Improving immunisation: coverage in a province in Papua New Guinea

The effect on immunisation coverage of applying guiding principles to the management of primary health care services in a province in Papua New Guinea is described. These principles were: (a) Each health centre should have a defined geographical area of responsibility. (b) Each health centre should...

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Bibliographic Details
Published in:BMJ 1988-06, Vol.296 (6637), p.1654-1656
Main Authors: van Zwanenberg, T D, Hull, Cathy
Format: Article
Language:English
Subjects:
Antigens
Censuses
Child
Child growth
Child health services
Child Health Services - organization & administration
Child, Preschool
Children
Feedback
Humans
Immunization
Infant
Infant, Newborn
Information feedback
Medical Practice
Papua New Guinea
Population
Population estimates
Population geography
Primary health care
Primary Health Care - organization & administration
Records
Reporting systems
Research From The South
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Summary:The effect on immunisation coverage of applying guiding principles to the management of primary health care services in a province in Papua New Guinea is described. These principles were: (a) Each health centre should have a defined geographical area of responsibility. (b) Each health centre should be responsible for a defined population. (c) Each health centre should have defined target groups for immunisation and child health clinic enrolment. (d) An accurate and meaningful reporting system is essential. (e) Each health centre should receive regular feedback on its achievements. Immunisation coverage in the province, as judged by the proportion of children under 1 year of age receiving their second dose of triple antigen, improved from 57-67% in 1980-2 to 89-94% in 1983-4. Immunisation is the most cost effective preventive activity undertaken in child health care. The application of these guiding principles would be relevant in the United Kingdom.
ISSN:0267-0623
0959-8138
1468-5833
DOI:10.1136/bmj.296.6637.1654