豪登省茨瓦内5区卫生设施障碍导致错过疫苗接种机会

IF 0.2 Q4 PEDIATRICS
D. N. Montwedi, J. Meyer, V. Nkwinika, R. Burnett
{"title":"豪登省茨瓦内5区卫生设施障碍导致错过疫苗接种机会","authors":"D. N. Montwedi, J. Meyer, V. Nkwinika, R. Burnett","doi":"10.7196/SAJCH.2021.V15I3.01798","DOIUrl":null,"url":null,"abstract":"Background. South Africa (SA) experiences vaccine-preventable disease outbreaks despite officially reporting high administrative fully immunised under-1-year-old coverage (FIC) figures.  Objective. To investigate immunisation coverage and reasons for missed vaccinations in Tshwane Region 5 in Gauteng province, SA, in 2017.  Methods. A household survey, based on a World Health Organization protocol, was conducted among consenting caregivers of children aged 12 - 23 months who had Road to Health cards (RtHC). RtH cards were checked and photographed, and reasons were recorded for missed vaccinations. Epi Info 7 was used for descriptive statistical analysis.  Results. Eligible children resided in 327 of 8 060 houses visited, with 84.4% ( n =276/327) of caregivers consenting to participate. Vaccination coverage ranged from 99.6% ( n =275/276) for the oral polio vaccine at birth to 87.3% ( n =241/276) for the third dose of the pneumococcal conjugate vaccine (PCV3). Of the children who received PCV3, 24 had missed earlier vaccinations, resulting in a FIC rate of 78.6% ( n =217/276). Overall, 123 vaccinations were missed by 59 children, with reasons related to health facility obstacles (34.1%; n =42/123) and lack of information (26.8%; n =33/123) being the largest contributors.  Conclusion. The FIC rate of 78.6% can realistically be improved, as most missed vaccinations are due to modifiable healthcare facility obstacles, including poor communication. Suggested solutions include providing accredited programmes for empowering vaccinators to effectively communicate with their clients and manage vaccination logistics, and extending clinic hours to early evenings and weekends.","PeriodicalId":44732,"journal":{"name":"South African Journal of Child Health","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2021-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Health facility obstacles result in missed vaccination opportunities in Tshwane Region 5, Gauteng Province\",\"authors\":\"D. N. Montwedi, J. Meyer, V. Nkwinika, R. Burnett\",\"doi\":\"10.7196/SAJCH.2021.V15I3.01798\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background. South Africa (SA) experiences vaccine-preventable disease outbreaks despite officially reporting high administrative fully immunised under-1-year-old coverage (FIC) figures.  Objective. To investigate immunisation coverage and reasons for missed vaccinations in Tshwane Region 5 in Gauteng province, SA, in 2017.  Methods. A household survey, based on a World Health Organization protocol, was conducted among consenting caregivers of children aged 12 - 23 months who had Road to Health cards (RtHC). RtH cards were checked and photographed, and reasons were recorded for missed vaccinations. Epi Info 7 was used for descriptive statistical analysis.  Results. Eligible children resided in 327 of 8 060 houses visited, with 84.4% ( n =276/327) of caregivers consenting to participate. Vaccination coverage ranged from 99.6% ( n =275/276) for the oral polio vaccine at birth to 87.3% ( n =241/276) for the third dose of the pneumococcal conjugate vaccine (PCV3). Of the children who received PCV3, 24 had missed earlier vaccinations, resulting in a FIC rate of 78.6% ( n =217/276). Overall, 123 vaccinations were missed by 59 children, with reasons related to health facility obstacles (34.1%; n =42/123) and lack of information (26.8%; n =33/123) being the largest contributors.  Conclusion. The FIC rate of 78.6% can realistically be improved, as most missed vaccinations are due to modifiable healthcare facility obstacles, including poor communication. Suggested solutions include providing accredited programmes for empowering vaccinators to effectively communicate with their clients and manage vaccination logistics, and extending clinic hours to early evenings and weekends.\",\"PeriodicalId\":44732,\"journal\":{\"name\":\"South African Journal of Child Health\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2021-10-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"South African Journal of Child Health\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.7196/SAJCH.2021.V15I3.01798\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"South African Journal of Child Health","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7196/SAJCH.2021.V15I3.01798","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 1

摘要

背景南非(SA)经历了疫苗可预防的疾病爆发,尽管官方报告了高的1岁以下完全接种疫苗的行政覆盖率(FIC)数字。目标。调查2017年南非豪登省茨瓦内5区的免疫覆盖率和错过疫苗接种的原因。方法。根据世界卫生组织的一项协议,在持有健康之路卡(RtHC)的12-23个月儿童的同意照顾者中进行了一项家庭调查。对RtH卡进行检查和拍照,并记录未接种疫苗的原因。Epi-Info 7用于描述性统计分析。结果。符合条件的儿童居住在所访问的8060所房屋中的327所,84.4%(n=276/327)的照顾者同意参与。疫苗接种覆盖率从出生时口服脊髓灰质炎疫苗的99.6%(n=275/276)到第三剂肺炎球菌结合疫苗的87.3%(n=241/276)不等。在接受PCV3的儿童中,有24名儿童错过了早期疫苗接种,导致FIC率为78.6%(n=217/276)。总体而言,59名儿童错过了123次疫苗接种,其中与卫生设施障碍有关的原因(34.1%;n=42/123)和缺乏信息(26.8%;n=33/123)是最大的原因。结论。78.6%的FIC接种率实际上是可以提高的,因为大多数错过疫苗接种是由于医疗机构的障碍,包括沟通不畅。建议的解决方案包括提供经认可的计划,使疫苗接种者能够与客户有效沟通并管理疫苗接种物流,并将诊所时间延长至傍晚和周末。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health facility obstacles result in missed vaccination opportunities in Tshwane Region 5, Gauteng Province
Background. South Africa (SA) experiences vaccine-preventable disease outbreaks despite officially reporting high administrative fully immunised under-1-year-old coverage (FIC) figures.  Objective. To investigate immunisation coverage and reasons for missed vaccinations in Tshwane Region 5 in Gauteng province, SA, in 2017.  Methods. A household survey, based on a World Health Organization protocol, was conducted among consenting caregivers of children aged 12 - 23 months who had Road to Health cards (RtHC). RtH cards were checked and photographed, and reasons were recorded for missed vaccinations. Epi Info 7 was used for descriptive statistical analysis.  Results. Eligible children resided in 327 of 8 060 houses visited, with 84.4% ( n =276/327) of caregivers consenting to participate. Vaccination coverage ranged from 99.6% ( n =275/276) for the oral polio vaccine at birth to 87.3% ( n =241/276) for the third dose of the pneumococcal conjugate vaccine (PCV3). Of the children who received PCV3, 24 had missed earlier vaccinations, resulting in a FIC rate of 78.6% ( n =217/276). Overall, 123 vaccinations were missed by 59 children, with reasons related to health facility obstacles (34.1%; n =42/123) and lack of information (26.8%; n =33/123) being the largest contributors.  Conclusion. The FIC rate of 78.6% can realistically be improved, as most missed vaccinations are due to modifiable healthcare facility obstacles, including poor communication. Suggested solutions include providing accredited programmes for empowering vaccinators to effectively communicate with their clients and manage vaccination logistics, and extending clinic hours to early evenings and weekends.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
0.60
自引率
0.00%
发文量
21
审稿时长
12 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信