Factors Associated with the Low Immunization Coverage in the Second Year of Life in the Central Region of Burkina Faso

Daniel Koala, Marie-Laure Kleme, I. Ouédraogo
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引用次数: 1

Abstract

Introduction: The second year of life immunization is the administration of vaccines to a child between 12 and 24 months of age. After seven years of implementation of this immunization, the coverage remains low. This study was to understand the factors associated with low immunization coverage in the second year of life in Burkina Faso. Methods: The LQAS method was used to conduct a cross-sectional household survey of children aged 24 to 35 months in two health districts in the Central region. A two-level random sampling was used. Eighteen health facilities were randomly selected and then in each health facility, 1 to 4 villages were randomly selected for the study. The households were visited to collect the data. In the selected health facilities, the EPI manager and health facilities manager were questioned about vaccination during the second year of life. Results: Forgetting to vaccinate the child (25.1%), lack of time to go to health facilities on immunization day (23.3%), long waiting time in health facilities (11.0%) and far distance from the health facilities (11.0%) are the reasons given by mothers whose children did not receive MR2. Multiparous mothers were vaccinated with MR2 than Primiparous mothers (aOR = 2.4 et CI 95%=1.5 – 4.0). According to health workers, the main reasons were the lack of vaccine in 29.6% of cases and that there were not enough children to open 10 doses vial of the vaccine in 18.5% of cases. Conclusion: Targeted interventions are needed to address these contributing factors to poor immunization coverage.
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与布基纳法索中部地区生命第二年免疫覆盖率低有关的因素
简介:生命免疫的第二年是对12至24个月大的儿童接种疫苗。在实施这种免疫接种7年后,覆盖率仍然很低。本研究旨在了解与布基纳法索出生后第二年免疫覆盖率低相关的因素。方法:采用LQAS法对中部地区2个卫生区24 ~ 35月龄儿童进行横断面入户调查。采用两水平随机抽样。随机选择18个卫生设施,然后在每个卫生设施中随机选择1至4个村庄进行研究。对这些家庭进行了访问以收集数据。在选定的卫生设施中,向扩大免疫方案经理和卫生设施经理询问了在生命的第二年接种疫苗的问题。结果:未接种MR2疫苗的母亲给出的原因为忘记给孩子接种(25.1%)、接种日没时间去卫生机构(23.3%)、在卫生机构等待时间长(11.0%)和距离卫生机构远(11.0%)。多产母亲接种MR2疫苗的比例高于初产母亲(aOR = 2.4, CI 95%=1.5 - 4.0)。据卫生工作者说,主要原因是29.6%的病例缺乏疫苗,18.5%的病例没有足够的儿童打开10剂疫苗。结论:需要有针对性的干预措施来解决这些导致免疫覆盖率低的因素。
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