Format

Send to

Choose Destination
Int J Equity Health. 2017 Jul 1;16(1):19. doi: 10.1186/s12939-016-0504-8.

Strengthening health system to improve immunization for migrants in China.

Author information

1
China Center for Health Development Studies, Peking University, Beijing, China.
2
Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China.
3
London School of Hygiene and Tropical Medicine, London, UK.
4
China Center for Health Development Studies, Peking University, Beijing, China. qmeng@pku.edu.cn.

Abstract

BACKGROUND:

Immunization is the most cost-effective method to prevent and control vaccine-preventable diseases. Migrant population in China has been rising rapidly, and their immunization status is poor. China has tried various strategies to strengthen its health system, which has significantly improved immunization for migrants.

METHODS:

This study applied a qualitative retrospective review method aiming to collect, analyze and synthesize health system strengthening experiences and practices about improving immunizations for migrants in China. A conceptual framework of Theory of Change was used to extract the searched literatures. 11 searched literatures and 4 national laws and policies related to immunizations for migrant children were carefully studied.

RESULTS:

China mainly employed 3 health system strengthening strategies to significantly improve immunization for migrant population: stop charging immunization fees or immunization insurance, manage immunization certificates well, and pay extra attentions on immunization for special children including migrant children. These health system strengthening strategies were very effective, and searched literatures show that up-to-date and age-appropriate immunization rates were significantly improved for migrant children.

CONCLUSIONS:

Economic development led to higher migrant population in China, but immunization for migrants, particularly migrant children, were poor. Fortunately various health system strengthening strategies were employed to improve immunization for migrants in China and they were rather successful. The experiences and lessons of immunization for migrant population in China might be helpful for other developing countries with a large number of migrant population.

KEYWORDS:

China; EPI; Immunization; Migrant; Vaccine

PMID:
28666442
PMCID:
PMC5493864
DOI:
10.1186/s12939-016-0504-8
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center