scholarly journals EPI immunization coverage, timeliness and dropout rate among children in a West Cameroon health district: a cross sectional study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jérôme Ateudjieu ◽  
Martin Ndinakie Yakum ◽  
André Pascal Goura ◽  
Ayok Maureen Tembei ◽  
Douanla Koutio Ingrid ◽  
...  
2021 ◽  
Vol 4 ◽  
pp. 46
Author(s):  
Igor Nguemouo Nguegang ◽  
Martin Nguetsop ◽  
Linda Evans Eba Ze ◽  
Trevor Anyambod Mboh ◽  
Dominique Majoric Omokolo ◽  
...  

Background: Vaccination is the best way to protect newborns and mothers against tetanus. The number of doses of Td vaccine recommended by the Expanded Program of Immunization is based on documented protective immune response. During this decade, the Foumban Health District (FHD) was the seat of an epidemic despite the satisfactory administrative immunization coverage. This study was conducted in 2019 in the FHD to assess tetanus vaccine coverage among mothers for their last pregnancy and the cumulative number of vaccine doses administered to the mothers. Method: This was a descriptive cross-sectional study conducted in the FHD in 2019. Mothers living in the district with at least one child younger than five years were included and were selected by random stratified cluster sampling. Trained surveyors used a face-to-face questionnaire, data extraction grid and data-tracking grid to review and collect data from antenatal care booklets, vaccination cards and the women’s own reports of immunization. The immunization coverage per vaccine dose and vaccination completeness rate were estimated. Results: From 621 women visited, 602 (96.9%) responded. A total of 176/511 women (34.4%) had evidence of vaccination. For the last pregnancy, the two-dose immunization proportion was 21.7% (111/511) for documented coverage and 47.6% (243/511) for undocumented coverage. 306/570 women (53.7%) had received more than the recommended five doses necessary for lifetime protection. The recruitment, two and five doses completeness rates were 99.9% (569/570), 95.8% (546/570) and 65.3% (372/570), respectively. Conclusion: More than half of mothers received more doses of tetanus toxoid vaccine than necessary in FHD. This increased the resources needed and the cost of vaccination. Health personnel should be trained and supervised to assess pregnant women’s vaccination status before planning the number of vaccine doses to be administered during pregnancy.


2020 ◽  
Vol 4 ◽  
pp. 46
Author(s):  
Igor Nguemouo Nguegang ◽  
Martin Nguestop ◽  
Linda Evans Eba Ze ◽  
Trevor Anyambod Mboh ◽  
Dominique Majoric Omokolo ◽  
...  

Background: Vaccination is the best way to protect newborns and mothers against tetanus. The number of doses recommended by the Expanded Program of Immunization is based on documented protective immune response. This study was conducted in 2019 in the Foumban Health District (FHD) to assess tetanus vaccine coverage among mothers for their last pregnancy and the cumulative number of vaccine doses administered to the mothers. Method: This was a descriptive cross-sectional study conducted in the FHD. Mothers living in the district with at least one child younger than five years were included and were selected by random stratified cluster sampling. Trained surveyors used a face-to-face questionnaire, data extraction grid and data-tracking grid to review and collect data from antenatal care booklets, vaccination cards and the women’s own reports of immunization. The immunization coverage per vaccine dose and vaccination completeness rate were estimated. Results: From 621 women visited, 602 (96.9%) responded. A total of 176/511 women (34.4%) had evidence of vaccination. For the last pregnancy, the two-dose immunization proportion was 21.7% (111/511) for documented coverage and 47.6% (243/511) for undocumented coverage. 306/570 women (53.7%) had received more than the recommended five doses necessary for lifetime protection. The recruitment, two and five doses completeness rates were 99.9% (569/570), 95.8% (546/570) and 65.3% (372/570), respectively. Conclusion: More than half of mothers received more doses of tetanus toxoid vaccine than necessary in FHD. This increased the resources needed and the cost of vaccination. Health personnel should be trained and supervised to assess pregnant women’s vaccination status before planning the number of vaccine doses to be administered during pregnancy.


2020 ◽  
Vol 14 (6) ◽  
pp. e0008334
Author(s):  
Gabriel Alcoba ◽  
Manon Chabloz ◽  
Justin Eyong ◽  
Franck Wanda ◽  
Carlos Ochoa ◽  
...  

2021 ◽  
Vol 4 (1) ◽  
pp. 82
Author(s):  
Devi Maya Arista ◽  
Dwiyanti Puspitasari ◽  
Sri Utami

AbstractBackground: The government’s effort to reduce measles and rubella transmission are by increasing MR immunization coverage. The immunization coverage was influenced by parent’s decisions. There were factors that related with parent’s decisions such as knowledge, perceived susceptibility, seriousness, benefit, barrier, self-efficacy, and cues to action. This study aimed to analyze factors  related with parent’s decisions in giving MR immunization. Methods: This was a cross sectional study using questionnaire among parents of children aged 10-30 months at working area of Kenjeran public health center, Surabaya. Data of knowledge, perceived susceptibility, seriousness, benefit, barrier, self-efficacy, and cues to action regarding MR immunization then analyzed using chi-square and logistic regression. Result: From 206 parents, 56.3% were giving MR immunization to their children. Parent’s knowledge (p=0.023; OR=18.08), perceived barrier (p=0.002; OR=46.79), and self-efficacy (p=0.033; OR=7.66) were related with parent’s decisions. Conclusion: Parent’s decisions in giving MR immunization was related with knowledge, perceived barrier, and self-efficacy. 


2016 ◽  
Vol 2 (5) ◽  
pp. 102-111 ◽  
Author(s):  
Thomas Obinchemti Egbe ◽  
◽  
Evaristus Ngong Ncham ◽  
William Takang ◽  
Eta-Nkongho Egbe ◽  
...  

Author(s):  
Sreedevi C.

Background: Immunization is an important cost effective tool for preventing the morbidities and mortalities caused by vaccine preventable diseases. The objectives of this study were to assess the universal immunization programme coverage of children of 12–23 months of age in Kozhikode district and to study the factors associated with immunization coverage.Methods: A cross sectional study was conducted in 30 randomly selected electoral wards of Kozhikode district which were selected using multi stage cluster sampling technique during April 2013 to May 2014.Results: 469 children were studied from 30 clusters. 75.5% was fully immunized while 1.5% was unimmunized. Dropout rate for DPT 3 to Measles was the highest accounting to 20.2%. Most common reason for failure of immunization among unimmunized was that the parents didn’t feel the need (57.1%) and for partially immunized was the illness of the child (27.8%) followed by lack of awareness of the time of immunization (22.2%). Religion, early age of the mother at marriage and first delivery and high birth order were significantly associated with a higher proportion of partially immunized while higher education of the parents (>12th standard), health worker’s home visit in the first year of the child and presence of immunization card were significantly associated with a high full immunization coverage (p<0.05).Conclusions: Immunization coverage of 75.5% is far behind the target to be achieved. 1.5% of the children didn’t get any of the vaccinations. It is very important to increases the coverage to prevent the re-emergence of vaccine preventable diseases.


Author(s):  
D. P. Lakshmi Priya ◽  
P. Kalyani ◽  
B. Sindhu Bala

Background: Immunization is one of the cost effective measures preventing approximately 2 to 3 million deaths in young children every year. Inspite of the progress in vaccination coverage challenges still remain for underserved and inaccessible children. It is therefore essential to evaluate the immunization coverage at periodic intervals and improve coverage in vulnerable areas.Methods: A cross-sectional study was conducted among 152 children aged 12 to 42 months in urban Chidambaram from September to October 2018. We collected details regarding immunization from vaccination card or mother’s recall. A pretested semi-structured proforma was used to collect sociodemographic variables. Data were collected, compiled and tabulated using microsoft excel and analyzed using SPSS 20.0 version.Results: Complete immunization coverage was 80.3% and 19.7% were partially immunized. Lack of awareness is the major reason for failure of full immunization (63.3%). Immunization coverage was higher when parents studied up to higher secondary or graduates (mother 91.3%, father 87.5%, p value 0.01), father do skilled jobs (91.9%, p value 0.02), among first birth ordered children (88.3%, p value 0.01), children born in healthcare facility and among mothers who received antenatal care during pregnancy (80.8% each, p value 0.04).Conclusions: Lack of awareness, parents’ literacy and occupation, place of birth, antenatal services and number of children in the family are important determinants of immunisation coverage. Apart from strengthening of infrastructure for better delivery of mother and child health services other issues also need to be addressed for better immunization practices.


2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Nchang F. Cho

Background: Long-lasting Insecticide Nets (LLINs) are effective in the prevention of malaria, but universal utilisation continues to be declining in parts of Cameroon. This study aimed to explore the predictors and incidences of LLINs ownership/ utilisation in a semi-urban community in the Bamenda Health District (BHD). . Methods: A cross-sectional survey involving 448 randomly selected household heads was conducted between March and April 2018 in the BHD. Data on LLINs ownership and utilisation were collected with structured questionnaires. Multivariate analysis was used to establish the predictors of LLINs utilisation and ownership. Results: Household owner ship of at least one LLINs and universal usage was 93.3% and 43.1% respectively. Conclusion: The utilisation of LLINs was low and had no significant association with ownership. Continuous educational efforts and monitoring schemes with specific emphasis on vulnerable groups should be stepped up.


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