A comparison of populations vaccinated in a public service and in a private hospital setting in the same area

Pandolfi, Elisabetta; Graziani, M; Ieraci, Roberto; Cavagni, Giovanni; Tozzi, Alberto Eugenio

doi:10.1186/1471-2458-8-278

Cited by 9 publications

(8 citation statements)

References 21 publications

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“…Considering the fact that Kumasi is an urban area with the majority clients being resident in Kumasi, this is consistent with the high proportion of deliveries in urban centres being supervised [ 7 ]. Hospital delivery has been associated with timely vaccine uptake [ 21 ] although in this study, children delivered in health facilities other than KATH received some vaccines later and is consistent with similar findings in Burkina Faso [ 19 ]. Further evidence in this study is the observed association between delivery in KATH and receipt of immunisation services in the same facility.…”

Section: Discussionsupporting

confidence: 88%

“…This study cannot determine the role of hospital birth in the timely administration of latter vaccines in the EPI schedule as these may be influenced by other factors. There may be the need to specifically examine the timeliness of vaccine uptake among children delivered outside hospitals to determine any relationship if it exists [ 19 ]. The fact that the majority of children in this study were delivered in a health facility is a marked deviation from national trends [ 7 ] and the results may therefore not be applicable to children delivered outside health facilities.…”

Section: Discussionmentioning

confidence: 99%

“…Individual and community based factors including religion as well as immunisation services offered on outreach basis have been associated with an increased likelihood of delayed vaccination [ 17 , 18 ]. Hospital-based immunisation services have however been associated with delay in receipt of vaccines in Italy [ 19 ]. The advantage of maternal education in vaccine uptake has been discounted although the association between prenatal service and continuation of immunisation in the same facility has been associated with complete vaccination [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

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Timeliness of childhood vaccine uptake among children attending a tertiary health service facility-based immunisation clinic in Ghana

2014

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BackgroundChildhood immunisation is a cost-effective activity in health. Immunisation of children has contributed to reducing child morbidity and mortality. In the last two decades, global deaths from vaccine-preventable illnesses have decreased significantly as a result of immunisation. Similar trends have been observed in Ghana following the introduction of the Expanded Programme on Immunisation. The administration of vaccines is based on the period of highest susceptibility among others. Ghana has long used the proportion of children receiving vaccines and the trends in vaccine preventable illness incidence as performance indicators for immunisation. The addition of timeliness of vaccine uptake as an additional performance indicator has been recommended. This study evaluated the timeliness of vaccine uptake among children immunised at the Komfo Anokye Teaching Hospital, Kumasi, Ghana.MethodsThe study was conducted at the Maternal and Child Health clinic of the hospital between February and March 2012. A representative sample of 259 respondents was selected by simple random sampling. Data collection was by a structured questionnaire and included the examination of Child Health records booklet. Data was entered into a Microsoft Office Access database and analysed using Epi Info Version 3.5.1 2008.ResultsThe majority of mothers attended antenatal clinics during pregnancy. An overwhelming majority of babies (98.8%) were delivered in a hospital. About 85% of babies were less than 12 months of age. Mean time taken to reach the clinic was 30 minutes. Vaccine uptake was generally timely for initial vaccines. The proportion of children receiving the vaccines later increased with latter vaccines. Overall, 87.3% of babies received vaccines on time with only 5.3% receiving vaccines beyond 28 days of the scheduled date. Children receiving immunisations services in the same facility as they were born were more likely to receive the BCG vaccine on time.ConclusionsVaccine uptake is mostly timely among respondents in the study. The BCG vaccine in particular was received on time among children born in the same facility as the immunisation clinic. There is the need to further examine the timeliness of vaccine uptake among children delivered outside health facilities in Ghana.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Timeliness of childhood vaccine uptake among children attending a tertiary health service facility-based immunisation clinic in Ghana

2014

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“…The calendar is regularly updated and published each year 5 . Although children with chronic diseases face greater risks, their vaccine coverage rates appear to be lower than in the general population 6 ; nonetheless, exact figures are unavailable. Furthermore, studies have often linked delays in providing vaccinations, or non‐vaccination, to doctors' lack of knowledge or failure to inform families of the indications for these particular vaccines 7,8 .…”

Section: Introductionmentioning

confidence: 99%

Vaccination coverage of children with chronic diseases is inadequate especially for specifically recommended vaccines

Diallo¹,

Santal²,

Lagrée³

et al. 2020

Acta Paediatrica

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Aim: Our objectives were to measure the vaccine coverage rates for children with chronic diseases as well as the prevalence of potentially harmful delays for generally recommended vaccines. We also identified the factors influencing non-adherence to vaccines specifically recommended for chronic conditions. Methods: Three non-interventional point-prevalence surveys were performed in 2014 in all paediatric units at Lille University Hospital among children aged 2 months-18 years with chronic diseases and vaccination data. Vaccine coverage and delays for generally recommended vaccines were studied. The children who were up-to-date and those under-vaccinated for specifically indicated vaccines were compared and the factors potentially associated with under-vaccination were studied with multivariable analysis. Results: We screened 682 patients: of 207 with chronic diseases, mainly neurological, muscular and respiratory disorders, 146 had vaccination data. Only 47% (95% confidence interval 39-55) were up-to-date for all generally recommended vaccinations; potentially harmful vaccination delays were high (26%-75%). Only 11% of the 81% of patients for whom some vaccines were specifically recommended were upto-date. Low maternal education level was significantly associated with under-vaccination (adjusted odds ratio 10.5, 95% confidence interval 1.3-86.9, P = .03). Conclusion: This study showed inadequate vaccine coverage rates and significant delays among children with chronic diseases.

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“…Health authorities have de ned chronic neurological diseases as high-risk conditions for in uenza and pneumococcal infections, and they recommend vaccines against these infections (2). Although children with chronic diseases face greater risks, their vaccine coverage rates appear to be lower than in the general population (3); nonetheless, exact gures are unavailable. In previous studies, it was revealed that patients with chronic neurological diseases were vaccinated more delayed and less frequently than the healthy population (1,4,5).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of immunization status in patients with cerebral palsy: a multicenter CP-VACC study

et al. 2021

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Children with chronic neurological diseases,including cerebral palsy(CP)are especially susceptible to vaccine-preventable infections and face an increased risk of severe respiratory infections and decompensation of their disease.This study aims to examine age-appropriate immunization status and related factors in the CP population of our country. This cross-sectional prospective multicentered survey study included 18 pediatric neurology clinics around Turkey,wherein outpatients children with CP were included in the study.Data on patient and CP characteristics,concomitant disorders as well as vaccination status included in the National Immunization Program(NIP),administration and recommendation of in uenza vaccine were collected at a single visit.A total of 1194 patients were enrolled.Regarding immunization records,the most frequently administrated and schedule completed vaccines were BCG(90.8%),hepatitis B(88.9%)and oral poliovirus vaccine (88.5%).MMR was administered to 77.3% and DTaP-IPV-HiB was administered to 60.5% of patients.For the pneumococcal vaccines,54.1% of children had received PCV in the scope of the NIP, and 15.2% of children were not fully vaccinated for their age.The in uenza vaccine, was administered only to 3.4% of the patients at any time and had never been recommended to 1122 parents(93.9%).In the patients with severe(grade 4 and 5)motor dysfunction,the frequency of incomplete/none vaccination of hepatitis B,BCG, DTaP-IPV-HiB,OPV,MMR were statistically more common than mild to moderate(grade 1-3)motor dysfunction(p = 0.003, p < 0.001, p < 0.001, p < 0.00, and p < 0.001, respectively).In uenza vaccine recommendation by physicians was higher in the severe motor dysfunction group and the difference was statistically signi cant(p = 0.029).Children with CP had lower immunization rates and incomplete immunization programs.Clinicians must ensure children with CP receive the same preventative health measures as healthy children,including vaccines.

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A comparison of populations vaccinated in a public service and in a private hospital setting in the same area

Abstract: Background: Improving immunisation rates in risk groups is one of the main objectives in vaccination strategies. However, achieving high vaccination rates in children with chronic conditions is difficult. Different types of vaccine providers may differently attract high risk children.

Cited by 9 publications

References 21 publications

Timeliness of childhood vaccine uptake among children attending a tertiary health service facility-based immunisation clinic in Ghana

Timeliness of childhood vaccine uptake among children attending a tertiary health service facility-based immunisation clinic in Ghana

Vaccination coverage of children with chronic diseases is inadequate especially for specifically recommended vaccines

Evaluation of immunization status in patients with cerebral palsy: a multicenter CP-VACC study

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