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巴基斯坦疫苗接种率的影响因素。

Influencing factors on vaccination uptake in Pakistan.

作者信息

Lorenz Christian, Khalid Muhammad

机构信息

Gesellschaft fuer Internationale Zusammenarbeit (GIZ), German Development Cooperation, Islamabad, Pakistan.

出版信息

J Pak Med Assoc. 2012 Jan;62(1):59-61.

Abstract

This article describes immunisation of children under 5 years among different regional and socio-economic population groups in Pakistan. It also gives insights on the health facilities used for immunisation and the reasons for not vaccinating the children. Furthermore, it discusses other factors that influence vaccination rates. The analyses are based on household economic survey data for 1998-89, 2001-02 and 2005-06. In these years, Pakistan Standard of Living Measurement (PSLM) survey has been carried out along with the Household Integrated Economic Survey (HIES) which included social as well as economic indicators related to households. The HIES was conducted as sub-sample of PSLM and provided data on household income, consumption expenditure and consumption pattern at national and provincial level with urban/rural breakdown. The empirical findings showed that mobile immunisation teams (MIT) are of major importance for the vaccination rate in three aspects; Firstly, MIT increase the awareness of diseases and the need and ability to protect against them. Secondly, MIT inform parents about possibilities and positive impacts of vaccination and reduce the fear of negative impacts through detailed information. Thirdly, MIT establish the lack of availability of health care providers especially in rural areas.

摘要

本文描述了巴基斯坦不同地区和社会经济人群中5岁以下儿童的免疫接种情况。它还深入探讨了用于免疫接种的卫生设施以及儿童未接种疫苗的原因。此外,它讨论了影响疫苗接种率的其他因素。分析基于1989 - 1998年、2001 - 2002年和2005 - 2006年的家庭经济调查数据。在这些年份里,巴基斯坦生活水平测量(PSLM)调查与家庭综合经济调查(HIES)同时进行,后者包括与家庭相关的社会和经济指标。HIES作为PSLM的子样本进行,提供了国家和省级层面按城乡划分的家庭收入、消费支出和消费模式数据。实证研究结果表明,流动免疫团队(MIT)在三个方面对疫苗接种率至关重要;首先,流动免疫团队提高了对疾病的认识以及预防疾病的需求和能力。其次,流动免疫团队向家长宣传疫苗接种的可能性和积极影响,并通过详细信息减少对负面影响的恐惧。第三,流动免疫团队证实了特别是在农村地区缺乏医疗保健提供者的情况。

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