Factors influencing immunisation coverage among children under five years of age in Khartoum State, Sudan
Factors influencing immunisation coverage among children under five years of age in Khartoum State, Sudan
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DOI：
10.1080/20786204.2007.10873611
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发表时间：
2007-01-01
影响因子：
1
通讯作者：
Maarse, J. A. M.
中科院分区：
文献类型：
--
作者：
Ibnouf, A. H.;Van den Borne, H. W.;Maarse, J. A. M.
背景本文探讨了家庭的诱发因素和有利因素影响苏丹喀土穆5岁以下儿童接种疫苗状况的假设。方法本研究是一项横断面调查，在410名来自不同社会经济地位和不同教育水平母亲的5岁以下男女儿童中进行了代表性样本调查，从城市和农村地区的状态。结果正确的接种率为儿童被发现是高的。城市和农村地区的儿童在正确接种率和分别接种每种疫苗方面存在很大差异。与城市地区相比，农村地区到接种地点的步行或交通时间较长。疫苗接种率随着儿童年龄和母亲教育水平的增加而增加。高龄母亲的孩子更有可能接种正确的疫苗。母亲对疫苗接种的知识和态度与其子女的疫苗接种状况密切相关。当将每种疫苗接种率分开考虑时，家庭经济水平仅对卡介苗接种率有显著影响。大多数疫苗接种发生在公共网点agencies.ConclusionThe大的差异，发现在接种疫苗的覆盖率由居住地和母亲的教育水平表明，更大的努力，需要由政府，如果正确的疫苗接种率更好地实现在农村地区。
BackgroundThis article explores the hypothesis that predisposing and enabling factors of households influence the vaccination status of the children under the age of five in Khartoum State, Sudan.MethodThe study was a cross-sectional survey among a representative sample of 410 male and female children under five years of age from households with varying socio-economic status and mothers with varying levels of education, from both urban and rural localities in the state.ResultsThe correct vaccination coverage rate for children was found to be high. Children in urban and rural areas differed substantially in their correct vaccination rates and their receipt of each vaccine separately. Walking or travelling time to the place of vaccination was found to be longer in rural areas when compared with urban areas. The vaccination rate increased with an increase in the age of the children and the education level of the mother. Children of older mothers were more likely to have had the correct vaccinations. The mothers' knowledge of and attitudes to vaccination showed a strong relationship with the vaccination status of their children. When the coverage rate for each vaccine was taken separately, the economic level of the households significantly affected only the BCG vaccine coverage. Most vaccinations occurred in public outlet agencies.ConclusionThe large differences found in vaccination coverage by place of residence and level of mother's education suggest that much greater efforts are required by the government if better rates of correct vaccination are to be achieved in rural areas.