Vellinga A, Depoorter A M, Van Damme P
Free University of Brussels, Community Medicine, Belgium.
Acta Paediatr. 2002;91(5):599-603. doi: 10.1080/080352502753711759.
A random cluster sample according to the EPI cluster sampling technique was conducted in 1999 in Flanders (North Belgium) to ascertain the vaccination coverage of 18 to 24-mo-old children. Polio is the only mandatory vaccine. Diphtheria-tetanus-pertussis (DTP), Haemophilus influenzae type b (Hib), hepatitis B (HB) and measles-mumps-rubella (MMR) are included in the recommended schedule of vaccinations. For Hib and HB, a minimal cost was charged. Professional interviewers conducted interviews with the parents of 1110 children randomly selected in 89 municipalities. Analysis was conducted on the results of 1005 children. The coverage level (95% confidence interval) for the full schedule was 96% (95-97) for polio, 89% (87-91) for DTP, 78% (74-82) for Hib, 68% (64-72) for HB and 83% (81-87) for MMR. The vaccinations were administered by the regional children's health organization (70%), paediatricians (17%) and GPs (11%). No sociodemographic factors could be associated with vaccination coverage. One province showed significantly (p < 0.01) lower vaccination coverage levels compared with those of the other four provinces for DTP (91% vs 82%), Hib (78% vs 53%), HB (73% vs 46%) and MMR (87% vs 66%).
There is a need for more and better information about vaccination for parents as well as for the healthcare providers.
1999年在比利时北部的弗拉芒地区，按照扩大免疫规划（EPI）整群抽样技术进行了一项随机整群抽样调查，以确定18至24个月大儿童的疫苗接种覆盖率。脊髓灰质炎是唯一的强制疫苗。白喉-破伤风-百日咳（DTP）、b型流感嗜血杆菌（Hib）、乙型肝炎（HB）和麻疹-腮腺炎-风疹（MMR）被纳入推荐的疫苗接种计划。对于Hib和HB疫苗，收取最低费用。专业访谈人员对在89个市镇随机抽取的1110名儿童的家长进行了访谈。对1005名儿童的结果进行了分析。全程接种的覆盖率水平（95%置信区间）为：脊髓灰质炎96%（95 - 97），DTP 89%（87 - 91），Hib 78%（74 - 82），HB 68%（64 - 72），MMR 83%（81 - 87）。疫苗接种由地区儿童健康组织（70%）、儿科医生（17%）和全科医生（11%）进行。没有社会人口统计学因素与疫苗接种覆盖率相关。与其他四个省份相比，一个省份的DTP（91%对82%）、Hib（78%对53%）、HB（73%对46%）和MMR（87%对66%）疫苗接种覆盖率显著较低（p < 0.01）。
需要为家长以及医疗保健提供者提供更多更好的疫苗接种信息。
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