Vaccination coverage of children aged 12-23 months in Gaziantep, Turkey: comparative results of two studies carried out by lot quality technique: what changed after family medicine?

Özçırpıcı, Birgül; Aydın, Neriman; Coşkun, Ferhat; Tüzün, Hakan; Özgür, Servet

doi:10.1186/1471-2458-14-217

Cited by 6 publications

(4 citation statements)

References 16 publications

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“…We think that this may be attributed to the lack of easy access to health care in rural areas. It is possible that the rate of booster vaccination is lower because, over time, physicians and individuals lose interest in maintaining vaccine coverage in rural areas of Turkey (20). In this study it was observed that immunity to tetanus increased with education level, which was compatible with another study from Turkey (21).…”

Section: Discussionsupporting

confidence: 90%

Evaluation of tetanus antibody levels in adults in Yozgat, Turkey

Kader¹,

Balci²,

Erbay³

2016

Turk J Med Sci

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Background/aim: To assess the immune status against tetanus in relation to self-declared vaccination status among an adult population in Yozgat, Turkey. Methods:Questionnaires and blood specimens were collected from 267 individuals over 18 years of age in Yozgat, Turkey. Antitetanus antibodies were determined quantitatively by enzyme-linked immunosorbent assay.Results: Among the 267 subjects (mean age 43.4 ± 15.6; male:female, 133:134) 168 (62.9%) had protective level of tetanus antibody titers. There was a characteristic distribution of the tetanus antibody titers in different age groups as it dropped with increasing age. Protective immunity was obtained in 74.1% of urban and 47.9% of rural participants. The lowest immunity was observed among farmers (53.3%) and housewives (55.6%) when compared to other occupations. Protective antibody titers were detected in 25% of the individuals who had not finished any school, while the rate was 83.7% in those who had graduated from university. While the protection rate in women who had been vaccinated during pregnancy was 78.3%, this rate was 39.2% in nonvaccinated women. Conclusion:Our findings confirm that only 62.9% of the population is immunized against tetanus, with a lack of coverage in particular for the elderly and in rural areas. It is necessary to follow the recommendations for 10-year boosters for tetanus.

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Section: Discussionsupporting

confidence: 90%

Evaluation of tetanus antibody levels in adults in Yozgat, Turkey

Kader¹,

Balci²,

Erbay³

2016

Turk J Med Sci

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“…The poor literacy rate among these parents shows their casual attitude regarding their child's health. Furthermore, health education should also notify health workers about records and familial concerns about vaccination and keeping vaccination cards [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

Pakistan Ranks Third Globally With the Most Unvaccinated Children: Is the Impact of Parental Perception and Attitude on Immunization an Essential Contributing Factor to an Unsuccessful Vaccination Coverage?

Saeed¹,

Hashmi²

2021

Cureus

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Introduction Having the third-highest burden of child mortality and ranking third globally for the most under-vaccinated children, Pakistan contains 15% of its population under the age of five, which accounts for 50% of the mortality rate in this country. Every year, almost three million children miss out on an entire course of the most readily available vaccines, leaving them vulnerable to life-threatening diseases. The Expanded Program of Immunization (EPI) was launched in 1978 to protect children from vaccine-preventable childhood diseases. It is the main program through which routine immunization is provided to the public. However, since its inception within Pakistan, it has encountered many problems, including a lack of parental awareness and education. Low literacy rate, socio-economic disparities, cultural and religious beliefs have made parents doubtful about vaccinations. This term is known as vaccine hesitancy. Belief in conspiracy theories has also led to reduced vaccination coverage in Pakistan. Methods A cross-sectional study was conducted on 300 parents with children under five, chosen from Karachi, Pakistan, through a convenience sampling technique. The data was collected via 300 self-administered or researcher administered questionnaires. Associations were evaluated using the chi-square test with the level of significance taken as p < 0.05 and Cramer's V to determine the strength of these associations. Data analysis was done using Statistical Package for the Social Sciences (SPSS) version 20.0. Results Strong associations were found between parental knowledge of immunization, vaccines, and willingness to get their children immunized. Associations were greater and significant in parents with a higher level of education compared to lower. However, lack of knowledge about certain essential vaccines like Pentavalent, Pneumococcal, and IPV was an important aspect to consider. Also, it was noted that their inability to access these free vaccines was due to their own firm beliefs. It was also about the lack of awareness and facilities for a better and beneficial program. 22.3% of parents said that administering multiple vaccines at a time would be harmful to their child, and 21.7% believed it would cause the disease it's supposed to prevent. However, the majority of the parents said they would strongly recommend others to get vaccinated. In this study, religions included and investigated mostly encouraged vaccination to their relatives (p value= 0.079). Occupation and Monthly income had little to no effect on the immunization regime of young children. Conclusion An impact of higher levels of education on the perceptions and attitudes of parents regarding the immunization of children was noted. Consequently, as religion, gender, occupation, and monthly income do not affect parents' perceptions regarding immunizations, the problem lies within their knowledge and understanding of basic medical science a...

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“…We think that both physicians and women lose interest in maintaining vaccine coverage. The review of two studies assessing vaccinations of women of childbearing age showed fewer cases of neonatal tetanus when two or three doses were applied [26]. According to a study conducted in Pakistan, 87% of the women recalled receiving 2 doses of TT [27].…”

Section: Discussionmentioning

confidence: 99%