Dyer J J
Department of Community Health, University of Natal, Durban.
S Afr Med J. 1993 Aug;83(8):577-9.
The World Health Organisation currently recommends that preventive measures be promoted at every contact with health services. However, there is still no uniform policy on immunisation currently implemented at curative health facilities in Natal. Surveys of missed opportunities for immunisations in four health facilities in Natal revealed that, even in those with an immunisation policy, many opportunities are still being missed. The reasons for this included a lack of emphasis on preventive measures by health workers, reluctance to open vaccines for only a few children, and vaccines not being immediately to hand. It is recommended that a firm policy be implemented in Natal, with regular self-evaluation by the health facilities.
世界卫生组织目前建议，在每次与医疗服务机构接触时都应推广预防措施。然而，纳塔尔的治疗性医疗机构目前仍未实施统一的免疫政策。对纳塔尔四家医疗机构免疫接种错失机会的调查显示，即使在那些有免疫政策的机构中，仍有许多机会被错失。其原因包括医护人员对预防措施不够重视、不愿只为少数儿童打开疫苗以及疫苗未随手可得。建议纳塔尔实施一项严格的政策，并由医疗机构定期进行自我评估。
