VACCINATIONS IN THE THIRD-WORLD - A CONSIDERATION OF COMMUNITY DEMAND
VACCINATIONS IN THE THIRD-WORLD - A CONSIDERATION OF COMMUNITY DEMAND
复制标题
DOI：
10.1016/0277-9536(95)00034-5
复制
发表时间：
1995-09-01
影响因子：
5.4
通讯作者：
NICHTER, M
中科院分区：
文献类型：
--
作者：
NICHTER, M
据报道，由于密集的扩大免疫方案，几个欠发达国家（LDC）的免疫接种率显着提高。由于预计资金将削减，出现了现有免疫覆盖率能否维持/提高的问题。这一问题使人们对以下假设提出了质疑，即随着可免疫疾病率的下降，当地人口将需要更少的鼓励来获得免疫服务。本文认为，免疫接种是如何被认为是由外行人群和如何效用和需要的影响需求，这反过来又影响了计划免疫方案的可持续性的看法。所讨论的问题之一是观察到，当特定疾病与特定免疫接种无关时，与“良好健康”所需的免疫接种数量有关的误解比比皆是。也被认为是元医学原因免疫接种（和免疫接种计划）都抵制和要求在特定的政治背景。
Impressive increases in immunization rates have been reported in several less developed countries (LDCs) as a result of intensive EPI programs. An issue arises as to whether existing rates of immunization coverage can be sustained/increased given projected cutbacks in funding. This issue calls into question the assumption that as immunizable disease rates Fall, local populations will need less encouragement to secure immunization services. This article considers how immunizations are perceived by lay populations and how perceptions of utility and need effect demand which in turn effects the sustainability of EPI programs. Among issues addressed is the observation that when specific diseases are not linked to specific immunizations, misimpressions related to the number of immunizations needed for ''good health'' abound. Also considered are metamedical reasons immunizations (and immunization programs) are both resisted and demanded in particular political contexts.