Liu Wei, Clemens John D, Yang Jin-ye, Xu Zhi Yi
International Vaccine Institute, P.O. Box 14, Kwanak, Seoul 151-600, Republic of Korea.
Vaccine. 2006 Jun 12;24(24):5178-82. doi: 10.1016/j.vaccine.2006.04.006. Epub 2006 Apr 24.
This study examined the impact of Japanese encephalitis (JE) immunization policies on disease trends in China. Through a document review and key source interviews in eight provinces, the study found, JE immunizations were provided via a combination of fee-for-service and government funding. Unequal government funding and unbalanced economic development led to variation in JE incidence levels between provinces. Government support of low-fee JE immunization, has led to nationwide decline of JE incidence by >90%; however, greater reliance on user fees and market mechanisms in rural areas has limited the provision of JE and other childhood immunizations to poor rural children.
本研究考察了日本脑炎（乙脑）免疫政策对中国疾病流行趋势的影响。通过对八个省份的文献回顾和关键信息源访谈，研究发现，乙脑免疫接种是通过收费服务和政府资助相结合的方式提供的。政府资助不均以及经济发展不平衡导致各省乙脑发病率存在差异。政府对低收费乙脑免疫接种的支持，已使全国乙脑发病率下降了90%以上；然而，农村地区对用户收费和市场机制的更大依赖，限制了向贫困农村儿童提供乙脑及其他儿童免疫接种服务。
