肯尼亚Makueni县12-23个月儿童免疫覆盖率的决定因素

Meshach M. Wambua, Jackline M. Nyaberi, Francis W. Muregi
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摘要

背景:在全球范围内,可通过免疫预防的疾病夺去了人口中300多万人的生命,其中150万人通常是五岁以下儿童。此外,疫苗可预防的疾病是全世界约350万残疾人的罪魁祸首。全世界只有86%的儿童接种了疫苗,这使得数以百万计的年轻人容易感染可以通过接种疫苗来治疗或预防的疾病。免疫是预防或治疗某些疾病的唯一有效方法。方法:采用描述性横断面设计。采访者向母亲和特定家庭的其他照顾者提供半结构化问卷,以收集必要的数据。采用多阶段抽样技术在研究区域内选择问卷调查对象,采用384名符合条件的参与者作为样本收集定量数据。结果:研究结果显示,Makueni县的疫苗接种率为82%。这是一个迹象,表明该国没有达到世界卫生组织设定的目标。从推断统计分析来看,疫苗摄取与免疫接种在所有四个检查目标中均存在显著相关性,即p≤0.05。结论:该研究确定,Makueni县23个月及以下儿童的免疫覆盖率很高,社会人口特征是最重要的因素。建议进一步努力提高免疫服务的接受程度。产前诊所在提高儿童免疫知识的同时,应注重改善母亲的求医行为。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determinants of immunization coverage among children aged between 12-23 months in Makueni County, Kenya
Background: Globally, diseases that can be prevented through immunization claim the lives of more than 3 million individuals in the population, 1.5 million of whom are typically children under the age of five. Furthermore, vaccine-preventable diseases are to blame for about 3.5 million with disability worldwide. Only 86% of children worldwide have had vaccinations, making millions of youngsters susceptible to diseases that can be treated or prevented by administering vaccines. Immunization is the only effective way to prevent or treat certain disorders. Methods: Descriptive cross-sectional design was used. Semi-structured questionnaires given by interviewers to mothers and other caretakers in particular households were used to gather the necessary data. Multi-stage sampling technique was employed to select the questionnaire respondents the study area, a sample size of 384 eligible participants was used to collect quantitative data. Results: The study’s findings showed that Makueni county had an 82% vaccination coverage rate. This was a sign that the county had fallen short of the goal set by the WHO. From the inferential statistics analysis, there were significant association between vaccine uptake and immunization in all the four objectives examined i.e., p≤0.05. Conclusions: The study established that immunization coverage is high for children 23 months and below in Makueni County, with socio-demographic characteristics being the most important factor. It is advised that additional efforts be made to increase the uptake of immunization services. Along with improving their knowledge of child immunization, prenatal clinics should focus on improving the mothers’ health-seeking behaviour.
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