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1981年在印度南部泰米尔纳德实行的社区卫生和发展计划是该区的一项初级卫生保健计划。该计划实行2～3年之后,5岁以下儿童DTP接种率有所增加,但是增加的幅度令人不满。本研究旨在调查该区免疫接种率不能充分提高的原因。免疫接种率低受不同因素的影响,各地的影响因素不尽相同。不过,下面几项因素可能是至关紧要的:(1)社区卫生工作者管理不善。有、无社区卫生工作者的村庄,1984年与1981年相比,DTP接种率增加幅度
The Community Health and Development Plan, implemented in 1981 in Tamil Nadu, South India, is a primary health care plan for the area. After 2 to 3 years of implementation of this plan, the DTP vaccination rate for children under 5 years of age has increased, but the rate of increase is unsatisfactory. The purpose of this study was to investigate the reasons why immunization rates in this area did not increase sufficiently. The low immunization rate is affected by different factors, and the influencing factors vary from place to place. However, the following factors may be crucial: (1) Community health workers are not well managed. Yes, villages without community health workers increased the DTP vaccination rate in 1984 compared with 1981