Search results

1 – 10 of 66
Article
Publication date: 6 June 2016

Moneeta Pal, Felicity Goodyear-Smith and Daniel Exeter

– The purpose of this paper is to provide a review of the literature on pertussis immunisations among the Asian population.

Abstract

Purpose

The purpose of this paper is to provide a review of the literature on pertussis immunisations among the Asian population.

Design/methodology/approach

A systematic review was carried out using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The review performed searches using the keywords: immun*, vaccine* AND whooping cough or Bordetella pertussis OR B pertussis AND Asia*. The search was conducted on four electronic databases, namely, Medline, CINAHL, Embase and Cochrane Database of Systematic Reviews.

Findings

In total, 13 studies of relevance were included in the review after screening 206 articles. The studies were categorised into three literature sections which were: epidemiology of pertussis, vaccine effectiveness studies in Asia and strategies aimed to increase uptake of immunisations against pertussis.

Research limitations/implications

Due to financial constraints, the authors only had access to articles published in the English language and full text articles which may limit the generalisability of the review.

Originality/value

The review is useful in providing insight into the general trends of pertussis immunisations among Asians and in aiding future research in this area.

Details

International Journal of Human Rights in Healthcare, vol. 9 no. 2
Type: Research Article
ISSN: 2056-4902

Keywords

Article
Publication date: 1 February 1995

David Baxter

Immunization is a key primary prevention activity which hasassisted in the reduction of childhood morbidity and prematuremortality. Uptake rates for two‐year‐old children are now…

278

Abstract

Immunization is a key primary prevention activity which has assisted in the reduction of childhood morbidity and premature mortality. Uptake rates for two‐year‐old children are now in excess of 90 per cent throughout the UK and for the vast majority of infants immunization is a routine procedure with a high benefit‐to‐risk ratio. Concerns about particular children, either because of their previous medical history or an adverse vaccine event, have been responded to in various ways. The experiences of a specialist immunization facility established in 1987, which since inception has seen just over 3,000 children are described. The clinic operates four sessions a week, with two held in the District General Hospital and two in community clinics; the resource requirements for the clinic are identified. A parent satisfaction survey for the first 1,700 attenders was undertaken in 1992 and the results are reported; their comments led to changes in the method of service delivery. A study of GPs′ views was also undertaken at the same time; their satisfaction with the service is reflected in the continuing level of referrals. It is believed that all provider units should consider developing a similar facility for five reasons. First, it provides a source of expert advice for both professionals and parents; second, it facilitates the immunization of children with problem histories; third, it enables the investigation of serious post‐vaccination adverse events; and fourth, the clinic provides a means of co‐ordinating and delivering neonatal immunizations (including BCG, HBV, Varicella zoster and the vaccination of pre‐term infants). And finally the clinic offers training for health care staff involved in primary immunization programmes and travel vaccination services.

Details

Journal of Management in Medicine, vol. 9 no. 1
Type: Research Article
ISSN: 0268-9235

Keywords

Article
Publication date: 1 December 2005

Jane Cowan and Jonathan Haslam

The purpose of this article is to assess important changes made to the vaccines used for childhood and adolescent immunisation in August 2004. These changes resulted in a number…

614

Abstract

Purpose

The purpose of this article is to assess important changes made to the vaccines used for childhood and adolescent immunisation in August 2004. These changes resulted in a number of patient safety incidents.

Design/methodology/approach

The changes are reviewed for the way that risk assessment and risk management were used in their development. An analysis of recent claims and complaints handled by the Medical Protection Society is then used to broaden the debate.

Findings

The August 2004 changes to the childhood vaccination programme contained unnecessary and avoidable risks of patient safety incidents, which could have been avoided if existing advice had been followed. Errors continue to be seen in the administration of childhood immunisation in primary care. These are driven both by systems and human factors.

Practical implications

This paper will be of use to those working in primary care who wish to ensure that childhood and adolescent immunisations are carried out correctly.

Originality/value

The paper highlights risk‐management issues that are relevant to childhood and adolescent immunisation.

Details

Clinical Governance: An International Journal, vol. 10 no. 4
Type: Research Article
ISSN: 1477-7274

Keywords

Article
Publication date: 1 January 1975

In these days of jargon and slang, to the purist it must seem that little is described by its real name, that is, during conversation. Most people refer to the city as “the smoke”…

Abstract

In these days of jargon and slang, to the purist it must seem that little is described by its real name, that is, during conversation. Most people refer to the city as “the smoke” and the city‐dweller's pseudonym for the country is “out in the sticks”, which, of course, could mean that “the sticks” are kindling to a fire that has not been lit, with the city “smoke” as the end‐product of the fire that is burning up those who rush hither and thither in its bedlamite streets and ugly office blocks. The cottage, the church and inn no longer completely fill the lives of the villagers; they now have piped water supplies, electricity and telephones; deep freezers, colour television and cars; they have moved closer to the city standards of comfort and convenience without losing any of the enduring qualities which make them different. And the countryman is very different to the town‐dweller—in outlook, habit and countenance. Even the villager who works in the town and city, and nowadays there are many of them, would not change his home in the country for a flat or terrace house in a mean street, despite the long journeying to and fro. At one time, it had to be a special type of girl who chose a home in these rural settings, with few or perhaps no neighbours and no corner‐shop, but now more and more are realizing that life in a village is easier on the whole family.

Details

British Food Journal, vol. 77 no. 1
Type: Research Article
ISSN: 0007-070X

Article
Publication date: 4 March 2024

Maziar Moradi-Lakeh, Salime Goharinezhad, Ali Amirkafi, Seyed Mohsen Zahraei, Arash Tehrani-Banihashemi and Abdolreza Esteghamati

Despite significant progress in Iran's immunization programs, vaccine policymaking in the country still faces various challenges and shortcomings. To address these issues and…

Abstract

Purpose

Despite significant progress in Iran's immunization programs, vaccine policymaking in the country still faces various challenges and shortcomings. To address these issues and ensure sustained progress toward achieving comprehensive vaccination policies, it is essential to identify the critical factors influencing vaccine policies in Iran. Our study aims to provide evidence-based insights that can inform the development of effective and equitable vaccine strategies, leading to a more sustainable and efficient approach to vaccination in the country.

Design/methodology/approach

This mixed-method study aimed to analyze the factors influencing the future of human vaccine policy using Cross Impact Analysis. Firstly, a scoping review was conducted to identify the factors affecting the future of human vaccine development. Secondly, a semi-structured interview was conducted with experts in this field to add more factors and confirm the identified factors within the Iranian context. Finally, a Cross-Impact Analysis (CIA) approach was applied to comprehend the complex relationships between the identified factors. Thematic analysis was used for the qualitative data, and MICMAC analysis was applied to characterize the relationships between the factors.

Findings

Seventeen key driving force factors were identified through comprehensive review and interviews. These factors were assigned weighted values ranging from zero to three and subsequently analyzed using MICMAC software. Employing the Cross-Impact Analysis (CIA) technique, the study characterized the impact of each factor on vaccine policy and elucidated the intricate interactions between them. The findings underscored that robust leadership and governance, an innovative ecosystem, and well-established immunization information systems emerged as pivotal driving forces shaping vaccine policy in Iran.

Research limitations/implications

While this study contributes valuable insights into the driving factors influencing vaccine policy in Iran, it is important to acknowledge several limitations. The results rely on the subjective perceptions of a diverse group of specialists, and future research could delve into additional factors in other countries to identify common themes and differences.

Practical implications

This study provides evidence to assist policymakers in making informed decisions regarding vaccines in Iran. The findings suggest that enhancing access to vaccines, fostering trust in the healthcare system, and prioritizing equity in distribution can contribute to increased vaccination rates and a reduction in vaccine-preventable diseases.

Originality/value

This study provides a unique contribution to the field of vaccine policy by utilizing the cross-impact analysis to examine the complex interactions among various factors. The results of this analysis demonstrate that these interactions can significantly impact the overall system, highlighting the need for policymakers to consider multiple factors when formulating effective strategies. By revealing the significance of these interactions, this research offers valuable insights into the development of successful policies that can shape a desirable future for vaccine policy in Iran. Future studies could ratify the findings from this research by applying other methodological approaches.

Details

foresight, vol. 26 no. 2
Type: Research Article
ISSN: 1463-6689

Keywords

Content available
Article
Publication date: 1 January 2005

227

Abstract

Details

International Journal of Health Care Quality Assurance, vol. 18 no. 1
Type: Research Article
ISSN: 0952-6862

Keywords

Content available
Article
Publication date: 1 April 2000

24

Abstract

Details

Nutrition & Food Science, vol. 30 no. 2
Type: Research Article
ISSN: 0034-6659

Article
Publication date: 4 September 2017

Wesley D. Kufel, Dennis M. Williams and David Jay Weber

Payment for healthcare services in the USA has shifted from fee for service to compensation based on value and quality. The indicators used for payments are a variety of clinical…

Abstract

Purpose

Payment for healthcare services in the USA has shifted from fee for service to compensation based on value and quality. The indicators used for payments are a variety of clinical measures, including administration of vaccines to patients. The purpose of this paper is to describe the implementation of programs in health systems to improve vaccination rates and patient outcomes.

Design/methodology/approach

A search of the literature was conducted to find examples of vaccine programs in US health systems, and also to identify policies to improve immunization rates.

Findings

Successful programs for improving vaccination rates require advocacy and support of leadership, a systematic and multidisciplinary approach, and an evaluation of local resources and capacity. Numerous examples exist of medical, nursing, and pharmacy led programs that improve vaccination rates. The department in charge has relied on the support of other groups to ensure the success.

Social implications

Mandatory vaccination of healthcare personnel (HCP) in the health system has been a growing trend in the USA. Although there has been some resistance to mandatory vaccinations for HCP, the standards and requirements have resulted in improved rates in health systems, which ultimately improve efficiency and protects patients.

Originality/value

This review describes considerations for implementing a successful vaccination program in a health system and provides examples of specific strategies. An overview of mandatory vaccinations for HCP is also described.

Details

International Journal of Health Governance, vol. 22 no. 3
Type: Research Article
ISSN: 2059-4631

Keywords

Article
Publication date: 1 April 1985

Viewing the last dying embers of 1984, the Orwel‐lian year of Big Brother and some of its not‐so‐far off the mark predictions, the unemployment which one cannot help feeling is…

Abstract

Viewing the last dying embers of 1984, the Orwel‐lian year of Big Brother and some of its not‐so‐far off the mark predictions, the unemployment which one cannot help feeling is more apparent than real, it is hardly surprising that the subject of Poverty or the so‐called Poverty arise. The real poverty of undernourished children, soup kitchens, children suffering at Christmas, hungry children ravenously consuming free school meals has not, even now, returned.

Details

British Food Journal, vol. 87 no. 4
Type: Research Article
ISSN: 0007-070X

Article
Publication date: 7 December 2021

Noor Hazilah Abd Manaf, Mohd Azahadi Omar and Fatin Husna Suib

The World Health Organization identified vaccine hesitancy as one of the ten threats to global health in 2019. The purpose of this paper is to evaluate the implications and…

Abstract

Purpose

The World Health Organization identified vaccine hesitancy as one of the ten threats to global health in 2019. The purpose of this paper is to evaluate the implications and factors affecting parental decision on childhood immunisation in Malaysia.

Design/methodology/approach

This paper reviews literature on vaccine hesitancy and evaluation of factors affecting parental decision on childhood immunisation in Malaysia.

Findings

Vaccine hesitancy is a growing public health concern in Malaysia with factors such as influence of Internet and social media, personal choice and individual right, conspiracy theory, religious reasons and alternative medicine as among the influencing dynamics. An urban, educated demography operating within a postmodern medical paradigm compounds the diminishing value of vaccines.

Originality/value

This paper provides a comprehensive examination of vaccine hesitancy in Malaysia. Critical appraisal on personal choice over societal responsibility within an Asian/Muslim collectivist society has not been discussed in previous studies. The acceptance of homeopathy as an Islamic medicine alternative is peculiar to multi-ethnic, multi-cultural Malaysia.

Details

International Journal of Health Governance, vol. 27 no. 1
Type: Research Article
ISSN: 2059-4631

Keywords

1 – 10 of 66