The Effect of Parental Monetary Sanctions on the Vaccination Status of Young Children: An Evaluation of Welfare Reform in Maryland

Article Abstract:

Maryland's Primary Prevention Initiative has not increased the number of poor children who have been vaccinated. Under this initiative, parents who receive Aid to Families With Dependent Children (AFDC) have to pay a $25 monthly penalty if they do not get their children vaccinated. In a survey of the families of over 2,000 children covered by AFDC, those who paid the penalty were no more likely to get their children vaccinated than those who did not. In both groups, only half the children had received all their DTP shots and less than 70% had received all their polio, measles, mumps, and rubella shots.

Welfare reform, Fines (Penalties)

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Are immunizations an incentive for well-child visits?

Article Abstract:

Vaccinations may not motivate parents to take their children for medical checkups during the first two years of life. Some have speculated that immunizations provide parental incentive for well-child doctor visits. Researchers surveyed 502 urban parents, largely black and disadvantaged, about their childrens' medical care. More than 73% were motivated to keep checkup appointments whether or not vaccinations were scheduled. About 18% of parents were motivated by immunizations.

Beliefs, opinions and attitudes, Public opinion, Medical examination, African American parents, Periodic health examinations

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A practice-based intervention to enhance quality of care in the first 3 years of life: the Healthy Steps for Young Children Program

Article Abstract:

A program such as the Healthy Steps for Young Children Program may improve the care given to children during the first three years of life, according to a study of 5,565 children who participated in this program. The Healthy Steps program supports well-child visits, home visits, a telephone service staffed by child development specialists, developmental assessments, support groups for parents, and referrals to community services.

Services information, Care and treatment, Services, Infants, Parents, Toddlers, Infant health services

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