PDF(Pubmed)
Abstract：
This study explores the enhancement of MMR vaccination rates in the deep south of Thailand through a culturally tailored intervention that incorporates storytelling and singing, aligning with local cultural and religious values. The \"Anees has Measles\" intervention, developed with input from community stakeholders including health workers, religious leaders, and parents, featured traditional melodies in its singing activities. The intervention comprised two main components: storytelling sessions and singing activities, both utilizing culturally resonant content and formats to effectively engage the community. Conducted from December 2019 to March 2020 across eight districts in five provinces, the study targeted children aged 18 months to 5 years in government child care centers. Results indicated a substantial increase in MMR vaccination coverage from 44.3% to 72.0% twelve months post-intervention, and further to 77.0% at 48 months post-intervention, representing a significant and sustained improvement (p < 0.001). This marked and continuous increase demonstrates the effectiveness of culturally adapted health education in areas with significant vaccine hesitancy. The findings highlight the importance of integrating culturally and religiously sensitive methods into public health strategies, significantly enhancing vaccine acceptance and coverage in diverse and conservative settings. This approach suggests a broader applicability for similar interventions in comparable contexts globally.
摘要：
这项研究探索了通过结合讲故事和唱歌的文化量身定制的干预措施来提高泰国南部深处的MMR疫苗接种率，符合当地文化和宗教价值观。“阿牛骨有麻疹”的干预，在包括卫生工作者在内的社区利益相关者的投入下开发，宗教领袖,和父母，以传统旋律为特色的歌唱活动。干预包括两个主要组成部分：讲故事和唱歌活动，两者都利用文化共鸣的内容和格式来有效地参与社区。于2019年12月至2020年3月在五个省的八个区进行，该研究针对政府儿童保育中心18个月至5岁的儿童。结果表明，干预后12个月，MMR疫苗接种覆盖率从44.3%大幅增加到72.0%，在干预后48个月，进一步达到77.0%，代表显著和持续的改善(p<0.001)。这一显著和持续的增长证明了在疫苗接种犹豫不决的地区进行文化适应的健康教育的有效性。研究结果强调了将文化和宗教敏感方法纳入公共卫生战略的重要性。在多样化和保守的环境中显著提高疫苗的接受度和覆盖率。这种方法表明，在全球可比的情况下，类似的干预措施具有更广泛的适用性。
