van Zwanenberg T D, Hull C
Department of Family and Community Medicine, Medical School, Newcastle upon Tyne.
Br Med J (Clin Res Ed). 1988 Jun 11;296(6637):1654-6. doi: 10.1136/bmj.296.6637.1654.
The effect on immunisation coverage of applying guiding principles to the management of primary health care services in a province in Papua New Guinea is described. These principles were: (a) Each health centre should have a defined geographical area of responsibility. (b) Each health centre should be responsible for a defined population. (c) Each health centre should have defined target groups for immunisation and child health clinic enrollment. (d) An accurate and meaningful reporting system is essential. (e) Each health centre should receive regular feedback on its achievements. Immunisation coverage in the province, as judged by the proportion of children under 1 year of age receiving their second dose of triple antigen, improved from 57-67% in 1980-2 to 89-94% in 1983-4. Immunisation is the most cost effective preventive activity undertaken in child health care. The application of these guiding principles would be relevant in the United Kingdom.
本文描述了在巴布亚新几内亚某省将指导原则应用于初级卫生保健服务管理对免疫接种覆盖率的影响。这些原则是:(a)每个保健中心应有明确界定的责任地理区域。(b)每个保健中心应对特定的人口负责。(c)每个保健中心应有明确界定的免疫接种目标群体和儿童健康诊所登记对象。(d)准确且有意义的报告系统至关重要。(e)每个保健中心应定期收到关于其成就的反馈。以1岁以下儿童接受第二剂三联疫苗的比例来判断,该省的免疫接种覆盖率从1980 - 1982年的57% - 67%提高到了1983 - 1984年的89% - 94%。免疫接种是儿童保健中最具成本效益的预防活动。这些指导原则的应用在英国也会具有相关性。