Descriptive analysis of routine childhood immunisation timeliness in the Western Cape, South Africa

Blose, Ntombifuthi; Amponsah-Dacosta, Edina; Kagina, Benjamin M.; Muloiwa, Rudzani

doi:10.1016/j.jvacx.2021.100130

Cited by 5 publications

(4 citation statements)

References 35 publications

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“…The findings from this study also highlight that children aged 24 to 35 months are more likely to be incompletely immunized. These findings correlate with those reported in a descriptive analysis conducted in South Africa [ 30 ]. The probable explanation for the high chances of incomplete immunization as the child's age increases could be due to the busy work schedules of caregivers.…”

Section: Discussionsupporting

confidence: 91%

Prevalence and factors associated with incomplete immunization among children aged 12 to 35 months in Eswatini: analysis of the Eswatini multiple indicator cluster survey

Dlamini¹,

Bhat²,

Kodali³

et al. 2023

Pan Afr Med J

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Introduction incomplete childhood immunization is a significant public health challenge as children continue to succumb to vaccine-preventable diseases in most developing countries. Studies on childhood immunization conducted in Eswatini are sparse. Therefore, the present study assessed the prevalence of incomplete childhood immunization in Eswatini and further explored associated factors among children aged 12 to 35 months. Methods using data from Eswatini multiple indicator cluster survey 5 (EMICS5), a cross-sectional analysis with 978 children aged 12 to 35 months was conducted. This is the latest available data in the public domain. The survey was conducted from July 2014 to October 2014. The primary outcome variable was incomplete immunization. Univariate and multivariate logistic regressions were used to examine the association between selected variables and incomplete immunization. Results the mean age of the children was 23.45±6.92 months, 50.2% were boys, and 74.1% lived in rural areas. The prevalence of incomplete immunization was 31.5%. Increased child´s age, being a girl, increased caregiver´s age, and increased number of children under-five years in the household and residing in the Manzini or Hhohho region were significantly associated with incomplete immunization. Conclusion the EMICS 5 revealed a high prevalence of incomplete immunization in Eswatini. Health promotion activities such as empowering women and caregivers of children through health education about child health should be emphasized. Where feasible, outreach services and door-to-door immunization should be strengthened to improve immunization coverage in the country and cover dropouts.

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Section: Discussionsupporting

confidence: 91%

Prevalence and factors associated with incomplete immunization among children aged 12 to 35 months in Eswatini: analysis of the Eswatini multiple indicator cluster survey

Dlamini¹,

Bhat²,

Kodali³

et al. 2023

Pan Afr Med J

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“…Sejalan dengan penelitian (Dillyana, 2019) dari hasil uji statistik bivariat menunjukkan terdapat hubungan pengetahuan, sikap, dan persepsi ibu dengan status imunisasi dasar. Hasil statistik mendapatkan bayi dengan imunisasi dasar tidak lengkap sebesar 32,9% (Blose et al, 2022;Ji et al, 2020).…”

Section: Pendahuluanunclassified

Penyuluhan Tentang Imunisasi Dasar Lengkap Di Puskesmas Kapasa Kota Makassar

Nurhikmah

Taher

Muliyana

et al. 2022

COVIT

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Low complete basic immunization coverage is still a very difficult problem to deal with. Government programs in an effort to improve the degree of children's health that is before the child is one-year-old basic immunization should be given in full according to his age. In this condition, the immune system is expected to work optimally with the effect caused to a minimum. This devotion aims to increase public knowledge about complete basic immunization so that basic immunization coverage can increase. The methods used are lectures and discussions. The implementation in Kapasa Public Health Center with the number of participants as many as 30 mothers. From the results of the extension, there is an increase in the knowledge and understanding of mothers so that it is expected that this training activity can be carried out in all the work areas of Public Health Center with government support.

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“…Parents’ decision making about initiating or continuing their children’s scheduled immunisation is compounded by contextual changes and psychological factors that emerge during crises. Delayed immunisation and nonvaccination compromise protection of children from outbreaks of vaccine-preventable diseases and death [ 3 ]. South Africa has a relatively long history with its routine childhood vaccination programme, which started in 1974 [ 4 ], though not comparable to some developed countries such as the United Kingdom’s availability of viral smallpox vaccination, which began in the 18th century [ 5 ] and was later followed by development and bacterial vaccination for tuberculosis.…”

Section: Introductionmentioning

confidence: 99%

“…In 2019, Makamba-Mutevedzi and colleagues [ 11 ] reported a similar national average, 76.8% (75.4–78.2), from the nationally representative EPI survey of full vaccination coverage, that is, children who received all age-appropriate vaccinations from birth to 18 months. Disparities have been noted with some provinces and districts performing above national average coverage of routine immunisation and a handful of districts registering far below the national average [ 3 , 11 ]. Vaccine uptake determines full immunisation coverage, and vaccine timeliness is necessary for optimal prevention of debilitating childhood diseases and child death.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Parents Taking Their Children for Scheduled Vaccinations during COVID-19 Pandemic in South Africa

et al. 2023

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Scheduled or routine childhood vaccinations are known for their effectiveness in eradicating fear for many life-threatening and disabling diseases and saving lives globally. This paper is aimed at assessing determinants of parents taking their children for scheduled vaccinations during the COVID-19 pandemic in South Africa. Data used for this paper were obtained from the Human Sciences Research Council’s (HSRC) COVID-19 Online Survey titled “One Year Later Survey”, which was conducted between 25 June and 11 October 2021 in South Africa. Multivariate logistic regression analysis was performed to achieve this study goal. Findings showed that just over half of parents (56.7%) reported taking their children for scheduled vaccinations across the country. Males were significantly less likely (aOR = 0.53 95% CI [0.45–0.61], p < 0.001) to have taken their children for scheduled vaccinations than females. Parents’ experiences and views were among key determinants of parents having taken their children for scheduled vaccinations in South Africa. Parents who had never taken influenza (flu) vaccines were significantly less likely (aOR = 0.33 [0.28–039], p < 0.001) to have taken their children for scheduled vaccinations than those who had taken flu vaccines. Parents who did not know anyone who had personally experienced serious side effects to any vaccine were significantly less likely (aOR = 0.77 [0.66–0.90], p = 0.001) to have taken their children for scheduled vaccinations than those who knew anyone who had experienced them. Parents who did not think vaccines were a good way to protect communities from disease were significantly less likely (aOR = 0.50 [0.33–0.77], p = 0.001) to have taken their children for scheduled vaccinations than those who thought vaccines were a good way to protect communities from disease. These findings are of significance especially during the time when the country is still struggling to reach a substantial proportion of its population vaccinated for COVID-19. Thus, these findings may be relevant in determining parents’ intentions to have their children receive the South African Department of Health recommended vaccines for their respective age group.

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Descriptive analysis of routine childhood immunisation timeliness in the Western Cape, South Africa

Cited by 5 publications

References 35 publications

Prevalence and factors associated with incomplete immunization among children aged 12 to 35 months in Eswatini: analysis of the Eswatini multiple indicator cluster survey

Prevalence and factors associated with incomplete immunization among children aged 12 to 35 months in Eswatini: analysis of the Eswatini multiple indicator cluster survey

Penyuluhan Tentang Imunisasi Dasar Lengkap Di Puskesmas Kapasa Kota Makassar

Determinants of Parents Taking Their Children for Scheduled Vaccinations during COVID-19 Pandemic in South Africa

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