Topuzoğlu Ahmet, Ay Pinar, Hidiroglu Seyhan, Gurbuz Yucel
Department of Public Health, School of Medicine, Marmara University, Istanbul, Turkey.
Eur J Public Health. 2007 Aug;17(4):348-52. doi: 10.1093/eurpub/ckl250. Epub 2006 Nov 7.
The socio-economically disadvantaged populations are among the most vulnerable groups that are under-vaccinated. Therefore, the aim of this qualitative study was to understand the behaviours of mothers concerning the immunization of their children, the decision-making process, the perceived barriers, and the enabling factors to access the services in a suburban population in Istanbul.
Eight focus group discussions and two in-depth interviews were carried out with the mothers who have children younger than five years.
While the responsibility of immunization was left totally to the mother, the socially subordinate role of women did not provide the means of getting the immunization services. The women were dependent mostly on social networks for getting the immunization services. Another important barrier to the services was related to the economical constraints and accessibility of the services. In addition, the lack of effective communication and information transfer between the health personnel and the mothers formed an important obstacle.
This study underlines a need for an effective counselling tailored to the immunization session, which will maintain a positive relationship between the personnel and the mother.
社会经济弱势群体是疫苗接种率较低的最脆弱群体之一。因此，这项定性研究的目的是了解伊斯坦布尔郊区母亲们在孩子免疫接种方面的行为、决策过程、感知到的障碍以及获得服务的促成因素。
对有5岁以下孩子的母亲进行了8次焦点小组讨论和2次深入访谈。
虽然免疫接种的责任完全落在母亲身上，但女性的社会从属角色并未提供获得免疫接种服务的途径。这些女性大多依靠社交网络来获得免疫接种服务。服务的另一个重要障碍与经济限制和服务的可及性有关。此外，卫生人员与母亲之间缺乏有效的沟通和信息传递构成了一个重要障碍。
本研究强调需要针对免疫接种环节进行有效的咨询，这将维持工作人员与母亲之间的积极关系。
