Freeman P A, Thomason J A, Bukenya G B
Department of Community Medicine, University of Papua New Guinea, Port Moresby.
P N G Med J. 1992 Sep;35(3):179-85.
This paper examines the importance of selected social factors in the acceptance of childhood immunization in urban settlements in Port Moresby, Papua New Guinea. The study found that the provision of information to mothers on when to start immunization and how often the child should be immunized were key factors in determining immunization status. Maternal education was found to be positively associated with knowledge of immunization, but was not significantly associated with actual immunization practice. Over 70% of the women studied found out when to attend for immunization from the local maternal and child health (MCH) staff, hence emphasizing their importance in disseminating information. If coverage is to be increased further in urban settlements with mobile populations, maximal use must be made of local community organizations to disseminate the key immunization information and for follow-up of newborns and infants new to the community. Efforts to encourage mothers to deliver under supervision should also continue as this is an important point of first contact for immunization.
本文探讨了巴布亚新几内亚莫尔斯比港城市居民区中某些社会因素在儿童免疫接种接受度方面的重要性。研究发现，向母亲提供关于何时开始免疫接种以及儿童应多久接种一次的信息是决定免疫接种状况的关键因素。研究发现，母亲的教育程度与免疫接种知识呈正相关，但与实际免疫接种行为并无显著关联。超过70%的受访女性是从当地母婴健康（MCH）工作人员那里得知何时前往接种疫苗的，这凸显了他们在传播信息方面的重要性。若要在流动人群较多的城市居民区进一步提高免疫接种覆盖率，必须最大限度地利用当地社区组织来传播关键的免疫接种信息，并对新进入社区的新生儿和婴儿进行随访。鼓励母亲在监护下分娩的工作也应继续推进，因为这是免疫接种的首个重要接触点。
