Yach D, Metcalf C, Lachman P, Hussey G, Subotsky E, Blignaut R, Flisher A J, Schaaf H S, Cameron N
Centre for Epidemiological Research in Southern Africa, South African Medical Research Council, Parowvallei, CP.
S Afr Med J. 1991 Apr 20;79(8):437-9.
Measles is still a major cause of childhood mortality and morbidity in South Africa. The World Health Organisation (WHO) has recently recommended that greater attention be paid to opportunities for immunisation in the curative sector. This study quantified the extent of missed opportunities for measles immunisation in children attending primary, secondary and tertiary level curative hospitals in the western Cape. Exit interviews of 1,068 carers of children aged between 6 and 59 months inclusive showed that 2.4-40.7% of carers had been requested to produce a Road-to-Health card, and that 4.8-43.1% of carers had a card available. The proportion of children with documented evidence of measles immunisation available ranged from 4.8% to 40.0% between facilities. The study demonstrated that a considerable number of potential opportunities to immunise children against measles are currently being missed in children attending hospitals and day hospitals in the western Cape. The study documents the effect of a fragmented approach to health care, and indicates a need for rapid integration of preventive and curative components of health care into a metropolitan-based primary health care service.
在南非，麻疹仍然是儿童死亡和发病的主要原因。世界卫生组织（WHO）最近建议，应更加关注治疗部门的免疫接种机会。本研究对西开普省初级、二级和三级治疗医院中儿童麻疹免疫接种错过机会的程度进行了量化。对1068名年龄在6至59个月（含）的儿童看护者进行的出院访谈显示，2.4%至40.7%的看护者被要求出示《健康之路》卡片，且4.8%至43.1%的看护者有该卡片。各医疗机构中，有麻疹免疫接种记录证据的儿童比例在4.8%至40.0%之间。该研究表明，西开普省的住院儿童和日间医院儿童目前错失了大量为儿童接种麻疹疫苗的潜在机会。该研究记录了医疗保健分散化方法的影响，并表明需要迅速将医疗保健的预防和治疗部分整合到基于大都市的初级卫生保健服务中。
