Significant vaccination delay can occur even in a community with very high vaccination coverage: evidence from Ballabgarh, India.

Autor:	Yadav K; Indian Coalition for Control of Iodine Deficiency Disorders, New Delhi, India., Srivastava R, Kumar R, Chinnakal P, Rai SK, Krishnan A
Jazyk:	angličtina
Zdroj:	Journal of tropical pediatrics [J Trop Pediatr] 2012 Apr; Vol. 58 (2), pp. 133-8. Date of Electronic Publication: 2011 Jul 08.
DOI:	10.1093/tropej/fmr059
Abstrakt:	Background: The current study was undertaken to estimate the delay in vaccination for National Immunization Schedule vaccines in under-five children and explore causes for this delay. Methods: The study was carried out in Ballabgarh Health and Demographic Surveillance Site in Northern India. It is a secondary data set-based study of children born between 1991 and 2004. Causes for delay in vaccination were explored by informal discussions. Results: Total of 25 517 children were included in the analysis. Vaccination coverage at 1 year of age was high for all National immunization schedule vaccines (78.7% for measles to 97.4% for OPV-1). Children for delayed vaccination ranged from 15.9% (95% CI 15.4-16.3) for OPV booster to 83.5% (95% CI 83.1-83.9) for OPV-3. Non-availability of children was identified as important determinants of the delay. Conclusions: We conclude that focus on 'quantity' in vaccination (high vaccination coverage) needs to be supplemented with quality of vaccination (in-time vaccination).
Databáze:	MEDLINE
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