Evaluation of routine EPI vaccination coverage of children aged 12 to 23 months women of childbearing age in IDP sites supported by IOM in the Ituri supported by IOM in the Provinces of Ituri, Nord-Kivu and Sud-Kivu.
Article Sidebar
Main Article Content
Abstract
Introduction: Low coverage of routine EPI among children aged 12 to 23 months and VAT among women of childbearing age remains a very serious public health problem in developing countries where it is responsible for a high mortality. This survey made it possible to assess the vaccination coverage of children aged 12 to 23 months and women who gave birth in the last 12 months.
Method: A descriptive study was carried out in the different IDP sites supported by IOM in the provinces of Ituri, North Kivu and South Kivu.
The sample size consisted of 365 respondents who were selected in 20% of the sites for all three provinces, i.e. 33, through multi-stage sampling. Data were collected by structured interview using a questionnaire deployed on tablets in the Kobocollect software. SPSS 25 software was used for data analysis.
Results: The proportion of children aged 12 to 23 months fully vaccinated was low, 15.8%. BCG was the antigen with the highest vaccination coverage compared to other antigens with 53% and IPV was the one with the lowest coverage with 3.91%. The majority of women who gave birth during the last 12 months had not received any dose of VAT over the entire duration of their pregnancies, i.e. 80.54%. The excessively long wait/inconvenient schedule as well as the unavailability of VAT were declared by most of the respondents with a proportion of 54% as being the reason for the low coverage.
Conclusion: Routine EPI vaccination coverage for children aged 12 to 23 months as well as for tetanus vaccination among women who gave birth in the last 12 months in IDP sites supported by IOM in the three provinces was overall low
Article Details
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
References
Center for Disease Control and Prevention. Ten great public health achievements- worldwide, 2001-2010. MMWR Morb Mortal Wkly Rep. 2011 Jun 24;60(24): 814- 8.
Waters HR, Dougherty L, Tegang S-P, et al. Coverage and costs of childhood immunizations in Cameroon. Bull World Health Organ 2004;82(9):668‐75.
Ou F, Wu H, Yang Y, Tan W, Zhang J, Gu J. Countermeasures for rapid spread of new coronavirus pneumonia in Wuhan. Chin General Pract Nurs. 2020. http://kns.cnki.net/kcms/detail/14.1349.R.20200131.1319.002. html. Accessed 2 Feb 2020.
4.Maladies infectieuses. P 29parfois 2 bactéries ou virus (exemple : vaccine et variole) peuvent déclencher la même réponse immunitaire
Batumbo doudou, Didine KABA ,Pierre AKILIMALI et al Connaissance, Attitudes et Pratiques des mères d’enfants de 0 à 23 Mois dans La zone de santé de Ngaba ,ville de Kinshasa (RDC) vis-à-vis De La Vaccination :École de santé publique de Kin,Funded through KSPH , 2020.
Awadh AI, Hassali MA, Al-lela OQ, et al. Immunization knowledge and practice among Malaysian parents: a questionnaire development and pilot-testing. BMC Public Health 2014;14(1):1107.
Rainey JJ, Watkins M, Ryman TK, et al. Reasons related to non- vaccination and under-vaccination of children in low- and middle-income countries: Findings from a systematic review of the published literature, Vaccine 2011;29(46):8215‐21.
Rahman M, Islam MA, Mahalanabis D. Mothers’ knowledge about vaccine preventable diseases and immunization coverage in a population with high rate of illiteracy. J Trop Pediatr 1995;41(6):376‐8.
Nankabirwa V, Tylleskär T, Tumwine JK, et al. Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study. BMC Pediatr 2010;10(1):92.
Topuzoğlu A, Ay P, Hidiroglu S, Gurbuz Y. The barriers against childhood immunizations: qualitative research among socio- economically disadvantaged mothers. Eur J Public Health 2007;17(4):348‐52.
Nankabirwa V, Tylleskär T, Tumwine JK, et al. Maternal education is associated with vaccination status of infants less than 6 months in Eastern Uganda: a cohort study. BMC Pediatr 2010;10(1):92
Impicciatore P, Bosetti C, Schiavio S, et al. Mothers as active partners in the prevention of childhood diseases: maternal factors related to immunization status of preschool children in Italy. Prev Med 2000;31(1):49‐55.
Qutaiba B Al-lela O, Bahari MB, Al-Qazaz HK, et al. Are parents’ knowledge and practice regarding immunization related to pediatrics’ immunization compliance a mixed method study. BMC Pediatr 2014; 14:20.
Organisation Mondiale de la Santé. Plan d’action mondial pour les vaccins 2011-2020. Genève :
OMS ; 2013. 148 p. Organisation Mondiale de la Santé. Statistiques sanitaires mondiales 2013. Genève : OMS ; 2014. 168 p.
Agence Nationale de la Statistique et de la Démographie (ANSD) [Sénégal], et ICF International (2013) Enquête Démographique et de Santé Continue au Sénégal (EDS-Continue) 2012-2013.
Calverton, Maryland, USA : ANSD et ICF International. 2014;215 . Favin M, Steinglass R, Fields R, Banerjee K, Sawhney M. Why children are not vaccinated: a review of the grey literature. International Health. 2012;4:229-38.
Cooper S, Betsch C, Sambala EZ, Mchiza N, Wiysonge CS. Vaccine hesitancy - a potential threat to the achievements of vaccination programmes in Africa. Hum Vaccin Immunother. 2018;14(10): 2355- 2357. Soumaré M, Diop BM, NDour CT, Gaye OH, Badiane S. Aspects épidémiologiques, cliniques et pronostiques du tétanos otogène au centre hospitalier universitaire de Dakar. Med Mal Infect 2003 ; 33 : 254-257.
Ministère de la santé et de la prévention [Sénégal]. Plan national de développement sanitaire 2009-2018. Dakar ; 2009. 86 p.
Dao S, Oumar AA, Maiga I, Diarra M, Bougoudogo F. Tetanus in a hospital setting in Bamako, Mali. Med Trop. 2009 Oct; 69(5): 485- 7.
Lotthé A. Le tétanos, maladie inexcusable ou fatalité. Access April 17, 2020.
Organisation Mondiale de la Santé. Couverture vaccinale. Organisation mondiale. Juillet 2017. Access April 17, 2020.
Centre René Labusquière, Institut de Médecine Tropicale, Université de Bordeaux, 33076 Bordeaux (France).
Sangho H, Keïta AS, Diallo S, Sangaré Y, Dembélé Keïta H, Traoré Guindo M. Vaccination antitétanique des femmes en âge de procréer à Bamako au Mali. Mali Med. 2016; 31(2): P21.
Blettery B, Doise JM. Tétanos ; prévention et diagnostic. EMC - Médecine d’urgence 2017 :1-5 [Article 25-090-B10]
OMS. Progrès accomplis en vue de l’élimination du tétanos maternel et néo-natal dans le monde, 2000-2018. BEH 2020 ; 95 : 173-183
Huang C, Wang Y, Li X, Ren L, Zhao Jianping, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020; 395:497–506. https://doi.org/10.1016/S0140– 6736(20)30183–5.
Ou F, Wu H, Yang Y, Tan W, Zhang J, Gu J. Countermeasures for rapid spread of new coronavirus pneumonia in Wuhan. Chin General Pract Nurs. 2020. http://kns.cnki.net/kcms/detail/14.1349.R.20200131.1319.002. html. Accessed 2 Feb 2020.
Li J, Li J, Xie X, et al. Game consumption and the 2019 novel coronavirus. Lancet Infect Dis. 2020. https://doi.org/10.1016/ S1473-3099(20)30063-3