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Osservatorio Epidemiologico Regione Puglia

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Regione Puglia

QUESTIONNAIRE

Personal and professional information

1Sex Female Male

2. Age______

3Length of service in the Vaccine Service______

4Hospital Trust ______

5Profession DoctorNurse Health visitor

6Year when you qualified______

(give the year of your first professional qualification)

Your opinion regarding vaccination

7You believe mandatory vaccination is necessary/ should be retained

should be abandoned

should be phased out

8Your opinion on thevaccinationswhich are included in the regional program but not in thenational one

Pneumococcus

Not at all important 1 2  3 4 5 6 7Very important

Meningococcus C

Not at all important1 2  3 4 5 6 7Very important

Varicella

Not at all important1 2  3 4 5 6 7Very important

Hepatitis A

Not at all important1 2  3 4 5 6 7Very important

9The right of each Region to add vaccinations to the national vaccination program

is necessary/ should be retained

 should be abandoned

 should be phased out

10Your opinion regarding the administration of more than one vaccine at a time:

helps the organisation of the vaccine centreyes no

increases vaccination take-upyes no

increases the risk of adverse reactionsyes no

frightens the parentsyes no

11In your centre do you practise co-administration of vaccines?

Yes No

If you answered No, go to question 13

12Which co-administration do you carry out?

Hexavalent + Pneumococcusheptavalent

MenC + Varicella

Varicella + Hepatitis A

MenC + Hepatitis A

Other (specify) ______

13Your opinion regarding the computerisation of the vaccine registers

it is necessary to complete the work immediately

it is necessary to complete the work gradually

it increases the work-load of the vaccine centres

it would be better to postpone the work to allow a better organisation of the service

14How do you carry out calling for a vaccination appointment?

post-card

letter with an explanation of the need for vaccination

in agreement with the family paediatrician

in my centre there is no calling for appointment

15If a child does not come to the appointment

The work organisation does not allow me to follow upyes no

I send a single reminderyes no

I send multiple remindersyes no

I contact the family paediatricianyes no

I inform the City Hall of the home townyes no

I do nothing, it is the parents’ choiceyes no

16 Your opinion regarding the HPV vaccination

Not at all important 1 2  3 4 5 6 7Very important

Vaccination of health workers

17Influenza vaccination for health workers

Not at all important1 2  3 4 5 6 7Very important

18 Hepatitis B vaccination for health workers

Not at all important1 2  3 4 5 6 7Very important

19Varicella vaccination for susceptible health workers

Not at all important1 2  3 4 5 6 7Very important

20MMR – measles, mumps, rubella vaccination for susceptible health workers

Not at all important1 2  3 4 5 6 7Very important

21BCG vaccination for susceptible health workers

Not at all important1 2  3 4 5 6 7Very important

22In the 2007/2008 season did you receive at least one influenza vaccination?

YESNO

23Whoproposed/administeredthe influenza vaccination?

Industrial medical service

Occupational health physician

No-one/I decided myself

24Have you received the Hepatitis B vaccination?

YESNO

25Who proposed/administered the Hepatitis B vaccination?

Industrial medical service

Occupational health physician

No-one/I decided myself

26Have you received the Varicella vaccination?

SINO

If no

Are you susceptibleto varicellaYESNO

27Who proposed/administered the Varicella vaccination?

Industrial medical service

Occupational health physician

No-one/I decided myself

28Have you received the MMR vaccination?

SINO

If no

Are yoususceptibleto one of the three diseasesYESNO

29Who proposed/administered the MMR vaccination?

Industrial medical service

Occupational health physician

No-one/I decided myself

30Have you received the BCG vaccination? YESNO

If no

Mantoux positiveYESNO

29Who proposed/administered the Mantoux and potential vaccination?

Industrial medical service

Occupational health physician

No-one/I decided myself

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c/o DIMO – Sezione di Igiene e.mail:

Policlinico, Piazza Giulio Cesare 70124 Bari e.mail:

Tel 080 5478481 - Fax 080 5478472