To develop a more thorough understanding of the factors that impede poor parents'utilization of health care services for their children and to refine interventions to improve immunization rates.
We conducted focus group sessions with mothers whose children received care at the health departments in five North Carolina counties.
Mothers were uninsured or were receiving Medicaid.
A total of 50 women participated ; group size varied from three to seven mothers.
Socially disadvantaged mothers faced barriers at multiple points in the process of obtaining preventive care for their children.
Our study suggests that even with improved financing of well-child care, many important barriers to adequate immunization will remain.
Many of the changes that mothers in our focus groups advocated are not related to insurance coverage and would be simple and inexpensive to implement.
To help with these changes, we developed a checklist for use by health departments to determine which organizational barriers exist at their facility and suggest strategies to overcome the problems.
Organizational, personal, and attitudinal barriers pose serious problems for socioeconomically disadvantaged families.
To improve vaccination rates for children, new personnel and programs are probably less important than careful strategies to maximize exisiting resources.
Mots-clés Pascal : Vaccination, Echec, Calendrier vaccination, Pauvreté, Facteur risque, Observance thérapeutique, Caroline du Nord, Mère, Organisation santé, Prévention, Enfant, Environnement, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Vaccination, Failure, Vaccination schedule, Poverty, Risk factor, Treatment compliance, North Carolina, Mother, Public health organization, Prevention, Child, Environment, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0566185
Code Inist : 002B30A03B. Création : 01/03/1996.