Decline in Uptake of Childhood Vaccinations in a Tertiary Hospital in Northern Ghana during the COVID-19 Pandemic.
Decline in Uptake of Childhood Vaccinations in a Tertiary Hospital in Northern Ghana during the COVID-19 Pandemic.
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DOI：
10.1155/2021/6995096
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发表时间：
2021
影响因子：
--
通讯作者：
Abdul-Mumin A
中科院分区：
文献类型：
--
作者：
Bimpong KA;Nuertey BD;Seidu AS;Ajinkpang S;Abdul-Mumin A
2019冠状病毒病大流行开始时，早期模型研究估计低收入和中等收入国家的儿童疫苗接种会减少。自该流行病爆发以来，定期提供治疗和预防服务，如产前护理和儿童免疫接种，受到了不利影响。我们的研究旨在检查大流行对塔马利教学医院（TTH）儿童疫苗接种服务的影响。本研究采用混合方法研究设计，在TTH的儿童福利诊所（CWC）进行。我们采用定量方法，回顾性研究了大流行时期（定义为二零二零年三月一日至二零二一年二月二十八日期间）及大流行前时期（定义为二零一九年三月一日至二零二零年二月二十九日期间）的各种疫苗接种情况。定性方法用于了解CWC的五名医疗保健提供者和错过疫苗或延迟接种的儿童的四名照顾者对任何观察到的变化的因素的看法。使用Microsoft Excel 2016和主题内容分析进行数据分析。定量数据以频率、百分比和折线图表示。除麻疹风疹（MR）2疫苗外，我们观察到的下降幅度为47%（2298）至10.5%（116），其中BCG下降幅度最大，MR 1疫苗下降幅度最小。2020年5月的跌幅最大，为70.6%（813）。在我们的研究中，当对指定的大流行前和大流行时期进行比较时，注意到所有疫苗的下降率为38.3%（4473）。对COVID-19感染的恐惧和错误信息通常被认为是下降的原因。应制定补充免疫接种计划，以减少未来可能爆发的疫苗可预防疾病。
At the beginning of the COVID-19 pandemic, early modelling studies estimated a reduction in childhood vaccinations in low- and middle-income countries. Regular provision of both curative and preventive services such as antenatal care and childhood immunizations has been negatively affected since the onset of the pandemic. Our study was aimed at examining the impact that the pandemic had on childhood vaccination services at the Tamale Teaching Hospital (TTH). A mixed methods study design was employed for the study, which was conducted at the Child Welfare Clinic (CWC) of the TTH. With quantitative approach, we retrospectively looked at the uptake of the various vaccines during the pandemic era, defined as the period between 1st March 2020 and 28th February, 2021, and the prepandemic era defined as the period 1st March 2019 to 29th February, 2020. The qualitative approach was used to understand the perspective of five healthcare providers at the CWC and the four caregivers of children who have missed a vaccine or delayed in coming, on the factors accounting for any observed change. Data analysis was done using Microsoft Excel 2016 and thematic content analysis. Quantitative data were presented in frequencies, percentages, and line graphs. With the exception of the Measles Rubella (MR) 2 vaccine, we observed a decline ranging from 47% (2298) to 10.5% (116), with the greatest decline seen in the BCG and the least decline seen in the MR1 vaccine. The month of May 2020 saw the greatest decline, that is, 70.6% (813). A decline of 38.3% (4473) was noted when comparison was made between the designated prepandemic and pandemic eras, for all the vaccines in our study. Fear of COVID-19 infection and misinformation were commonly given as reasons for the decline. Catch-up immunization schedule should be instituted to curtail possible future outbreaks of vaccine-preventable diseases.
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DOI：
10.11604/pamj.2021.38.134.24104
发表时间：
2021
期刊：
The Pan African medical journal
影响因子：
--
作者：
Chekhlabi N;Arrab R;Ettair S;Dini N
通讯作者：
Dini N
影响因子：
2.6
作者：
Buonsenso, Danilo;Cinicola, Bianca;Iodice, Francesco
通讯作者：
Iodice, Francesco
影响因子：
1.4
作者：
Camara, B. S.;Delamou, A. M.;Zachariah, R.
通讯作者：
Zachariah, R.
影响因子：
7.2
作者：
Ashish KC;Peterson SS;Gurung R;Skalkidou A;Gautam J;Malla H;Paudel P;Bhattarai K;Joshi N;Tinkari BS;Adhikari S;Shrestha D;Ghimire B;Sharma S;Khanal L;Shrestha S;Graham WJ;Kinney M
通讯作者：
Kinney M
影响因子：
3.5
作者：
Chen K;Luo Y;Hu A;Zhao J;Zhang L
通讯作者：
Zhang L