Abstract：
In Japan, influenza vaccination is offered to children and pregnant women at clinics or hospitals as an elective, self-funded treatment, as the vaccination is not included in the national vaccination subsidy program. However, some Japanese municipalities offer a discretionary subsidy for seasonal influenza vaccination of children and pregnant women as a local policy. We identified these local subsidy programs during 2019/2020 seasonal influenza season by conducting a cross-sectional survey across Japan. Out of a total of 1741 municipalities, responses were received from 1732; therefore, the response rate was 99.5%. The local influenza vaccine subsidy programs for children were offered in 45.7%, and for pregnant women in 10.2%, of Japanese municipalities. This is the first survey of subsidy programs for pregnant women. While policy diffusion of subsidy programs for children was observed during the 9 years since a previous study, such programs for pregnant women remain limited. Despite many municipalities having subsidy programs, we found that their provision still remains limited when viewed as a whole.
摘要：
在日本,在诊所或医院为儿童和孕妇提供流感疫苗接种作为选修课，自费治疗,由于疫苗接种不包括在国家疫苗接种补贴计划。然而,一些日本城市为儿童和孕妇的季节性流感疫苗接种提供酌情补贴，作为一项地方政策。我们通过在日本进行横断面调查，确定了2019/2020季节性流感季节的这些地方补贴计划。在总共1741个城市中，收到了1732年的答复；因此，有效率为99.5%。当地为儿童提供流感疫苗补贴计划的比例为45.7%，孕妇占10.2%，日本城市。这是对孕妇补贴计划的首次调查。虽然在先前研究以来的9年中观察到了儿童补贴计划的政策扩散，这种针对孕妇的计划仍然有限。尽管许多城市有补贴计划，我们发现，从整体上看，它们的供应仍然有限。
