The aim of the Child Survival Revolution, of which the Expanded Programs on Immunization is a part, is to immunize all children against six preventable diseases. Considerable progress has been made. However, high dropout rates, and the lack of participation by the target groups still continue to present problems for the success of the program. This article examines data on a sample survey of 1,000 households undertaken in three areas of Accra in 1982. The critical factors which determine mother-initiated preventive health behavior for their children are identified. The implications for preventive health behavior in Ghana, and in other developing countries, are examined.
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References
1.
HendersonR. H.KejaJ.HaydenG.GalazkaA.ClementsJ., and ChanC., Immunizing the Children of the World: Progress and Prospects, Bulletin of the World Health Organization, 66: 5. pp. 535–543, 1988.
2.
WHO, Expanded Programme on Immunization Global Advisory Group, Weekly Epidemiological Record, 61: 3 pp. 113–116, January 17, 1986.
3.
GrantJ. P., The State of the World's Children 1989: A Summary, UNICEF, New York, 1989.
4.
BasuR. N., India's Immunization Programme, World Health Forum, 6, pp. 35–38, 1985.
5.
KejaK.ChanC.BrennerE., and HendersonR., Effectiveness of the Expanded Programme on Immunization, World Health Statistics Quarterly, 39: 2, pp. 161–170, 1986.
6.
BanerjiD., Hidden Menace in the Universal Child Immunization Program, International Journal of Health Services, 18: 2, pp. 293–299, 1988.
7.
AppletonR. E., Parents' Beliefs about Vaccination, British Medical Journal, 298(6693): 257, July 22, 1989.
8.
LeslieJ.LycetteM., and BuvinicM., Weathering Economic Crises: The Crucial Role of Women in Health, in Health, Nutrition and Economic Crisis, Bell and Reich (eds.), Auburn House, Dover, Massachusetts, pp. 307–348, 1988.
9.
MechanicD., The Influence of Mothers on Their Children's Health Attitudes and Behavior, Pediatrics, 33, pp. 444–453, 1964.
10.
RamalingaswamiP., The Child as a Focus for Health Promotion in the Developing World, Social Science & Medicine, 22: 11, pp. 1181–1186, 1986.
11.
UNICEF, The State of the World's Children 1988, Oxford University Press, New York, 1988.
12.
AmpofoD. A., Maternal and Child Health and Family Planning in Ghana, University of Ghana, Legon, 1988.
13.
OmranA. R., Epidemiologic Translation in the U.S., 32: 2, Population Reference Bureau, Washington, D.C., 1980.
14.
McKinlayJ. B. and McKinlayS. M., The Questional Contribution of Medical Measures to the Decline of Mortality in the United States in the Twentieth Century, Milbank Memorial Fund Quarterly/Health and Society, 55: 3, pp. 405–429, 1977.
15.
BelcherD. W.NicholasD. D.Ofosu-AmanhS., and WurapaF. K., A Mass Immunization Campaign in Rural Ghana: Factors Affecting Participation, Public Health Reports, 93: 2, pp. 170–176, 1978.
16.
Ghana Statistical Service, Demographic and Health Survey, Ghana Statistical Service, Accra, 1989.
17.
RosenstockC. M., Why People Use Health Services, Milbank Memorial Fund Quarterly, 44, pp. 94–124, 1966.
18.
RosenstockI. M., The Health Belief Model: Explaining Health Behavior through Expectancies, in Health, Behavior and Health Education, Lewis and Rimer (eds.), Jossey Bass, San Francisco, pp. 39–61, 1990.
19.
BanduraA., Self-Efficacy: Toward a Unifying Theory of Behavior Change, Psychological Review, 84, pp. 191–215, 1977.
20.
StrecherV. J.DeVellisB. M.BeckerM. H., and RosenstockI. M., The Role of Self-Efficacy in Achieving Health Behavior Change, Health Education Quarterly, 13, pp. 73–92, 1986.
21.
BeckerM. H., The Health Belief Model and Sick Role Behavior, Health Education Monograph, 2, pp. 409–432, 1974.
22.
RosenstockI. M., Historical Origins of the Health Belief Model, Health Education Monographs, 2, pp. 328–335, 1974.
23.
HochbaumG. M., Public Participation in Medical Screening Programs: A Sociopsychological Study, Public Health Service Publication No. 572, 1958.
24.
KirschtJ. P., The Health Belief Model and Illness Behavior, Health Education Monograph, 2, pp. 387–408, 1974.
25.
JanzN. K. and BeckerM. H., The Health Belief Model: A Decade Later, Health Education Quarterly, 11, pp. 1–47, 1984.
26.
SvarstadB., Physician-Patient Communication and Patient Conformity with Medical Advice in The Growth of Bureaucratic Medicine, MechanicD. (ed.), John Wiley & Sons, Inc., New York, pp. 220–238, 1976.
27.
BeckerM. H.DrachmanR. H., and KirschtJ. P., A Field Experiment to Evaluate Various Outcomes of Continuity of Physician Care, American Journal of Public Health, 64, pp. 1062–1070, 1974.
28.
BeckerM. H. and MaimanL. A., Strategies for Enhancing Patient Compliance, Journal of Community Health, 6, pp. 113–135, 1980.
29.
BlackwellB., Drug Therapy: Patient Compliance, New England Journal of Medicine, 289, pp. 249–252, 1973.
30.
FosuG. B., Access to Health Care in Urban Areas of Developing Societies, Journal of Health and Social Behavior, 30, pp. 398–411, December, 1989.
31.
KishL., Sampling Methods, International Encyclopedia of Population, McGraw-Hill, New York, pp. 115–152, 1982.
32.
PrestonS. H., The Effects of Infant and Child Mortality on Fertility, Academic Press, New York, 1978.
33.
RotterJ. B., Development and Application of Social Learning Theory, Praeger, New York, 1982.
34.
TwumasiP. A., Medical Systems in Ghana, Ghana Publishing Co., Tema, 1975.
35.
InkelesA., and SmithD. H., Becoming Modern: Individual Change in Six Developing Countries, Harvard University Press, Cambridge, 1983.
CreeseA. L. and HendersonR. H., Cost-Benefits Analysis and Immunization Programmes in Developing Countries, Bulletin of the World Health Organization, 58: 3, pp. 491–497, 1980.
