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Health impact assessment of free immunization program in Jinju City, Korea.

Kim KY, Jeon SY, Jeon MJ, Lee KH, Lee SG, Kim D, Kang E, Bae SG, Kim J - J Prev Med Public Health (2012)

Bottom Line: The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report.The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented.An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

View Article: PubMed Central - PubMed

Affiliation: Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu, Korea.

ABSTRACT

Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks.

Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report.

Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics.

Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

Show MeSH
Changes in area where children can receive free immunization after project implementation. (A) Before: free immunization program limited only to community health center. (B) After: free immunization program extended to private clinics and hospitals.
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Figure 3: Changes in area where children can receive free immunization after project implementation. (A) Before: free immunization program limited only to community health center. (B) After: free immunization program extended to private clinics and hospitals.

Mentions: Figure 3 illustrates the free immunization service coverage area from public health centers in the downtown areas in a 250 m to 1 km radius (service area within walking distance). When private clinics are included, the coverage area increases significantly and includes most of the downtown area. Also, about 80% of the target population lives within the service areas of private clinics, as of 2009, and the program is expected to dramatically improve the accessibility to citizens (Figure 4).


Health impact assessment of free immunization program in Jinju City, Korea.

Kim KY, Jeon SY, Jeon MJ, Lee KH, Lee SG, Kim D, Kang E, Bae SG, Kim J - J Prev Med Public Health (2012)

Changes in area where children can receive free immunization after project implementation. (A) Before: free immunization program limited only to community health center. (B) After: free immunization program extended to private clinics and hospitals.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3412990&req=5

Figure 3: Changes in area where children can receive free immunization after project implementation. (A) Before: free immunization program limited only to community health center. (B) After: free immunization program extended to private clinics and hospitals.
Mentions: Figure 3 illustrates the free immunization service coverage area from public health centers in the downtown areas in a 250 m to 1 km radius (service area within walking distance). When private clinics are included, the coverage area increases significantly and includes most of the downtown area. Also, about 80% of the target population lives within the service areas of private clinics, as of 2009, and the program is expected to dramatically improve the accessibility to citizens (Figure 4).

Bottom Line: The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report.The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented.An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

View Article: PubMed Central - PubMed

Affiliation: Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu, Korea.

ABSTRACT

Objectives: This study was conducted to assess the potential health impacts and improve the quality of the free immunization program in Jinju City by maximizing the predicted positive health gains and minimizing the negative health risks.

Methods: A steering committee was established in September 2010 to carry out the health impact assessment (HIA) and began the screening and scoping stages. In the appraisal stage, analysis of secondary data, a literature review, case studies, geographic information systems analysis, a questionnaire, and expert consultations were used. The results of the data collection and analyses were discussed during a workshop, after which recommendations were finalized in a written report.

Results: Increased access to immunization, comprehensive services provided by physicians, the strengthened role of the public health center in increasing immunization rates and services, and the ripple effect to other neighboring communities were identified as potential positive impacts. On the other hand, the program might be inaccessible to rural regions with no private clinics where there are more at-risk children, vaccine management and quality control at the clinics may be poor, and vaccines may be misused. Recommendations to maximize health gains and minimize risks were separately developed for the public health center and private clinics.

Conclusions: The HIA provided an opportunity for stakeholders to comprehensively overview the potential positive and negative impacts of the program before it was implemented. An HIA is a powerful tool that should be used when developing and implementing diverse health-related policies and programs in the community.

Show MeSH