Document Detail

Immunisation uptake, services required and government incentives for users of formal day care.
MedLine Citation:
PMID:  10462859     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To determine immunisation uptake in children attending formal day care prior to the introduction of certificates (state) and parent incentives (federal), and to document parent and child carers' attitudes to these strategies. METHOD: In 1997, 60 child care centres and 300 family day carers in suburban Melbourne were randomly sampled. Immunisation dates, service use and preference, and views on government incentives were obtained from parents of children under three years of age. RESULTS: From 2,454 eligible children, information was obtained for 1,779, of whom 84% (95% CI 82-86) were completely immunised. Low income (OR 1.8, 95% CI 1.2-1.9, p < or = 0.001) and larger family size (OR 1.8, 95% CI 1.2-2.7, p = 0.002) and only ever using a doctor (OR 1.6, 95% CI 1.1-2.3) was associated with incomplete immunisation. Main reasons for delaying immunisation were occurrence of minor illness and work commitments. Families would prefer immunisation services at Maternal and Child Health visits (39%), evening sessions (22%) and at day care (22%). Immunisation uptake could increase to 94% if those receiving Childcare Assistance (67%) immunised their children on time but would increase to 87% if these incentive only motivated those for whom Childcare Assistance was essential (15%). While 98% of day care co-ordinators and 71% of family day care co-ordinators documented immunisation status at commencement of child care, only 51% and 33% respectively regularly updated this information. CONCLUSION: Providing client-focused, flexible immunisation services and government incentives and legislation may work together to boost immunisation levels for those in formal child care.
L Bond; T Nolan; R Lester
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Australian and New Zealand journal of public health     Volume:  23     ISSN:  1326-0200     ISO Abbreviation:  Aust N Z J Public Health     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-09-10     Completed Date:  1999-09-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9611095     Medline TA:  Aust N Z J Public Health     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  368-76     Citation Subset:  IM    
Centre for Adolescent Health, Royal Children's Hospital, Parkville, Victoria.
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MeSH Terms
Child Day Care Centers / utilization*
Child, Preschool
Cross-Sectional Studies
Health Knowledge, Attitudes, Practice*
Health Promotion / methods
Immunization / utilization*
Income / statistics & numerical data
Needs Assessment
Parents / education,  psychology*
Patient Acceptance of Health Care / psychology*,  statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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