Patterns of vaccination acceptance
Article Abstract:
Author's Abstract, COPYRIGHT 1999, Elsevier Science Ltd. Immunization is one of the major public health interventions to prevent childhood morbidity and death. The Expanded Programme on Immunization has gathered momentum worldwide since 1974. The range of vaccines in the programme is being expanded in the years to come. All across the globe, a high level of vaccination coverage has been reached and now needs to be sustained. In part, the coverage has been made possible by the broad acceptance of vaccinations, although there are variations resulting in different configurations of fully, partially and non-immunized children. Using the results of studies carried out by the Socail Science and Immunization Project in Bangladesh, Ethiopia, India, Malawi, the Netherlands and the Philippines, this article describes and discusses patterns of vaccination acceptance and non-acceptance. It shows how context affects acceptance of vaccinations, and analyses the underlying reasons behind refusal and resistance. The article also develops conceptual tools for the analysis and acceptance and non-acceptance and discusses explanatory theoretical perspectives. Keywords: Acceptance; Non-acceptance; Compliance; Vaccination; Immunization; Sustainability; Resistance
Publication Name: Social Science & Medicine
Subject: Social sciences
ISSN: 0277-9536
Year: 1999
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The social security scheme in Thailand: what lessons can be drawn?
Article Abstract:
A study was conducted to examine the operation of Thailand's Social Security Scheme and to investigate the implications of capitation payment and registration for utilization levels and provider behavior. The initial decision to give employers the responsibility for choosing the registered hospitals was the key weakness of the scheme. It contribute to low levels of contractor hospital use. It is recommended that research and empirical findings should accompany future policy amendments in Thailand's social security scheme.
Publication Name: Social Science & Medicine
Subject: Social sciences
ISSN: 0277-9536
Year: 1999
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