Risk factors for incomplete vaccination and missed opportunity for immunization in rural Mozambique.
Risk factors for incomplete vaccination and missed opportunity for immunization in rural Mozambique.
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DOI：
10.1186/1471-2458-8-161
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发表时间：
2008-05-16
影响因子：
4.5
通讯作者：
Bjune G
中科院分区：
文献类型：
--
作者：
Jani JV;De Schacht C;Jani IV;Bjune G
在地球仪资源贫乏的地区，儿童疾病免疫接种水平不足仍然是一个重大的公共卫生问题。尽管如此，人们对疫苗接种不完全和不接受免疫服务的原因知之甚少。这项研究旨在找出莫桑比克南部农村地区两岁以下儿童未接种疫苗的原因和错过接种疫苗机会的程度。在一项横断面研究中，对两岁以下儿童的母亲（N = 668）进行了采访。使用“健康之路”卡检查疫苗接种时间表的完整性和正确性，并确定适当利用所有可用的疫苗接种机会。采用卡方检验和Logistic回归进行统计学分析。我们发现，28.2%的儿童在2岁之前没有完成疫苗接种计划，25.7%的儿童错过了接种疫苗的机会，14.9%的儿童接种了错误的疫苗。不完全接种疫苗的原因与疫苗接种点的可及性、母亲没有上学以及在莫桑比克国内或国外出生的儿童有关。提高疫苗接种覆盖率的努力应考虑到导致儿童疫苗接种不完全的因素。需要避免错过接种疫苗的机会和不正确的接种，以增加那些到达卫生设施的客户的疫苗覆盖率，特别是在卫生服务没有100%覆盖率的国家。
Inadequate levels of immunization against childhood diseases remain a significant public health problem in resource-poor areas of the globe. Nonetheless, the reasons for incomplete vaccination and non-uptake of immunization services are poorly understood. This study aimed at finding out the reasons for non-vaccination and the magnitude of missed opportunities for vaccination in children less than two years of age in a rural area in southern Mozambique. Mothers of children under two years of age (N = 668) were interviewed in a cross-sectional study. The Road-to-Health card was utilized to check for completeness and correctness of vaccination schedule as well as for identifying the appropriate use of all available opportunities for vaccination. The chi-square test and the logistic regression were used for statistical analysis. We found that 28.2% of the children had not completed the vaccination program by two years of age, 25.7% had experienced a missed opportunity for vaccination and 14.9% were incorrectly vaccinated. Reasons for incomplete vaccination were associated with accessibility to the vaccination sites, no schooling of mothers and children born at home or outside Mozambique. Efforts to increase vaccination coverage should take into account factors that contribute to the incomplete vaccination status of children. Missed opportunities for vaccination and incorrect vaccination need to be avoided in order to increase the vaccine coverage for those clients that reach the health facility, specially in those countries where health services do not have 100% of coverage.
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影响因子：
6.3
作者：
AKESODE, FA
通讯作者：
AKESODE, FA
影响因子：
3.3
作者：
de Timoteo Mavimbe, Joao Carlos;Muquingue, Humberto Nelson;Bjune, Gunnar
通讯作者：
Bjune, Gunnar
评估莫桑比克常规报告中的免疫数据质量。
影响因子：
4.5
作者：
Mavimbe, JC;Braa, J;Bjune, G
通讯作者：
Bjune, G
影响因子：
3.7
作者：
Jani JV;Jani IV;Araújo C;Sahay S;Barreto J;Bjune G
通讯作者：
Bjune G
DOI：
10.1111/j.1467-842x.1998.tb01411.x
发表时间：
1998-06-01
影响因子：
3.5
作者：
Bond, L;Nolan, T;Carlin, J
通讯作者：
Carlin, J