Wilkinson D, Cutts F, Ntuli N, Abdool Karim S S
Centre for Epidemiological Research in Southern Africa, Medical Research Council, Hlabisa, KwaZulu-Natal.
S Afr Med J. 1997 Apr;87(4):456-9.
To measure important maternal and child health indicators in a rural health district as part of the process of developing a comprehensive district health information system.
A modified Expanded Programme on Immunisation cluster sample survey.
Hlabisa health district, KwaZulu-Natal.
480 mothers (or carers) of children aged 12-35 months surveyed in 32 clusters.
A questionnaire was administered and Road-to-Health cards were examined.
Proportion of women receiving antenatal care and delivering in a health facility; knowledge and understanding of vaccination; and recall of vaccination history. Proportion of children with a Road-to-Health card, overall coverage of each vaccine, coverage at 12 months of age and proportion receiving an immunogenic dose.
Most mothers (91%) had attended antenatal care, 77% had received tetanus toxoid and 83% delivered in a health facility. Only 14 children (3%) had never received a Road-to-Health card and 73% had one available at the time of the survey. Overall immunisation coverage was high (80-98%), as was the proportion receiving an immunogenic dose of each vaccine (78-98%). However, only 76% had received all the vaccines due to a 12-month-old child, and only 88% of these had received all doses by 12 months of age.
While the key maternal health indicators measured here are reassuring, there is still room for improvement in the child health indicators. The proportion of women receiving antenatal care and delivering in a health facility is very high, but the proportion of children receiving all vaccines can be improved upon, as can the timing of immunisation. The results of this survey are being used to strengthen further the primary health care services in the district.
作为建立综合地区卫生信息系统进程的一部分，测量一个农村卫生区重要的母婴健康指标。
一项改良的扩大免疫规划整群抽样调查。
夸祖鲁-纳塔尔省赫拉比萨卫生区。
在32个整群中对480名12至35个月大儿童的母亲（或照料者）进行了调查。
发放问卷并检查儿童成长记录卡。
在医疗机构接受产前护理和分娩的妇女比例；对疫苗接种的知识和理解；以及疫苗接种史的回忆。拥有儿童成长记录卡的儿童比例、每种疫苗的总体覆盖率、12个月龄时的覆盖率以及接受免疫原性剂量的比例。
大多数母亲（91%）接受了产前护理，77%接种了破伤风类毒素，83%在医疗机构分娩。只有14名儿童（3%）从未收到过儿童成长记录卡，73%的儿童在调查时拥有该记录卡。总体免疫覆盖率很高（80 - 98%），每种疫苗接受免疫原性剂量的比例也很高（78 - 98%）。然而，只有76%的12个月大儿童接种了所有疫苗，其中只有88%在12个月龄时接种了所有剂量。
虽然此处测量的关键母婴健康指标令人放心，但儿童健康指标仍有改进空间。在医疗机构接受产前护理和分娩的妇女比例非常高，但儿童接种所有疫苗的比例以及免疫接种时间仍可提高。本次调查结果正用于进一步加强该地区的初级卫生保健服务。
