A National Cross-Sectional Study from the Republic of Kosovo on Lot Quality Assurance Sampling (LQAS) to Evaluate the Vaccination Status of Children Between 12 and 24 Months of Age During 2018 to 2020

IF 1.5 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
Bashkim Gllareva, Isme Humolli, I. Rudhani, X. Jakupi, Jon Rexhepi, Tringa Metaj, Ardita Kafexholli, Vlora Sopi
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引用次数: 2

Abstract

Background In the Republic of Kosovo, full vaccination status in children under age 2 years includes: 1 dose of Bacillus Calmette-Guérin (BCG) hepatitis B virus (HBV) vaccine; 3 doses of diphtheria, tetanus, pertussis, hepatitis B, polio, and Haemophilus influenzae type b (DTaP-HB-IPV-Hib) vaccine; 3 doses of inactivated polio vaccine (IPV); and 1 dose of measles, mumps, and rubella (MMR) vaccine. Lot quality assurance sampling (LQAS) is a method used to assess the performance of health quality indicators. Material/Methods A national cross-sectional study with children aged between 12 and 24 months from Kosovo was performed between 2018 and 2020. The vaccination status of children was assessed with lot quality assurance sampling (LQAS) using randomized samples. Results Among 430 children, more than 90% had completed the full immunization schedule. Delays in children’s immunizations were observed. Most vaccinations showed short delays of less than 1 month, followed by delays of up to 3 months. The main reason for vaccination delay was the COVID-19 pandemic, following by child’s illness at the scheduled time of vaccination or the parents were too busy to take the child to the vaccination site. Meanwhile, child age was the only parameter that showed difference among non-vaccinated and fully vaccinated (P<0.001). Conclusions LQAS analysis showed that between 2018 and 2020 lack of full immunization was due to delay caused by the parent not taking the child to the vaccination site, which may be prevented by improving information given to parents and the use of vaccination reminders.
科索沃共和国关于批量质量保证抽样(LQAS)评估2018年至2020年12至24月龄儿童疫苗接种状况的全国横断面研究
背景:在科索沃共和国,2岁以下儿童的全面疫苗接种状况包括:1剂卡介苗(BCG)乙型肝炎病毒(HBV)疫苗;白喉、破伤风、百日咳、乙型肝炎、脊髓灰质炎和B型流感嗜血杆菌(dtap - hb - ipvv - hib)疫苗3剂;3剂脊髓灰质炎灭活疫苗;1剂麻疹、腮腺炎和风疹(MMR)疫苗。批量质量保证抽样(LQAS)是一种用于评估卫生质量指标绩效的方法。材料/方法在2018年至2020年期间对科索沃12至24个月的儿童进行了一项全国性横断面研究。采用随机抽样的批量质量保证抽样(LQAS)对儿童的疫苗接种状况进行评估。结果430名儿童中,90%以上的儿童完成了免疫接种计划。观察到儿童免疫接种的延误。大多数疫苗接种出现不到1个月的短暂延迟,随后出现长达3个月的延迟。疫苗接种延误的主要原因是新冠肺炎大流行,其次是儿童在预定接种时间生病或父母太忙而无法带孩子去疫苗接种地点。同时,儿童年龄是唯一在未接种疫苗和完全接种疫苗之间显示差异的参数(P<0.001)。结论LQAS分析显示,2018 - 2020年儿童免疫不足主要是由于家长未带孩子到疫苗接种地点造成的延误,可通过改善家长信息告知和使用疫苗接种提醒来预防。
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来源期刊
Medical Science Monitor Basic Research
Medical Science Monitor Basic Research MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
6.00
自引率
0.00%
发文量
16
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