INVESTIGATION OF THE CURRENT STATUS OF IMMUNIZATION AMONG 12- TO 23- MONTH-OLD CHILDREN IN TAIPEI COUNTY, TAIWAN
Resource
中華民國公共衛生學會雜誌 v.11 n.4 pp.304-315
Journal
中華民國公共衛生學會雜誌,v.11
Journal Issue
n.4
Pages
304-315
Date Issued
1992
Date
1992
Author(s)
HUANG, BI-HUA
YEN, LEE-LAN
CHERN, CHIN-ING
KING, CHWAN-CHUEN
Abstract
Since the poliomyelitis epidemic of 1982 in Taiwan, which resulted in 1,043 cases, the problems of immunization have attracted public attention. The objectives of this survey were: (1) to investigate the coverage rate of immunization among 12-to 23-month-old children; and (2) to identify the factors associated with vaccine failure and delay in receiving the recommended vaccinations (one dose of BCG, three doses of DPT, three doses of oral ploio vaccine, one dose of measles, and four doses of hepatitis B vaccine). The subjects were selected by the "probability proportional to size" sampling method from Taipei County from February to July 1988. A total of 2,367 mothers of children were questioned in personal and/or telephone interviews. The response rate was 74%. Our study found that: (1) 77.9% of the children had completed their immunizations for the above vaccines; (2) the coverage rate for on-time completion for BCG was 45.1%, for DPT was 43.1%, for polio was 43.1%, for measles was 49.1%, and for hepatitis B was 53.9%; (3) the major reason for a delay in immunization was sickness of child; (4) most BCG (46.82%) and hepatitis B (56.57%) vaccinees were received at hospitals or in private clinics, while most other vacccines (62.48-71.43%) were received at health stations. Only 39.8% of these mothers were dissatisfied with the quality of service given at health stations, and (5) the majority (61.5%) of mothers acquired their information on immunizations from their medical staff; information at the public level was considered inadequate. This study demonstrates that the completeness of immunizations in Taiwan needs further improvement. We recommend that effective vaccination in the future should focus on: (1) upgrading the quality of services at local health stations; (2) encouraging hospitals or private clinics to participate in immunization programs; (3) reevaluate immunization schedules to eliminate delays in immunization; (4) reinforce the need to complete the fourth dose of the hepatitis B vaccine and the measles vaccine; and (5) strengthen health education emphasizing the purpose of immunization, post-immunization reactions, and conditions for refusing or postponing immunization.
Subjects
預防接種
台灣
IMMUNIZATION
TAIWAN
SDGs
Type
journal article
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台北縣12至23個月大幼兒預防接種之現況探討.pdf
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