scholarly journals Hepatitis B Birth Dose Vaccination among Vietnamese Children: Implications for the Expanded Program on Immunization

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Hao Nguyen Si Anh ◽  
Hoang-Long Vo ◽  
Long Hoang Bao ◽  
Hien Tran Minh ◽  
Ha Tran Thi Thu ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Hepatitis B ◽  
Rural Areas ◽  
Vaccine Coverage ◽  
Herd Immunity ◽  
Vulnerable Groups ◽  
Prevalence Rates ◽  
Birth Dose ◽  
Expanded Program On Immunization

Background. This study assesses the prevalence of Vietnamese children receiving the hepatitis B (HepB) vaccine birth dose and explores its associated socioeconomic factors. Methods. We used the data of the Multiple Indicator Cluster Survey, 2014. We estimated the overall percentage of HepB birth dose vaccination among 0–23-month-old children and its percentages according to selected characteristics. Multiple logistic regression was applied. Results. 62.8% of children received the HepB vaccine birth dose. The prevalence rates by selected factors ranged from 35.3% to 76.7%. The categories with the lowest prevalence rates were children who had low birth weight (41.6%), had a mother aged less than 20 years (35.3%), had a mother with primary or less education (42.7%), belonged to ethnic minorities (30.3%), resided in rural areas (59.9%), and were in the 1st quintile of mother’s socioeconomic status (38.6%). Receiving HepB vaccine birth dose was associated with child’s birth weight, mother’s age, mother’s education, socioeconomic status, and ethnicity. Conclusions. This study identified vulnerable groups, upon which policy-makers should focus their efforts to equitably and sustainably tackle birth dose HepB vaccine coverage as well as the full vaccination coverage, thereby promoting long-lasting herd immunity in this country.

scholarly journals Parents’ Attitude about Hepatitis B Disease and Practice of Hepatitis B Vaccination among Children in Ho Chi Minh City, Vietnam

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Huynh Giao ◽  
Bui Quang Vinh ◽  
Nguyen Huynh Tam Lang ◽  
Pham Le An
Keyword(s):  
Hepatitis B ◽  
Rural Areas ◽  
Health Workers ◽  
High Rate ◽  
Ho Chi Minh City ◽  
Hepatitis B Vaccination ◽  
Information Strategies ◽  
Birth Dose ◽  
Expanded Program On Immunization ◽  
Urban People

Introduction. The Expanded Program on Immunization (EPI) in Vietnam for hepatitis B (HepB) among infants has been implemented since 2003. The rates of the birth dose (babies receiving HepB immunization injection within 24 hours after birth) and the later three-dose series were low in 2013-2014. Objective. This article evaluated attitudes about the hepatitis B disease and vaccine in relation to the correct practice of vaccination among mothers of 12–24-month-old children in Ho Chi Minh City. Material and Methods. The parents of 768 children aged 12 to 24 months, in Ho Chi Minh City, were interviewed and reviewed their vaccination cards from February 2016 to July 2017. Results. A total of 768 children had parents of a mean age of 30.8 years, approximately 34% of the children with a mean age of 16.8 months completed all four doses of the hepatitis B vaccine in a timely manner according to the EPI, and only 45.2% of children received the birth dose on schedule within 24 hours. The mother’s fears of HepB risk in the community, living in rural areas, and receiving vaccination information from health workers increased the odds of complete and timely HepB vaccination (all p<0.05). Conclusions. A high rate of children did not receive a complete and timely HepB vaccination in the EPI. Health information strategies should be designed to target urban people and focus on safety of the vaccine, by health workers, to increase the correct practices of hepatitis B vaccination, including the birth dose, and provide education programs that emphasize the high risk for getting hepatitis B.

Hepatitis B Vaccination of Low Birth Weight Infants in Washington State

2020 ◽  
Author(s):  
Katarina Ost ◽  
Natalia V. Oster ◽  
Elizabeth N. Jacobson ◽  
M. Patricia deHart ◽  
Janet A. Englund ◽  
...  
Keyword(s):  
Birth Weight ◽  
Hepatitis B ◽  
Low Birth Weight ◽  
Academic Medical Center ◽  
Washington State ◽  
Hepatitis B Vaccination ◽  
High Risk Population ◽  
Low Birth Weight Infants ◽  
Birth Dose ◽  
Birth Hospitalization

Objective The U.S. Advisory Committee on Immunization Practices (ACIP) recommends that infants born weighing less than 2,000 g receive the hepatitis B (HepB) vaccine at hospital discharge or 30 days of age. This study aimed to assess timely HepB vaccination among low birth weight infants. We hypothesized that many of these vulnerable infants would fail to receive their HepB birth dose on time. Study Design This retrospective cohort study included Washington State infants born weighing less than 2,000 g at an academic medical center between 2008 and 2013. Data were abstracted from electronic health records and linked to vaccine data from the Washington State Immunization Information System. Multivariable logistic regression was used to examine the associations between sociodemographic, clinical, and visit characteristics and HepB vaccination by birth hospitalization discharge or 30 days of age. Results Among 976 study infants, 58.4% received their HepB vaccine by birth hospitalization discharge or 30 days of age. Infants had higher odds of timely HepB vaccination if they were Hispanic (adjusted odds ratio [AOR] = 1.80, 95% confidence interval [CI]: 1.10–2.95) or non-Hispanic black (AOR = 2.28, 95% CI: 1.36–3.80) versus non-Hispanic white or if they were hospitalized 14 days or longer versus less than 14 days (AOR = 2.43, 95% CI: 1.66–3.54). Infants had lower odds of timely HepB vaccination if they were born before 34 weeks versus on or after 34 weeks of gestational age (AOR = 0.41, 95% CI: 0.27–0.63) or if they had an estimated household income less than $50,845 versus 50,845 or greater (AOR = 0.64, 95% CI: 0.48–0.86). Conclusion Many infants born weighing less than 2,000 g did not receive their first HepB birth dose according to ACIP recommendations. Strategies are needed to improve timely HepB vaccination in this high-risk population. Key Points

scholarly journals Maternal and Perinatal outcome in eclampsia at a teaching hospital of Eastern Nepal

2020 ◽  
Vol 5 (3) ◽  
pp. 1186-1190
Author(s):  
Seema Kumari Mishra ◽  
Roshan Pradhan ◽  
Roshan Pradhan ◽  
Hanoon P Pokharel ◽  
Surya B. Parajuli
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Teaching Hospital ◽  
Rural Areas ◽  
Perinatal Outcome ◽  
Neonatal Outcome ◽  
Mode Of Delivery ◽  
Case Fatality ◽  
Maternal Condition

Introduction: Eclampsia is a multisystem disorder with potential life-threatening complications that can result in significant maternal and fetal morbidity and mortality. The case fatality rate of eclampsia is 1.8% in developed countries, 17.7% in India and 13% in Nepal. The incidence of pre-eclampsia and eclampsia is high in developing countries due to hypoproteinemia, malnutrition and poor obstetric facilities. Objective: To assess the maternal and perinatal outcome in patients of eclampsia Methodology: This was a hospital based cross-sectional study where all the patients presenting with eclampsia from June 2019 to November 2020 in the department of Obstetrics & Gynecology, Birat Medical College and Teaching Hospital were enrolled for the study. Data analyzed included various maternal parameters and fetal parameters along with the mode of delivery, outcome of baby, postpartum maternal condition and maternal mortality were noted. Results: Among 6631 deliveries, 50 patients had eclampsia with the incidence of 7.54/1000 deliveries. Thirty four (68%) patients were of 20-30 years of age, 37 (74%) were primigravidas, 36 (72%) from rural areas, 34 (68%) were illiterate, 49 (98%) were low to middle socioeconomic status, 41 (82%) were unbooked and 33 (66%) patients had antepartum eclampsia. Eleven (22%) women developed eclampsia related complications. There were 02 (4%) maternal deaths and the common causes were HELLP Syndrome and pulmonary oedema. Neonatal outcome consisted of live births in 39 (78%) newborns, 03 (6%) were still births, 08 (16%) were birth asphyxia and 15 (30%) were low birth weight. Conclusion: Majority of the patients were young, illiterate, unbooked primi gravidas with poor to average socioeconomic status from rural areas. Majority of the eclamptic women nearly 39 (78%) cases delivered via caesarean section for better neonatal outcome. Two (4%) eclamptic women died as a result of eclamptic complications and three (6%) newborns had neonatal deaths because of low birth weight and prematurity. Adequate antenatal screening, early detection of hypertension, timely referral, and early initiation of treatment and termination of eclamptic patients can help to improve the maternal and perinatal outcomes.

scholarly journals Vaccine Administration in Children’s Hospitals

PEDIATRICS ◽  
2022 ◽  
Author(s):  
Mersine A. Bryan ◽  
Annika M. Hofstetter ◽  
Douglas J. Opel ◽  
Tamara D. Simon
Keyword(s):  
Hepatitis B ◽  
Vaccine Coverage ◽  
Vaccine Dose ◽  
National Study ◽  
Public Insurance ◽  
Children's Hospitals ◽  
Vaccine Administration ◽  
Children’S Hospitals ◽  
Vaccine Type ◽  
Birth Dose

OBJECTIVES: To examine inpatient vaccine delivery across a national sample of children’s hospitals. METHODS: We conducted a retrospective cohort study examining vaccine administration at 49 children’s hospitals in the Pediatric Health Information System database. Children &lt;18 years old admitted between July 1, 2017, and June 30, 2019, and age eligible for vaccinations were included. We determined the proportion of hospitalizations with ≥1 dose of any vaccine type administered overall and by hospital, the type of vaccines administered, and the demographic characteristics of children who received vaccines. We calculated adjusted hospital-level rates for each vaccine type by hospital. We used logistic and linear regression models to examine characteristics associated with vaccine administration. RESULTS: There were 1 185 667 children and 1 536 340 hospitalizations included. The mean age was 5.5 years; 18% were non-Hispanic Black, and 55% had public insurance. There were ≥1 vaccine doses administered in 12.9% (95% confidence interval: 12.8–12.9) of hospitalizations, ranging from 1% to 45% across hospitals. The most common vaccines administered were hepatitis B and influenza. Vaccine doses other than the hepatitis B birth dose and influenza were administered in 1.9% of hospitalizations. Children had higher odds of receiving a vaccine dose other than the hepatitis B birth dose or influenza if they were &lt;2 months old, had public insurance, were non-Hispanic Black race, were medically complex, or had a length of stay ≥3 days. CONCLUSIONS: In this national study, few hospitalizations involved vaccine administration with substantial variability across US children's hospitals. Efforts to standardize inpatient vaccine administration may represent an opportunity to increase childhood vaccine coverage.

scholarly journals COVID-19 Vaccine Intention among Healthcare Workers in Saudi Arabia: A Cross-Sectional Survey

Vaccines ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 835
Author(s):  
Mohammed Noushad ◽  
Mohammad Zakaria Nassani ◽  
Anas B. Alsalhani ◽  
Pradeep Koppolu ◽  
Fayez Hussain Niazi ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Healthcare System ◽  
Healthcare Workers ◽  
Vaccine Coverage ◽  
Vaccination Campaign ◽  
Herd Immunity ◽  
Positive Sign ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public Health Strategies

The COVID-19 pandemic has caused largescale morbidity and mortality and a tremendous burden on the healthcare system. Healthcare workers (HCWs) require adequate protection to avoid onward transmission and minimize burden on the healthcare system. Moreover, HCWs can also influence the general public into accepting the COVID-19 vaccine. Therefore, determining COVID-19 vaccine intention among HCWs is of paramount importance to plan tailor-made public health strategies to maximize vaccine coverage. A structured questionnaire was administered in February and March 2021 among HCWs in Saudi Arabia using convenience sampling, proceeding the launch of the vaccination campaign. HCWs from all administrative regions of Saudi Arabia were included in the study. In total, 674 out of 1124 HCWs responded and completed the survey (response rate 59.9%). About 65 percent of the HCWs intended to get vaccinated. The intention to vaccinate was significantly higher among HCWs 50 years of age or older, Saudi nationals and those who followed the updates about COVID-19 vaccines (p < 0.05). The high percentage (26 percent) of those who were undecided in getting vaccinated is a positive sign. As the vaccination campaign gathers pace, the attitude is expected to change over time. Emphasis should be on planning healthcare strategies to convince the undecided HCWs into accepting the vaccine in order to achieve the coverage required to achieve herd immunity.

scholarly journals The Costs of Introducing the Hepatitis B Birth Dose Vaccine into the National Immunization Programme in Senegal (NéoVac Study)

Vaccines ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 521
Author(s):  
Andréa Gosset ◽  
Marie Libérée Nishimwe ◽  
Mamadou Yaya Diallo ◽  
Lucas Deroo ◽  
Aldiouma Diallo ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Weighted Average ◽  
Structured Interviews ◽  
Cost Information ◽  
African Countries ◽  
Training Costs ◽  
Country Level ◽  
Immunization Programme ◽  
Financial Costs ◽  
Birth Dose

Some African countries are still reluctant to introduce the hepatitis B vaccine birth dose (HepB-BD) into their expanded program of immunization (EPI), partly because of logistical, economic, and cost information constraints. To assist decision-makers in these countries, we assessed the economic and financial costs of HepB-BD introduction in Senegal in 2016. We performed a micro-costing study in a representative sample of Senegal’s EPI sites at all levels in 2018. Information on EPI and HepB-BD activity-related inputs and costs was collected using standardized questionnaires and semi-structured interviews. Using inverse probability weighting, we computed weighted average costs associated with HepB-BD introduction for each EPI level, country-level aggregated costs and estimated costs per newborn. Economic and financial costs from a government perspective were estimated in US dollars for 2015, 2016 and 2017. Total economic costs were USD 143,364 in 2015, USD 759,406 in 2016 and USD 867,311 in 2017, while financial costs were USD 127,745, USD 82,519 and USD 29,853, respectively. When annualizing pre-introduction and initial training costs, the economic (financial) cost per vaccinated newborn was USD 2.10 (USD 0.30) in 2016 and USD 1.90 (USD 0.20) in 2017. Our estimates provide valuable information to implement HepB-BD in Sub-Saharan African countries that have not yet integrated this vaccine.

scholarly journals What Are the Impacts of Social Innovation? A Synthetic Review and Case Study of Community Forestry in the Scottish Highlands

2021 ◽  
Vol 13 (8) ◽  
pp. 4359
Author(s):  
Carla Barlagne ◽  
Mariana Melnykovych ◽  
David Miller ◽  
Richard J. Hewitt ◽  
Laura Secco ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Community Forestry ◽  
Social Innovation ◽  
Local Development ◽  
Evidence Base ◽  
Social Dimension ◽  
Vulnerable Groups ◽  
Study Approach

In a context of political and economic austerity, social innovation has been presented as a solution to many social challenges, old and new. It aims to support the introduction of new ideas in response to the current urgent needs and challenges of vulnerable groups and seems to offer promising solutions to the challenges faced by rural areas. Yet the evidence base of the impacts on the sustainable development of rural communities remains scarce. In this paper, we explore social innovation in the context of community forestry and provide a brief synthetic review of key themes linking the two concepts. We examine a case of social innovation in the context of community forestry and analyse its type, extent, and scale of impact in a marginalized rural area of Scotland. Using an in-depth case study approach, we apply a mixed research methodology using quantitative indicators of impact as well as qualitative data. Our results show that social innovation reinforces the social dimension of community forestry. Impacts are highlighted across domains (environmental, social, economic, and institutional/governance) but are mainly limited to local territory. We discuss the significance of those results in the context of community forestry as well as for local development. We formulate policy recommendations to foster and sustain social innovation in rural areas.

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