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Effectiveness of the linkage of child care and maternity payments to childhood immunisation

机译：育儿和产妇补贴与儿童免疫接种之间联系的有效性

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In 1998, Australia enacted comprehensive national legislation making receipt of the maternity immunisation allowance (MIA) and the child care benefit (CCB) conditional on evidence of age-appropriate immunisation. We assessed the impact of this policy on immunisation status using a nationally representative population-based case-control study of 589 fully immunised controls and 190 incompletely immunised cases, aged 28-31 months. Immunisation status was significantly associated with parent awareness of the MIA (adjusted odds ratio (aOR) = 3.34, 95% CI = 2.28-4.91) and CCB (aOR = 2.08, 95% CI = 1.30-3.34). Only 31 % of the 219 control parents who were receiving the CCB reported that they could continue to afford child care without the assistance of the CCB. The use of legislated financial immunisation incentives for parents appears to be widely accepted among Australian parents and to have had an impact on immunisation uptake. The policy may serve as a model for other comparable countries.
机译：1998年，澳大利亚颁布了全面的国家法律，规定以年龄适当的免疫证据为基础，领取产妇免疫津贴（MIA）和儿童保育津贴（CCB）。我们使用一项全国代表性的基于人群的病例对照研究，评估了该政策对免疫状况的影响，该研究包括589个完全免疫的对照和190个不完全免疫的病例，年龄在28-31个月之间。免疫状况与父母对MIA的了解程度（校正后的优势比（aOR）= 3.34，95％CI = 2.28-4.91）和CCB（aOR = 2.08，95％CI = 1.30-3.34）显着相关。接受CCB的219名控制父母中，只有31％的人表示，他们可以在没有CCB协助的情况下继续负担托儿服务。立法为父母使用金融免疫激励措施似乎已被澳大利亚父母广泛接受，并且对免疫接种的使用产生了影响。该政策可以作为其他可比国家的榜样。

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