Needle-free injectors for mass administration of fractional dose inactivated poliovirus vaccine in Karachi, Pakistan: A survey of caregiver and vaccinator acceptability.

Autor: Daly C; World Health Organization (WHO), Islamabad, Pakistan. Electronic address: dalyc@who.int., Molodecky NA; World Health Organization (WHO), Islamabad, Pakistan; National Emergency Operations Centre for Polio Eradication, Islamabad, Pakistan., Sreevatsava M; World Health Organization (WHO), Islamabad, Pakistan., Belayneh AD; World Health Organization (WHO), Sindh, Pakistan., Chandio SA; United Nations Children's Fund (UNICEF), Sindh, Pakistan., Partridge J; Bill & Melinda Gates Foundation, Seattle, USA., Shaikh A; Bill & Melinda Gates Foundation, Sindh, Pakistan., Laghari M; National Stop Transmission of Polio (N-STOP) Program, Pakistan., Agbor J; United Nations Children's Fund (UNICEF), Islamabad, Pakistan., Safdar RM; Ministry of National Health Services, Regulations and Coordination, Islamabad, Pakistan., Bullo UF; Ministry of National Health Services, Regulations and Coordination, Sindh, Pakistan., Malik SM; Ministry of National Health Services, Regulations and Coordination, Islamabad, Pakistan., Mahamud A; World Health Organization (WHO), Islamabad, Pakistan; National Emergency Operations Centre for Polio Eradication, Islamabad, Pakistan.
Jazyk: angličtina
Zdroj: Vaccine [Vaccine] 2020 Feb 18; Vol. 38 (8), pp. 1893-1898. Date of Electronic Publication: 2020 Jan 23.
DOI: 10.1016/j.vaccine.2019.12.059
Abstrakt: The first large-scale vaccination campaign using needle-free jet injectors to administer fractional doses of inactivated poliovirus vaccine (fIPV) was conducted in Karachi, Pakistan, in February 2019. Data on acceptability of jet injectors were collected from 610 vaccinators and 4898 caregivers during the first four days of the campaign. Of those with prior needle and syringe experience, both vaccinators and caregivers expressed a strong preference for jet injectors (578/592 [97.6%] and 4792/4813 [99.6%], respectively), citing ease of use, appearance, and child's response to vaccination. Among caregivers, 4638 (94.7%) stated they would be more likely to bring their child for vaccination in a future campaign that used jet injectors. Mean vaccine coverage among towns administering fIPV was 98.7% - an increase by 18.4% over the preceding campaign involving full-dose IPV. Our findings demonstrate the strong acceptability of fIPV jet injectors and highlight the potential value of this method in future mass campaigns.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2019. Published by Elsevier Ltd.)
Databáze: MEDLINE
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