。在运动日期之前,通过大众媒体和人际传播进行了大规模的信息、教育与宣传(IEC)工作。通过使用结构化问卷对225名德里成年居民进行访谈,开展了一项评估普通民众认知情况的研究。这些居民通过两阶段分层随机抽样选取。第一阶段按区域划分的议会选区和第二阶段的人口普查枚举街区构成了抽样框架。在口服脊髓灰质炎疫苗第一剂接种日期前3天进行的这项研究显示,60.4%的人口知晓该计划正在启动,31.6%的人知晓该计划的目标。没有一位受访者能正确知晓所有具体参数,即目标、免疫接种日、儿童年龄组和免疫接种状况。较高的认知水平与教育程度成正比。该计划第一阶段在德里各地3岁及以下儿童中超过90%的接种率表明了该计划取得了巨大成功。尽管认知度较低,但该计划成功的关键在于疫苗中心层面的委员会、综合儿童发展计划(ICDS)和城市基本服务(UBS)工作人员在动员人们前往各个疫苗接种中心方面付出的不懈努力。其他计划开展此类大规模运动的邦除了进行信息、教育与宣传工作外,还应关注社会动员情况,以成功完成该计划。

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