Njuguna John
J Health Care Poor Underserved. 2018;29(4):1281-1287. doi: 10.1353/hpu.2018.0095.
Nurses in Kenya provide significant health care including immunization in government-run health facilities. Nurses' went on strike for 150 days in 2017. This study sought to determine the strike's effect on immunization services.
Data on number of fully immunized infants reported in 18 county referral hospitals was extracted from the Kenya Health Information System and analyzed for strike and similar non-strike months. A similar analysis was conducted for 14 faith-based health facilities that were not affected by the strike.
A Mann-Whitney U Test revealed significant difference in the mean number of fully immunized infants during the strike period (Md= 111, n=18) and non-strike period (Md=289, n=18), U=37, z= -4.0, p= .000, r=.6. A decline of 56.9% was reported during the strike. Faith-based health facilities reported an increase of 251.6% during the strike periodConclusion. This nurses' strike may have adversely affected immunization services.
肯尼亚的护士在政府运营的医疗机构中提供包括免疫接种在内的重要医疗保健服务。2017年，护士们举行了为期150天的罢工。本研究旨在确定罢工对免疫接种服务的影响。
从肯尼亚卫生信息系统中提取18家县级转诊医院报告的完全免疫婴儿数量数据，并对罢工月份和类似的非罢工月份进行分析。对14家未受罢工影响的宗教医疗机构进行了类似分析。
曼-惠特尼U检验显示，罢工期间（中位数=111，n=18）和非罢工期间（中位数=289，n=18）完全免疫婴儿的平均数量存在显著差异，U=37，z=-4.0，p=.000，r=.6。罢工期间报告下降了56.9%。宗教医疗机构报告在罢工期间增加了251.6%。结论：此次护士罢工可能对免疫接种服务产生了不利影响。
