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1.  Parents' attitudes to measles immunization 
A study of a cohort of children in Maidstone Health Authority examined the reasons for the failure to achieve targets for the uptake of measles immunization. Parents were interviewed before they were notified about measles immunization to determine their attitudes, beliefs and intentions regarding measles immunization and a further review was held with those whose child had no record of the immunization by the age of 20 months. The initial interview showed that most parents have a favourable attitude to measles immunization. However, many lacked knowledge, especially about valid contraindications, and claimed not to have received advice from a doctor or health visitor. The most common reasons for non-uptake of measles immunization were: the child had already had measles, concern about contraindications and delay owing to illness. This points to the importance of increasing doctors' and health visitors' knowledge of Department of Health and Social Security guidelines regarding valid contraindications and to the role of health visitors in promoting uptake. However there is also evidence that the gap between actual and target levels of uptake may be less than official figures suggest.
PMCID: PMC1710608  PMID: 3668921
2.  Uptake of HIV testing in patients with a confirmed sexually transmitted infection 
Sexually Transmitted Infections  2002;78(5):389-390.
PMCID: PMC1744548  PMID: 12407254
3.  Measles immunisation: feasibility of a 90% target uptake. 
Archives of Disease in Childhood  1987;62(12):1209-1214.
A three part investigation of the factors that might influence uptake of immunisation was carried out in Maidstone Health Authority; this included studies of the computer system and attitudes of parents and professionals. Several problems with immunisation scheduling, information transfer between general practitioners and clinics and the computer centre, and validity of computer information were identified. The attitudes of parents, relatives, and friends were generally favourable, although parents reported a lack of knowledge about the disease and vaccine and lack of advice from professionals. Perceived contraindications to immunisation, particularly a history of measles, were important reasons for non-uptake. Professionals' perceptions of contraindications, however, were at variance with Department of Health and Social Security guidelines and none of the recorded contraindications was valid. Calculations of potential uptake suggest that a 90% target uptake is feasible and recommendations are made for changes in services.
PMCID: PMC1778613  PMID: 3435154
4.  Evaluation of a home based health record booklet. 
Archives of Disease in Childhood  1984;59(11):1076-1081.
Despite the widespread use of home based child health records of varying complexity in England, there is a notable absence of their evaluation. Such a record booklet developed in the West Lambeth Health Authority has been used by parents, doctors, and community nurses to build up an independent chronological record of a child's birth statistics, health, growth, immunisation, development checks, and contacts with health services. A randomised controlled evaluation of the record, analyses of entries in it, and a survey of the views of mothers and health professionals using the record have been carried out. The need for such a record was confirmed by those questioned and analyses of entries in the booklet helped to modify and improve it. The evaluation was unable to show, however, any effect of the record on immunisation and developmental assessment service uptake. Its value in improving communication between the numerous health and other care agencies was dependent on its proper use.
PMCID: PMC1628817  PMID: 6508341

Results 1-4 (4)