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[健康中心实施疫苗接种计划后的疫苗接种覆盖率]

[Vaccine coverage after integration of a vaccination program in a health center].

作者信息

Buitrago F, García Molina M, Campal Domínguez A, Benito Alonso E, Reymundo M, Dávila M J

机构信息

Unidad Docente de Medicina Familiar y Comunitaria, Centro de Salud La Paz, Badajoz.

出版信息

Aten Primaria. 1994 Jun 15;14(1):538-41.

PMID:7918958
Abstract

OBJECTIVE

To find the variation in the vaccinal coverage of two-year old children after incorporating the vaccination programme into the Health Centre's activities.

DESIGN

An analytical observation study of cases and check-ups.

SETTING

Primary Care. An urban Health Centre in Badajoz.

PATIENTS

Two random samples of 150 children. The Study Group (SG) was composed of children who began their vaccinations at the Health Centre after the incorporation of the vaccination programme. The Control Group (CG) was made up of children who were over 18 months old at the start of the vaccinal programme (October 1990) and therefore received their vaccinations outside the Health Centre.

MEASUREMENTS AND MAIN RESULTS

84.8% of the CG childrens correctly completed the vaccination programme as against 98.7% of the SG (p < 0.01). 99.3% of the SG children had the triple viral vaccination as against 95.2% of the CG (p < 0.05). 99.3% of the SG completed three DTP-Polio vaccinations as against 93.1% CG (p < 0.01). And 98.7% SG had four DT-Polio as against 86.9% CG (p < 0.01).

CONCLUSIONS

The level of vaccinal coverage of the under-two population improved after the vaccination programme was incorporated into the Health Centre's activities, data which supports the usefulness and appropriateness of such a programme.

摘要

目的

探究将疫苗接种计划纳入健康中心活动后,两岁儿童疫苗接种覆盖率的变化情况。

设计

一项关于病例与检查的分析性观察研究。

地点

初级保健。巴达霍斯的一家城市健康中心。

患者

两个各包含150名儿童的随机样本。研究组(SG)由在疫苗接种计划纳入健康中心后开始在该中心接种疫苗的儿童组成。对照组(CG)由在疫苗接种计划开始时(1990年10月)已超过18个月大、因此在健康中心外接种疫苗的儿童组成。

测量指标及主要结果

对照组儿童中有84.8%正确完成了疫苗接种计划,而研究组这一比例为98.7%(p < 0.01)。研究组99.3%的儿童接种了三联病毒疫苗,对照组为95.2%(p < 0.05)。研究组99.3%的儿童完成了三次百白破-脊髓灰质炎疫苗接种,对照组为93.1%(p < 0.01)。研究组98.7%的儿童接种了四次白破-脊髓灰质炎疫苗,对照组为86.9%(p < 0.01)。

结论

将疫苗接种计划纳入健康中心活动后,两岁以下人群的疫苗接种覆盖率有所提高,这一数据支持了该计划的有效性和适用性。

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