初级卫生保健人员面临的免疫接种障碍。
Primary Health-Care Staff Barriers to Immunization.
作者信息
Al-Salihi Layth Ghazi, Aakef Ihab Raqeeb, Al-Shuwaili Saeb Jasim, Zaki Hadi Wafaa Mohammed
机构信息
Department of Communicable Disease Control, Directorate of Public Health, Ministry of Health, Baghdad, Iraq.
Manager of Public Health Section, Medical City Directorate, Ministry of Health, Baghdad, Iraq.
出版信息
Indian J Community Med. 2019 Jul-Sep;44(3):256-260. doi: 10.4103/ijcm.IJCM_14_19.
BACKGROUND
Missed opportunities for immunization (MOI) is considered as the most important preventable reason for underimmunization. Health-care workers stand beyond more than half the children's missed opportunities due to gaps in their knowledge, attitudes, and practices (KAP) regarding immunization.
OBJECTIVES
This study assessed immunization staff at primary health-care centers in Baghdad/Al-Karkh for KAP that may lead to MOI.
MATERIALS AND METHODS
KAP survey was conducted on field immunization service providers at primary health-care centers in Baghdad/Al-Karkh. Barriers are considered to present whenever scores found <80 in any of KAP. Data were collected using a self-administered structured questionnaire analyzed by SPSS 24.
RESULTS
Among 217 respondent health professionals, 69 (31.8%) were physicians and 148 (68.2%) were nurses. The studied sample got mean scores for KAP of 84.7 ± 11.4, 71.1 ± 22.7, and 74.8 ± 20.3, respectively. Physicians had higher mean knowledge score compared to nurses ( < 0.05). Both physicians and nurses got mean scores below 80 for both attitudes and practices.
CONCLUSION
Attitudes and practices in both physicians and nurses need to be improved to avoid MOI.
背景
免疫接种错失机会（MOI）被认为是免疫接种不足最重要的可预防原因。由于医护人员在免疫接种方面的知识、态度和实践（KAP）存在差距，超过一半的儿童错失免疫接种机会是由他们造成的。
目的
本研究评估了巴格达/卡尔赫初级卫生保健中心的免疫接种工作人员可能导致MOI的KAP情况。
材料与方法
对巴格达/卡尔赫初级卫生保健中心的现场免疫接种服务提供者进行了KAP调查。只要KAP中任何一项得分低于80分，就认为存在障碍。使用自行填写的结构化问卷收集数据，并通过SPSS 24进行分析。
结果
在217名应答的卫生专业人员中，69人（31.8%）是医生，148人（68.2%）是护士。所研究的样本在KAP方面的平均得分分别为84.7±11.4、71.1±22.7和74.8±20.3。与护士相比，医生的平均知识得分更高（<0.05）。医生和护士在态度和实践方面的平均得分均低于80分。
结论
需要改善医生和护士的态度和实践，以避免MOI。
Zotero 插件