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首页> 外文期刊>Vaccine >Factors affecting compliance with measles vaccination in Lao PDR.
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Factors affecting compliance with measles vaccination in Lao PDR.

机译：影响老挝人民民主共和国麻疹疫苗接种依从性的因素。

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In line with WHO objectives, the Lao Government is committed to eliminate measles by 2012. Yet from 1992 to 2007, the annual incidence of measles remained high while the vaccination coverage showed a wide diversity across provinces. A descriptive study was performed to determine factors affecting compliance with vaccination against measles, which included qualitative and quantitative components. The qualitative study used a convenience sample of 13 persons in charge of the vaccination program, consisting of officials from different levels of the health care structure and members of vaccination teams. The quantitative study performed on the target population consisted of a matched, case-control survey conducted on a stratified random sample of parents of children aged 9-23 months. Overall, 584 individuals (292 cases and 292 controls) were interviewed in the three provinces selected because of low vaccination coverage. On the provision of services side (supply), the main problems identified were a lack of vaccine supply and diluent, a difficulty in maintaining the cold chain, a lack of availability and competence among health workers, a lack of coordination and a limited capacity to assess needs and make coherent decisions. In the side of the consumer (demand), major obstacles identified were poor knowledge about measles immunization and difficulties in accessing vaccination centers because of distance and cost. In multivariate analysis, a low education level of the father was a factor of non-immunization while the factors of good compliance were high incomes, spacing of pregnancies, a feeling that children must be vaccinated, knowledge about immunization age, presenting oneself to the hospital rather than expecting the mobile vaccination teams and last, immunization of other family members or friends' children. The main factors affecting the compliance with vaccination against measles in Laos involve both the supply side and the demand side. Obtaining an effective coverage requires upgrading and training the Expanded Programme on Immunization (EPI) staff and a reinforcement of health education for target populations in all provinces.
机译：根据世卫组织的目标，老挝政府致力于在2012年前消除麻疹。但是，从1992年到2007年，麻疹的年发病率一直很高，而疫苗接种覆盖率在各省之间表现出很大的差异。进行描述性研究以确定影响麻疹疫苗接种依从性的因素，其中包括定性和定量成分。定性研究使用了一个方便样本，该样本由负责疫苗接种计划的13位人员组成，这些人员来自不同级别的卫生保健机构的官员和疫苗接种团队的成员。对目标人群进行的定量研究包括对9-23个月大儿童父母的分层随机样本进行匹配的病例对照调查。总体而言，由于疫苗接种率低，在选定的三个省中采访了584个人（292例病例和292例对照）。在提供服务方面（供应），发现的主要问题是疫苗供应和稀释剂的缺乏，冷链的维护困难，卫生工作者的可用性和能力不足，缺乏协调和能力有限。评估需求并做出一致的决定。在消费者方面（需求），发现的主要障碍是对麻疹免疫的知识不足以及由于距离和成本而难以进入疫苗接种中心。在多变量分析中，父亲的低文化程度是未接种疫苗的因素，而良好的依从性因素是高收入，怀孕间隔，必须接种疫苗的感觉，有关免疫接种年龄的知识，到医院就诊的信息。而不是期望流动疫苗接种团队，最后是其他家庭成员或朋友孩子的疫苗。影响老挝麻疹疫苗接种依从性的主要因素涉及供应方和需求方。要获得有效的覆盖率，就需要升级和培训扩展免疫计划（EPI）的工作人员，并加强针对所有省份目标人群的健康教育。

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