Brown J, Djogdom P, Murphy K, Kesseng G, Heymann D
Rev Epidemiol Sante Publique. 1982;30(1):35-47.
Among the problems encountered today in Expanded Programmes on Immunization (EPI) is the failure to reach an acceptable level of immunization coverage in rapidly growing urban areas. This paper describes a checklist to identify the reasons for such low coverage. The checklist was first used in Yaounde, United Republic of Cameroon. There the low coverage is found to be associated with certain neighborhoods, one ethnic group, low socio-economic status, and newly-arrived families. Publicity about immunizations is not reaching Yaounde residents in those categories. Furthermore, health lessons (given only in French) seem to be confusing the parents rather than educating them. Finally, previous ineffective immunization programmes have made Yaounde residents mistrustful of the current programme. The authors recommend solutions to each of these Yaounde problems. The checklist, and the methods used for answering it in Yaounde, should prove useful to other immunization programmes.
在扩大免疫规划（EPI）如今遇到的问题中，未能在快速发展的城市地区达到可接受的免疫接种覆盖率是其中之一。本文介绍了一份清单，用于找出此类低覆盖率的原因。该清单首先在喀麦隆共和国雅温得使用。在那里，低覆盖率被发现与某些社区、一个族群、社会经济地位低下以及新迁入家庭有关。关于免疫接种的宣传未能覆盖这些类别的雅温得居民。此外，健康课程（仅用法语授课）似乎让家长们感到困惑，而非起到教育作用。最后，以往无效的免疫规划使雅温得居民对当前的规划产生了不信任。作者针对雅温得的每个问题都提出了解决方案。这份清单以及在雅温得用于填写它的方法，应该会对其他免疫规划有所帮助。
